Above average — CMS composite of the measures below.
The next survey window likely opens around October 2026
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 Bingham Memorial Skilled Nursing & Rehabilitation during CMS and state inspections, most recent first.
Three residents received medications or treatments without complete or proper physician orders, including missing orders for eye drops, IV flushes, and absent flow rates for IV antibiotics. An LPN administered medications without documented orders, and the DON confirmed that required order details were missing.
Surveyors found that medications were repeatedly left unsecured, including an unlocked medication cart with keys left on top, medications left in resident rooms where residents could not self-administer, and loose pills found on the floor and in the medication cart. Staff confirmed that these practices did not meet required standards for medication security and storage.
Surveyors observed that staff failed to follow infection control protocols, including leaving personal drinks on a medication cart, not performing hand hygiene before donning gloves, and not implementing Enhanced Barrier Precautions for two residents with wounds and indwelling devices. Required PPE and signage were missing, and staff did not don gowns when providing care, despite physician orders for EBP.
Staff left a medication cart unattended with the computer screen displaying a resident's information and the cart unlocked. An LPN acknowledged not securing the computer or cart before leaving to perform other duties, resulting in a breach of privacy and confidentiality.
A resident with documented diagnoses of schizophrenia, bipolar disorder, anxiety, and PTSD was not referred for further evaluation after these conditions were identified in multiple assessments and physician notes. The facility did not update the PASRR Level I screening or notify the state mental health authority, despite clear evidence of serious mental illness.
Two residents with suprapubic catheters had this critical information omitted from their baseline care plans, despite the presence of supporting documentation in hospital discharge summaries and nursing assessments. The DON confirmed that these omissions were oversights, resulting in incomplete care instructions for caregivers within the first 48 hours of admission.
A resident with a suprapubic catheter and multiple complex medical conditions did not have a comprehensive, individualized care plan, as the plan failed to specify the catheter's type and size. The care plan contained incomplete, generic information, and the DON confirmed that required details were missing.
Controlled medications were not properly tracked or secured, as evidenced by missing nurse signatures on narcotic accountability records and discrepancies in the count of a resident's Butrans transdermal patches. Staff interviews confirmed that required documentation was not consistently completed, leading to unaccounted-for controlled substances.
Two residents with multiple medical conditions and intact cognition were found with their call light devices placed out of reach, contrary to facility policy. An RN confirmed that call lights should have been accessible to these residents.
The facility failed to properly store, distribute, and label food items, leading to potential contamination risks. Observations revealed improperly stored dry food, undated and outdated items in refrigerators, and improper storage practices in the freezer. These deficiencies placed residents at risk for adverse health outcomes, including food-borne illnesses.
The facility failed to update care plans for three residents, leading to a deficiency. A resident with diabetes and traumatic brain injury had no updates to her restorative care plan. Another resident with osteoporosis lacked documented care plan evaluations for over a year. A third resident with spinal stenosis had no record of receiving restorative services. The Restorative Services Nurse confirmed that routine screenings and care plan updates were not performed.
The facility failed to provide restorative nursing services to three residents, as required by their care plans. A resident with diabetes and traumatic brain injury, another with osteoporosis and chronic pain, and a third with spinal stenosis and muscle weakness did not receive documented restorative care. Staff interviews revealed that the facility's restorative program was being revamped, and there was no system for documenting therapy, leading to a lack of necessary services.
The facility failed to ensure infection control by not offering hand hygiene to two residents before meals served in their rooms. CNAs did not assist with hand washing, and both acknowledged the oversight. The DON confirmed that CNAs should have asked residents if they wanted to wash their hands before eating.
A resident's room was found with cracked flooring, a hole at the doorway, and leaf debris that had not been cleaned for several days. The DON acknowledged that housekeeping should have maintained cleanliness and repaired the flooring to prevent falls.
A resident with multiple diagnoses, including shoulder joint surgery and diabetes, reported needing help with dentures. However, a nurse's evaluation inaccurately noted the resident had their own teeth, and the MDS and care plan failed to document the need for dental care assistance. The DON acknowledged the assessment should have been more accurate.
The facility did not ensure medications were dated when opened, as observed with a Tubersol solution vial lacking an open date in the medication refrigerator. This oversight was confirmed by a nurse and acknowledged by the DON, potentially leading to the use of expired medications.
The facility failed to provide evening snacks to two residents, as required by policy. One resident with gastroenteritis and dehydration, and another with a fractured femur, reported never being offered snacks and were unaware they could request them, despite records showing refusals. The DON confirmed CNAs should have offered snacks.
