Federal inspection record · CMS data as of October 1, 2026
Oneida County Hospital & Long Term Care Facility
150 North 200 West, Malad, ID · (208) 766-2231
- CMS high-performer trophy
- Certified beds
- 33
- Residents per day
- 23
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1975
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Idaho.
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Staffing
★★★★★no change (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Idaho homes
Oneida County Hospital & Long Term Care Facility carries 25 inspection points. That is fewer than 92% of Idaho's 79 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Idaho: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–30.5 pts
- 4★ 30.5–46 pts
- 3★ 46–63 pts
- 2★ 63–85 pts
- 1★ over 85 pts
Bars show every rated home in Idaho by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
13 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning3D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care3D
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights2D
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Nursing and Physician Services2D
- D
Observe each nurse aide's job performance and give regular training.
- D
Post nurse staffing information every day.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Pharmacy Service1D
- D
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.
Inspection history
2026-05-13
8 health deficiencies · 4 fire-safety deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
2024-11-07
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2020-02-07
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 24 min of nursing staff time a day, 1 h 10 min of it from a registered nurse.
This home
5 h 24 min
Idaho average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 1.2 | 1.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.2 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts worse | 94.0% | 97.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.8 pts better | 100.0% | 96.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.1 pts better | 0.0% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15.7 pts better | 0.0% | 15.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts worse | 5.3% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication15.1 pts better | 1.3% | 16.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication18.4 pts better | 1.9% | 20.3% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.8 pts better | 14.0% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.2 pts worse | 17.6% | 15.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder4 pts worse | 5.0% | 1.0% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2 pts better | 0.0% | 2.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.9 pts better | 15.3% | 21.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts better | 1.8% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.5 pts worse | 78.3% | 91.8% | 82.3% |
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Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| County Of Oneida | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Bastian, Dan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bean, Von | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Blaisdell, Sharee | Operational/Managerial Control · Individual | 0% | 1 facilities |
| County Of Oneida | Adp Of The SNF · Organization | 0% | 1 facilities |
| Daniels, Shellee | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Edwards, Karren | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Edwards, Karren | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hannah, Robert | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Howard, Cindy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Howard, Cindy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Karn, Krista | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Oneida County Hospital | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Oneida County Hospital | Adp Of The SNF · Organization | 0% | 1 facilities |
| Pickett, James | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Pickett, James | Adp Of The SNF · Individual | 0% | 2 facilities |
| Williams, John | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Williams, John | Adp Of The SNF · Individual | 0% | 6 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness1F
- F
Conduct risk assessment and an All-Hazards approach.
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★★★★★- Worst citation, 3 yrs
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