11 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Nampa, ID
2-star overall rating with 2-star inspections with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
2609 Sunnybrook Drive, Nampa, ID
(208) 467-7298
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
43
Certified beds
Average residents
35
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cascades Healthcare
Operator or chain grouping
Approved since
1987-10-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
20 facilities
Chain averages 2 overall / 2 health / 2 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
0.58
Registered nurse staffing · state 0.83 · national 0.68
LPN hours / resident day
0.81
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
1.96
Nurse aide staffing · state 2.47 · national 2.35
Total nurse hours
3.35
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.39
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
2.97
Weekend nurse staffing · state 3.47 · national 3.43
Weekend RN hours
0.39
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.55
CMS adjusted RN staffing hours
Adjusted total hours
3.18
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
70%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
1,950
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
52.78
Composite VBP score used to determine payment impact.
Payment multiplier
1.0074
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
3.76
Baseline 5.81% · Performance 6.71% · Measure score 3.76 · Achievement 3.76 · Improvement 0
Total nurse turnover
4.10
Performance 46.94% · Measure score 4.10 · Achievement 4.10 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
7.97
Baseline 4.75 hours · Performance 5.35 hours · Measure score 7.97 · Achievement 7.97 · Improvement 5.29
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.41% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 73 · Observed rate 9.59% · Lower 95% interval 6.91% |
| Discharge to community | 54.13% |
50.57%
3.6 pts better
|
No Different than the National Rate · Eligible stays 67 · Observed rate 52.24% · Lower 95% interval 42.75% |
| Medicare spending per beneficiary | 0.57 |
1.02
0.5 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 26 · Denominator 26 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 26 |
| Discharge self-care score | 35% |
53.69%
18.7 pts worse
|
Numerator 7 · Denominator 20 |
| Discharge mobility score | 70% |
50.94%
19.1 pts better
|
Numerator 14 · Denominator 20 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 26 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.71% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 27 · Observed rate 3.7% · Lower 95% interval 2.89% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 89 |
| Staff flu vaccination coverage | 26.32% |
42%
15.7 pts worse
|
Numerator 25 · Denominator 95 |
| Discharge function score | 60% |
56.45%
3.5 pts better
|
Numerator 12 · Denominator 20 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.0% |
96.8%
0.2 pts better
|
93.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 97.1% · Q3 100.0% · Q4 93.3% · 4Q avg 97.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.1% |
96.2%
1.1 pts worse
|
95.5%
0.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
2.7%
2.7 pts better
|
3.3%
3.3 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 who have depressive symptoms | 4.8% |
13.6%
8.8 pts better
|
11.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 8.6% · Q3 0.0% · Q4 4.2% · 4Q avg 4.8% |
| Percentage of long-stay residents who lose too much weight | 14.6% |
5.4%
9.2 pts worse
|
5.4%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 18.2% · Q3 9.7% · Q4 17.2% · 4Q avg 14.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.9% |
16.2%
9.3 pts better
|
19.6%
12.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 5.9% · Q3 3.2% · Q4 10.3% · 4Q avg 6.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.5% |
20.5%
12 pts better
|
16.7%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 3.2% · Q3 7.1% · Q4 8.0% · 4Q avg 8.5% · 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 | 20.6% |
17.9%
2.7 pts worse
|
16.3%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 20.4% · Q3 22.1% · 4Q avg 20.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.2% |
16.7%
5.5 pts worse
|
14.9%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 31.2% · Q3 16.7% · Q4 28.6% · 4Q avg 22.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% |
1.5%
0.3 pts worse
|
1.0%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.9%
1.2 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.1% |
22.6%
1.5 pts worse
|
19.8%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 41.9% · Q3 34.8% · Q4 12.2% · 4Q avg 24.1% |
| Percentage of long-stay residents with pressure ulcers | 2.8% |
3.4%
0.6 pts better
|
5.1%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 2.8% · Q3 0.0% · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.4% |
90.2%
10.8 pts worse
|
81.7%
2.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 66.7% · Q2 70.4% · Q3 88.0% · Q4 84.6% · 4Q avg 79.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 26.0% |
11.6%
14.4 pts worse
|
12.0%
14 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.0% · Observed 23.1% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.5%
0.4 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.0% · Q4 4.1% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.6% |
86.5%
7.9 pts worse
|
79.7%
1.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 9.2% |
17.5%
8.3 pts better
|
23.9%
14.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 7.7% · Expected 20.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Resident Rights (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Nutrition and Dietary (3 deficiencies)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-03
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-12-03
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-12-18
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-12-18
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 2023-12-18
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-12-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-18
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2023-12-18
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-11-30
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-11-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-11-30
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-11-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-11-30
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2022-11-30
Fire Safety
Establish emergency prep training and testing.
Corrected 2022-11-30
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-11-30
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-11-30
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2022-11-30
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-11-30
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 2026-03-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-03-03
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 2026-03-03
Health
Ensure each resident receives an accurate assessment.
Corrected 2026-03-03
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-03-03
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-03-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-03-03
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-03-03
Health
Provide and implement an infection prevention and control program.
Corrected 2026-03-03
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2026-03-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-08
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-02-18
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-02-18
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-04-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-18
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-02-18
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-02-18
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-02-18
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-02-18
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-02-18
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-02-18
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-18
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-02-18
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-04-02
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-02
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-04-02
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-02
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 2024-04-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-02
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-04-02
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-04-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-02
Health
Dispose of garbage and refuse properly.
Corrected 2024-04-02
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Nearby options
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4-star overall rating with 3-star inspections with $30,927 in total fines with 1 recent health deficiencies
Nampa, ID
3-star overall rating with 3-star inspections with $8,018 in total fines with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Nampa, ID
1-star overall rating with 1-star inspections with Special Focus status with $8,824 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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