Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Advanced Health Care Of Coeur D'alene during CMS and state inspections, most recent first.
Kitchen sanitation and food storage deficiencies: Surveyors observed an open box of corn starch in an unsealed plastic bag, powder residue around flour and sugar containers, unlabeled and undated cups in the freezers, dirty trash can lids by handwashing sinks, and food and grease residue in the plate storage area. The DM confirmed the observed issues, including that the corn starch should not have been left open and the cups should have been labeled.
A resident with femur fracture, lymphedema, osteoporosis, and severe cognitive impairment had a care plan for BLE edema and impaired skin integrity that was not revised when TED hose were discontinued and Tubi-Grip support bandage was started. The physician record and follow-up note documented the change in compression treatment, and an LPN CN confirmed the care plan should have been updated.
Unsafe wheelchair transport resulted in injury when a resident slid out of her wheelchair and onto the van floor during a trip to an outside appt. The resident had a history of falls and balance/functional deficits, and staff reported she shifted forward while the lap belt was being secured; when the van braked, she slid behind the belt and sustained a minor abrasion and laceration. EMS transported her to the hospital for further eval and tx.
The facility failed to properly maintain and clean kitchen equipment, including ice machines and ventilation systems, as per FDA Food Code. Pink slimy residue was found in ice machines, and dust was observed on refrigerator and freezer fan covers. The Dietary Manager was unaware of the cleaning schedule, potentially affecting 43 residents consuming food from the facility.
A facility failed to document a resident's use of oxygen in the baseline care plan, despite a physician's order and the resident being observed receiving oxygen. The DON acknowledged the omission, which was necessary to maintain the resident's oxygen saturation above 90 percent.
Two residents experienced significant medication errors due to documentation and dosage verification failures. One resident missed a scheduled dose of Oxycodone, while another received an incorrect dosage of Zosyn due to a misreading of the physician's order and a pharmacy error. These incidents highlight the importance of adhering to the six rights of medication administration.
Kitchen sanitation and food storage deficiencies
Penalty
Summary
The facility failed to ensure shelves, trash cans, and equipment throughout the kitchen were kept clean and in good repair, and failed to ensure foods were stored, labeled, and dated. During a dietary tour, surveyors observed an open 1 pound box of corn starch in an unsealed plastic storage bag on a shelf in the food preparation area, white dry powder substance around the dry storage containers of flour and sugar on the shelf, and three small trash cans by the hand washing sinks with dirty lids. In the chest freezer, six cups with lids and open drink spouts were observed without labels, and in the walk-in freezer, seven plastic cups were observed without labels or dates, with three uncovered and four covered with plastic. Surveyors also observed the plate storage area on the serving line containing food and grease residue. The Dietary Manager confirmed the open corn starch should not have been left open, the shelf should have been clean of spilled flour and sugar, the cups in the chest freezer should have been labeled and not placed with the opening in the lid, the trash can lids were dirty, and the plate storage area contained food and grease residue. Review of the facility policy titled, Cleaning and Sanitation of Dining and Food Service Areas dated 2021 indicated that food and nutrition services staff will maintain the cleanliness and sanitation of the dining and food service areas.
Care Plan Not Updated for Changed Compression Treatment
Penalty
Summary
The facility failed to revise one resident’s comprehensive care plan to reflect a change in compression treatment. Resident 46 was admitted with diagnoses of fracture of the shaft of the right femur, lymphedema, and osteoporosis, and the admission MDS showed a BIMS score of 7 out of 15, indicating severe cognitive impairment. The care plan dated 02/23/25 addressed impaired skin integrity related to edema of both lower extremities, pooling edema to the right lower extremity, and the right heel, but it did not indicate that TED hose had been discontinued or that Tubi-Grip support bandage was being used instead. The physician order summary showed an order for knee-high hose on in the morning and off in the evening, which was later discontinued. A physician follow-up note documented that TED was removed and Tubi-Grip was being utilized due to the severity of bilateral lower extremity edema. During interview, the LPN Clinical Nurse Manager confirmed that the TED hose had been discontinued and that Tubi-Grip was being used instead, and also confirmed that the resident’s care plan should have been updated and revised. The facility policy stated that the care plan should be evaluated, modified as needed, and updated with new or additional interventions when current interventions change.
