Malad, ID

Oneida County Hospital & Long Term Care Facility

5-star overall rating with 5-star inspections with 1 recent health deficiencies

150 North 200 West, Malad, ID

(208) 766-2231

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

33

Certified beds

Average residents

21

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1975-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

1.00

Registered nurse staffing · state 0.83 · national 0.68

LPN hours / resident day

1.29

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

3.13

Nurse aide staffing · state 2.47 · national 2.35

Total nurse hours

5.42

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

2.29

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

4.73

Weekend nurse staffing · state 3.47 · national 3.43

Weekend RN hours

0.64

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

1.18

CMS adjusted RN staffing hours

Adjusted total hours

6.43

CMS adjusted total nurse staffing hours

Case-mix index

1.15

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

33%

Annual nurse turnover · state 49% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary	Not Available	1.02	No data were submitted for this measure.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Staff COVID-19 vaccination coverage	15.96%	8.2% 7.8 pts better	Numerator 15 · Denominator 94
Staff flu vaccination coverage	47.83%	42% 5.8 pts better	Numerator 33 · Denominator 69
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	1.1 0.1 pts worse	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	1.6 0.2 pts better	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	92.8%	96.8% 4 pts worse	93.4% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 95.0% · Q3 90.0% · Q4 86.4% · 4Q avg 92.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.2%	96.2% 1 pts worse	95.5% 0.3 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.2%
Percentage of long-stay residents experiencing one or more falls with major injury	3.6%	2.7% 0.9 pts worse	3.3% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.0% · Q3 5.0% · Q4 0.0% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	13.6% 13.6 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	9.1%	5.4% 3.7 pts worse	5.4% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q4 0.0% · 4Q avg 9.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	6.1%	16.2% 10.1 pts better	19.6% 13.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 10.0% · Q3 0.0% · Q4 0.0% · 4Q avg 6.1%
Percentage of long-stay residents who received an antipsychotic medication	6.1%	20.5% 14.4 pts better	16.7% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 6.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	17.7%	17.9% 0.2 pts better	16.3% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 17.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	22.5%	16.7% 5.8 pts worse	14.9% 7.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 22.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	4.6%	1.5% 3.1 pts worse	1.0% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q4 4.7% · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.9% 1.9 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	33.9%	22.6% 11.3 pts worse	19.8% 14.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 33.9%
Percentage of long-stay residents with pressure ulcers	1.5%	3.4% 1.9 pts better	5.1% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-07 · Fire 2024-11-07

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2020-02-07 · Fire 2020-02-07

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2018-10-26 · Fire 2018-10-26

4 health deficiencies

Top issue: Infection Control (1 deficiency)

6 fire-safety deficiencies

Top issue: Emergency Preparedness (6 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2020-02-07

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2019-06-13

D · Potential for more than minimal harm 2020-02-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-05-19

F · Potential for more than minimal harm 2018-10-26

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2018-03-28

D · Potential for more than minimal harm 2018-10-26

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2018-03-28

D · Potential for more than minimal harm 2018-10-26

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2018-03-28

D · Potential for more than minimal harm 2018-10-26

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2018-03-28

C · Minimal harm 2018-10-26

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2018-03-28

C · Minimal harm 2018-10-26

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2018-03-28

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-11-07

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-11-22

E · Potential for more than minimal harm 2020-02-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-03-05

D · Potential for more than minimal harm 2020-02-07

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2020-03-05

D · Potential for more than minimal harm 2020-02-07

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2020-03-05

D · Potential for more than minimal harm 2020-02-07

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2020-03-05

E · Potential for more than minimal harm 2018-10-26

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2018-12-02

E · Potential for more than minimal harm 2018-10-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2018-12-02

D · Potential for more than minimal harm 2018-10-26

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2018-12-02

C · Minimal harm 2018-10-26

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2018-12-02

Penalties and ownership

What sits behind the stars

Ownership

County Of Oneida

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1999-07-01

Bastian, Dan