8 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Homedale, ID
4-star overall rating with 4-star inspections with 8 recent health deficiencies
108 West Owyhee, Homedale, ID
(208) 337-3168
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
58
Certified beds
Average residents
54
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Ensign Group
Operator or chain grouping
Approved since
1981-07-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
329 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.83
Registered nurse staffing · state 0.83 · national 0.68
LPN hours / resident day
0.59
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.43
Nurse aide staffing · state 2.47 · national 2.35
Total nurse hours
3.85
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.11
Weekend nurse staffing · state 3.47 · national 3.43
Weekend RN hours
0.65
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.88
CMS adjusted RN staffing hours
Adjusted total hours
4.09
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
25%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
2,406
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
49.93
Composite VBP score used to determine payment impact.
Payment multiplier
1.0040
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.11
Baseline 17.76% · Performance 19.53% · Measure score 4.11 · Achievement 4.11 · Improvement 0
Healthcare-associated infections
0
Baseline 5.87% · Performance 8.27% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 40.35% · Performance 23.53% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
5.86
Baseline 4.09 hours · Performance 4.75 hours · Measure score 5.86 · Achievement 5.86 · Improvement 3.38
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.58% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 93 · Observed rate 12.9% · Lower 95% interval 7.43% |
| Discharge to community | 55.13% |
50.57%
4.6 pts better
|
No Different than the National Rate · Eligible stays 88 · Observed rate 52.27% · Lower 95% interval 45.96% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 95.38% |
95.27%
0.1 pts better
|
Numerator 62 · Denominator 65 |
| Falls with major injury | 1.54% |
0.77%
0.8 pts worse
|
Numerator 1 · Denominator 65 |
| Discharge self-care score | 56% |
53.69%
2.3 pts better
|
Numerator 28 · Denominator 50 |
| Discharge mobility score | 58% |
50.94%
7.1 pts better
|
Numerator 29 · Denominator 50 |
| Pressure ulcers or injuries, new or worsened | 3.08% |
2.29%
0.8 pts worse
|
Numerator 2 · Denominator 65 · Adjusted rate 3.63% |
| Healthcare-associated infections requiring hospitalization | 8.27% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 58 · Observed rate 10.34% · Lower 95% interval 4.84% |
| Staff COVID-19 vaccination coverage | 3.74% |
8.2%
4.5 pts worse
|
Numerator 4 · Denominator 107 |
| Staff flu vaccination coverage | 20.63% |
42%
21.4 pts worse
|
Numerator 26 · Denominator 126 |
| Discharge function score | 60% |
56.45%
3.5 pts better
|
Numerator 30 · Denominator 50 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 27 · Denominator 27 |
| Transfer of health information to patient | 95.24% |
96.28%
1 pts worse
|
Numerator 20 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 10% |
25.2%
15.2 pts worse
|
Numerator 3 · Denominator 30 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.1
0.2 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.6
0.8 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
96.8%
2.6 pts better
|
93.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 97.7% · 4Q avg 99.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.9% |
96.2%
1.7 pts better
|
95.5%
2.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.8% |
2.7%
6.1 pts worse
|
3.3%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 9.5% · Q3 7.0% · Q4 6.8% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.6% |
13.6%
5 pts better
|
11.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 2.8% · Q3 10.3% · Q4 15.4% · 4Q avg 8.6% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
5.4%
1.1 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 7.5% · Q3 2.4% · Q4 2.4% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.0% |
16.2%
0.8 pts worse
|
19.6%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 19.5% · Q3 14.3% · Q4 21.4% · 4Q avg 17.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.7% |
20.5%
7.8 pts better
|
16.7%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 12.9% · Q3 14.3% · Q4 13.9% · 4Q avg 12.7% · 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 | 16.1% |
17.9%
1.8 pts better
|
16.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 20.6% · Q3 9.0% · Q4 17.6% · 4Q avg 16.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.3% |
16.7%
0.6 pts worse
|
14.9%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 19.5% · Q3 12.2% · Q4 12.5% · 4Q avg 17.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.5%
1.5 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.4% |
1.9%
0.5 pts worse
|
1.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 7.0% · Q4 2.3% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.5% |
22.6%
3.1 pts better
|
19.8%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 31.1% · Q3 14.1% · Q4 18.6% · 4Q avg 19.5% |
| Percentage of long-stay residents with pressure ulcers | 5.1% |
3.4%
1.7 pts worse
|
5.1%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 6.2% · Q3 5.4% · Q4 4.7% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.6% |
90.2%
4.4 pts better
|
81.7%
12.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.5% · Q2 97.7% · Q3 90.0% · Q4 94.3% · 4Q avg 94.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.4% |
11.6%
4.2 pts better
|
12.0%
4.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.4% · Observed 7.9% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.5%
0.2 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 1.8% · Q4 3.4% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.2% |
86.5%
7.7 pts better
|
79.7%
14.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.1% |
17.5%
4.6 pts worse
|
23.9%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.1% · Observed 21.1% · Expected 22.7% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2019-01-24
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-01-24
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2018-03-27
Fire Safety
Conduct testing and exercise requirements.
Corrected 2018-03-27
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2018-03-27
Inspection history
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-09-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-30
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-09-30
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-09-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-30
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-30
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-09-30
Health
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.
Corrected 2019-06-27
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-06-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-06-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-06-27
Health
Provide and implement an infection prevention and control program.
Corrected 2019-06-27
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Corporate Director · Individual
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