Unsafe wheelchair transport resulted in resident injury
Penalty
Summary
The facility failed to ensure safe transportation for one resident who was transported to an outside appointment in the facility van. The resident had an admission diagnosis history that included acute pancreatitis with infected necrosis, hepatic encephalopathy, hypertensive chronic kidney disease, Type 2 diabetes mellitus, atrial fibrillation, and hypothyroidism. Her MDS assessment showed a BIMS score of 15 out of 15, indicating she was cognitively intact. Her care plan identified her as at risk for falls related to a history of falls, balance and functional deficits, and noted that she was lowered to the floor in the facility van on 04/20/26. The facility investigation report stated that the resident slid out of her wheelchair while being transported in the facility van. During braking, she slid forward on the wheelchair cushion and off the chair onto the van floor, sustaining a minor abrasion and laceration. The resident was transported by EMS to a local hospital for further evaluation and treatment. The ED physician report stated that she had been in the back of a transport van on the way to a medical appointment when the van slammed on the brakes and she was not strapped in correctly, causing her to slide out of her wheelchair and onto the ground. The Administrator stated the resident had repositioned and scooted forward in her wheelchair while the lap belt was being secured, which may have prevented the belt from being properly secured across her waist. The Transportation Driver stated that the resident shifted position while he was securing the lap belt and that when he applied the brakes at a stop sign in the facility parking lot, the wheelchair cushion shifted forward and the resident slid behind the lap belt and onto the floor of the van. The facility policy required safe, hazard-free loading and unloading and that the patient in the vehicle be secured wearing a working harness while the vehicle is in motion.
Inadequate Cleaning of Kitchen Equipment
Penalty
Summary
The facility failed to maintain, clean, and sanitize kitchen equipment, specifically the ice machines and ventilation systems, as required by the FDA Food Code. On two separate occasions, the interior of the ice machine in the kitchen was observed to have a thin line of pink slimy residue, indicating inadequate cleaning. The Dietary Manager (DM) stated that the ice machine is cleaned by an external company every six months, and internally by the facility every month. However, the last cleaning by the Maintenance Director was on 1/7/25 and 2/10/25, and the DM was unaware of the dirty area in the ice machine. Additionally, the ice machine in the resident's nourishment room also had a thin layer of pink slimy residue, despite being cleaned on 2/28/25. Furthermore, the kitchen refrigerator and freezer fan covers were found to have a thin layer of dust with larger particles billowing from the fan cover, which could lead to contamination. The DM acknowledged that the maintenance director cleans the covers as needed but was unsure of the last cleaning date, agreeing that they needed to be cleaned again. These deficiencies had the potential to affect the 43 residents who consumed food prepared by the facility, placing them at risk for potential foodborne illnesses and adverse health outcomes due to contaminated food services equipment.
Failure to Include Oxygen Use in Baseline Care Plan
Penalty
Summary
The facility failed to ensure that the baseline care plan for a resident included the use of oxygen, which was necessary to maintain the resident's oxygen saturation above 90 percent. This deficiency was identified during a review of the baseline care plan for a resident who had a physician's order to receive oxygen via nasal cannula. Despite the resident being observed receiving oxygen at two liters per minute, the baseline care plan did not document this critical aspect of her care. The Director of Nursing (DON) confirmed that the baseline care plan should have included the resident's use of oxygen but did not.
Medication Errors Affect Two Residents
Penalty
Summary
The facility failed to ensure residents were free from significant medication errors, affecting two residents. One resident, with multiple diagnoses including Guillain-Barre syndrome and cancer, missed a scheduled dose of Oxycodone. Although the medication administration record indicated the medication was given, it was not signed out of the narcotic medication book, and the resident reported not receiving it. The error was discovered when the resident requested her pain medication, and it was found that the medication had not been properly documented or administered at the correct time. Another resident, with diagnoses including peritoneal abscess and diverticulitis, received an incorrect dosage of Zosyn due to a misreading of the physician's order. The resident was supposed to receive 3.375 grams every six hours, but instead received 13.5 grams every six hours. The error occurred because the pharmacy provided the entire 24-hour dose in one IV bag, contrary to the usual practice of dividing it into four separate bags. The nurse administering the medication did not verify the dosage on the IV bag against the physician's order, leading to the administration of an excessive dose.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Coeur D'alene
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ironwood Rehabilitation And Care Center | 0.5 mi | ★★★★★ | 21 | 0 |
| Lakeside Rehabilitation And Care Center | 1 mi | ★★★★★ | 14 | 0 |
| Coeur D Alene Health Of Cascadia | 1.4 mi | ★★★★★ | 14 | 0 |
| Life Care Center Of Coeur D'alene | 3.3 mi | ★★★★★ | 25 | 0 |
| Life Care Center Of Post Falls | 4.8 mi | ★★★★★ | 8 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.