Cycle 1
Health 2026-01-23 · Fire 2025-01-24
5 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Mountain Home, ID
St Luke's Elmore Long Term Care
5-star overall rating with 4-star inspections with 5 recent health deficiencies
895 North 6th East, Mountain Home, ID
(208) 587-0360
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
38
Certified beds
Average residents
17
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
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
Staffing
Hours and turnover
RN hours / resident day
1.47
Registered nurse staffing · state 0.83 · national 0.68
LPN hours / resident day
0.85
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
3.68
Nurse aide staffing · state 2.47 · national 2.35
Total nurse hours
6.00
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
2.32
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
5.14
Weekend nurse staffing · state 3.47 · national 3.43
Weekend RN hours
0.83
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.17
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
1.78
CMS adjusted RN staffing hours
Adjusted total hours
7.27
CMS adjusted total nurse staffing hours
Case-mix index
1.13
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
23%
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 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 2 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 58 |
| Staff flu vaccination coverage | 74.19% |
42%
32.2 pts better
|
Numerator 23 · Denominator 31 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.1% |
96.8%
0.3 pts better
|
93.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 97.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
2.7%
0.2 pts worse
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 11.9% |
13.6%
1.7 pts better
|
11.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.9% |
| Percentage of long-stay residents who lose too much weight | 5.6% |
5.4%
0.2 pts worse
|
5.4%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.1% |
16.2%
7.9 pts worse
|
19.6%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.3% |
20.5%
13.2 pts better
|
16.7%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.3% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 6.2% |
17.9%
11.7 pts better
|
16.3%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.5% |
16.7%
9.8 pts worse
|
14.9%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 26.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
1.5%
0.1 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.6% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.2% |
22.6%
10.4 pts better
|
19.8%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.2% |
| Percentage of long-stay residents with pressure ulcers | 2.5% |
3.4%
0.9 pts better
|
5.1%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2025-01-24 · Fire 2021-07-23
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2022-08-11 · Fire 2020-01-24
0 health deficiencies
No concentrated health issue counts in this cycle.
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2021-07-23
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2020-12-10
F · Potential for more than minimal harm
2021-07-23
K791 · Miscellaneous Deficiencies
Fire Safety
Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.
Corrected 2020-12-10
D · Potential for more than minimal harm
2021-07-23
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-12-10
F · Potential for more than minimal harm
2020-01-24
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2019-10-16
F · Potential for more than minimal harm
2020-01-24
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-11-11
F · Potential for more than minimal harm
2020-01-24
K907 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure medical gas and vacuum systems have documented maintenance programs.
Corrected 2019-10-23
E · Potential for more than minimal harm
2020-01-24
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2019-10-24
Inspection history
Recent health citations
F · Potential for more than minimal harm
2026-01-23
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-02-11
F · Potential for more than minimal harm
2026-01-23
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-02-11
D · Potential for more than minimal harm
2026-01-23
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2026-02-11
D · Potential for more than minimal harm
2026-01-23
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2026-02-11
D · Potential for more than minimal harm
2026-01-23
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-02-11
D · Potential for more than minimal harm
2025-01-24
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-02-05
D · Potential for more than minimal harm
2025-01-24
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-02-05
D · Potential for more than minimal harm
2025-01-24
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-02-05
Penalties and ownership
What sits behind the stars
Ownership
Baker, Emily
Corporate Director · Individual
Corrick, Thomas
Corporate Director · Individual
Davila, Rosa
Corporate Director · Individual
Fowler, Kathryn
Operational/Managerial Control · Individual
Fowler, Kathryn
Corporate Officer · Individual
Gilbert, William
Corporate Director · Individual
Grant, Jared
Operational/Managerial Control · Individual
Grant, Jared
Corporate Officer · Individual
Grow, Lisa
Corporate Director · Individual
Krahn, Daniel
Corporate Director · Individual
Lokken, Robert
Corporate Director · Individual
Mcgeorge, Laura
Corporate Director · Individual
Melchiorre, Lisa
Operational/Managerial Control · Individual
Raimondi, Richard
Corporate Director · Individual
Reid, Jacob
Operational/Managerial Control · Individual
Reid, Jacob
Corporate Director · Individual
Roth, Christopher
Operational/Managerial Control · Individual
Roth, Christopher
Corporate Officer · Individual
Sandmann, Megan
Operational/Managerial Control · Individual
Scoggin, Andrew
Corporate Director · Individual
St Lukes Health System Ltd
Operational/Managerial Control · Organization
Twedt, Jill
Corporate Director · Individual
Whitacre, William
Corporate Director · Individual
Ystueta Jr, William
Corporate Director · Individual
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