Failure to Follow Professional Standards for Medication Orders and Administration
Penalty
Summary
The facility failed to ensure professional standards of nursing practice were followed for three residents reviewed for quality of care. For one resident with a history of digestive system surgery and hip dislocation, an LPN administered Optase eye drops without a corresponding physician order documented in the medical record. The LPN confirmed that there were no orders for the medication, despite its administration. Another resident with sepsis and vascular dementia had a physician order for Invanz IV antibiotic that did not specify the required flow rate for administration. The DON confirmed that the flow rate should have been included in the order. A third resident, admitted after surgical amputation and with acute osteomyelitis, received IV medications including Daptomycin and Meropenem, but the orders lacked documentation of the flow rate and there was no order for the sodium chloride flush used. The DON acknowledged that both the IV flush and flow rate should have been documented in the medical record.
Failure to Secure and Properly Store Medications
Penalty
Summary
Surveyors observed multiple instances where medications and biologicals were not stored securely or labeled appropriately. On several occasions, the medication cart was found unlocked and unattended, with the keys left on top of the cart and no staff present. Additionally, medications were found left in resident rooms, including a bottle of allergy relief nasal spray and a syringe of heparin, despite residents being unable to self-administer their medications. A pill was also found on the floor in a hallway, and a loose tablet was discovered in the bottom drawer of the medication cart during an audit. Staff interviews confirmed that the medication cart should have been locked when unattended and that medications should not have been left in resident rooms or unsecured areas. The Director of Nursing and other staff acknowledged these lapses in medication security and storage. These observations and staff statements demonstrate a failure to follow accepted professional principles for the labeling and secure storage of drugs and biologicals within the facility.
Failure to Maintain Infection Control and Enhanced Barrier Precautions
Penalty
Summary
The facility failed to maintain proper infection prevention and control practices, as evidenced by multiple observed deficiencies. A medication cart was found with personal drinks placed on top, in violation of OSHA Bloodborne Pathogens regulations prohibiting food and drink in areas where there is a risk of exposure to infectious materials. Staff acknowledged that personal drinks should not have been on the medication cart. Additionally, staff did not consistently follow hand hygiene protocols, as one staff member donned gloves before administering an injection without performing hand hygiene, contrary to the facility's policy. Residents with indwelling medical devices and wounds, who had physician orders for Enhanced Barrier Precautions (EBP), were not provided with appropriate signage or personal protective equipment (PPE) supplies outside their rooms. Staff entered these residents' rooms and performed care, including IV medication administration and wound care, without donning required PPE such as gowns. Staff interviews confirmed awareness that EBP protocols, including signage and PPE availability, should have been implemented for these residents, but these measures were not in place at the time of observation.
Failure to Secure Medication Cart and Resident Information
Penalty
Summary
Staff failed to maintain the privacy and confidentiality of residents' personal and medical records as required by facility policy and HIPAA regulations. On two separate occasions, a medication cart was observed left unattended in the hallway with the computer screen open to resident information and the cart itself unlocked. No staff were present at the cart during these times. During interviews, the LPN responsible acknowledged that she should have locked the computer and secured the cart before leaving to attend to other duties, such as entering the dining room or administering medications to a resident. These lapses in protocol resulted in resident information being accessible and visible to unauthorized individuals, contrary to the facility's documented privacy practices.
Failure to Refer for PASRR Level II Evaluation After Identification of Serious Mental Illness
Penalty
Summary
The facility failed to refer a resident for further evaluation after the resident was diagnosed with multiple serious mental illnesses, including schizophrenia, bipolar disorder, anxiety, and PTSD. Although the resident's PASRR Level I screening initially indicated no serious mental illness, subsequent documentation in the resident's history and physical, MDS assessment, and psychiatric physician notes all identified these diagnoses. Despite this information, the facility did not update the PASRR Level I screening or contact the state mental health authority for further evaluation, as confirmed by interviews with the administrator and social worker.
Failure to Document Suprapubic Catheters on Baseline Care Plans
Penalty
Summary
The facility failed to include necessary healthcare information on the baseline care plans for two residents within 48 hours of admission. Specifically, both residents had suprapubic catheters in place as documented in their hospital discharge summaries, licensed nurse assessments, and other medical records. However, this critical information was omitted from their baseline care plans, which are intended to guide caregivers in providing effective and person-centered care immediately upon admission. For the first resident, who had multiple diagnoses including a stage 3 pressure ulcer, MRSA, and neurogenic bladder, the presence of a suprapubic catheter was not documented on the baseline care plan despite being noted in the hospital discharge summary. Similarly, the second resident, admitted after joint replacement surgery and with chronic kidney disease and an overactive bladder, also had a suprapubic catheter that was not included in the baseline care plan, even though it was documented in the hospital discharge instructions, nurse assessment, and MDS. The Director of Nursing confirmed that the omission of the suprapubic catheter from both residents' baseline care plans was an oversight.
Incomplete and Non-Person-Centered Catheter Care Plan
Penalty
Summary
The facility failed to ensure that a comprehensive and individualized care plan was developed and implemented for a resident with multiple diagnoses, including a stage 3 pressure ulcer, MRSA, and neurogenic bladder. The resident's admission Minimum Data Set (MDS) documented the presence of a suprapubic catheter, but the comprehensive care plan did not specify the size or type of catheter as required. Instead, the care plan contained generic language with placeholders for catheter details that were not completed. This lack of person-centered information was confirmed during a staff interview, where the Director of Nursing acknowledged that the care plan should have included the specific type and size of catheter but did not.
Failure to Track and Secure Controlled Medications
Penalty
Summary
The facility failed to ensure that controlled medications were properly tracked and secured, as evidenced by a review of one medication cart. The narcotic accountability record for the cart, covering a period from 11/1/25 to 11/19/25, was found to have 16 missing licensed nurse signatures. Additionally, the narcotic count sheet for a resident's Butrans transdermal 7.5mg patch indicated that 10 patches were available, but only 2 patches were physically present in the narcotic box. Upon further review with the Director of Nursing (DON), it was determined that only 4 patches had been delivered, and 2 patches had not been signed out on the narcotic count sheet. Staff interviews revealed that nurses were expected to sign the narcotic accept/release sheet when accepting or releasing the medication cart, but this was not consistently done. The MDS coordinator was unable to explain the discrepancy in the count of the Butrans patches and stated he would investigate further. The DON confirmed that a missing Butrans patch had been signed out on the Medication Administration Record (MAR) but not on the narcotic count sheet, as required by facility policy.
Inaccessible Call Light Devices for Residents
Penalty
Summary
Surveyors determined that the facility failed to ensure all call light buttons or pads were easily accessible to residents, as required by facility policy. During observations, two residents with multiple diagnoses and documented cognitive intactness were found to have their call light devices draped over the head of the bed, between the bed and the wall, making them inaccessible. Both residents' care plans indicated they were able to consistently use their call lights. An RN confirmed that the call lights should have been within reach of the residents.
Deficiencies in Food Storage and Labeling Practices
Penalty
Summary
The facility failed to properly store, distribute, and label food items in accordance with professional standards and the Idaho Food Code. Observations revealed several instances of non-compliance, including improperly stored dry food items such as pearl barley and granola, which were not disposed of within the required timeframe. In the reach-in refrigerator, there were undated facility-prepared items like ranch dressing cups, sugar-free ice cream cups, and a slice of pie, as well as an unsealed whipped cream past its use-by date. Additionally, in the walk-in refrigerator, raw meat used for meatballs was improperly thawed, and a three-bean salad and vanilla pudding were kept beyond the facility's 72-hour policy for disposal. Further issues were identified in the walk-in freezer, where raw frozen chicken was stored above facility-made pizza, and water from the freezer unit had dripped onto boxes, causing water damage. In the patient care area snack storage room, there were undated and outdated items, including an opened ice cream container, loaves of bread past their best-used-by dates, an almond milk container past the 72-hour disposal date, and undated single-serve juice cups. These deficiencies in food storage and labeling practices placed residents at risk for potential contamination and adverse health outcomes, including food-borne illnesses.
Failure to Update Resident Care Plans
Penalty
Summary
The facility failed to ensure that residents' care plans were revised to reflect their current needs and interventions, as evidenced by the cases of three residents. Resident #1, who was admitted with multiple diagnoses including diabetes and traumatic brain injury, had a care plan dated 1/18/21 that required a restorative program to maintain mobility. However, her medical record did not show any evaluation or updates to her restorative care plan interventions. Similarly, Resident #4, with diagnoses including osteoporosis and chronic pain, had a care plan that required therapy reviews every three months. Despite documented therapy assessments, there was no evidence of care plan evaluations or updates between 4/13/21 and 6/27/22. Resident #15, admitted with spinal stenosis and muscle weakness, had a care plan dated 10/18/22 that included participation in a restorative plan of care. However, there was no documentation that Resident #15 received the restorative services outlined in his care plan. The facility's Restorative Services Nurse confirmed that routine screenings for restorative services were not being performed, and care plans were not updated with resident changes, contributing to the deficiency.
Failure to Provide Restorative Nursing Services
Penalty
Summary
The facility failed to provide necessary restorative nursing services to maintain or improve the residents' ability to perform activities of daily living. This deficiency was identified for three residents who were supposed to receive restorative care but did not. Resident #1, with diagnoses including diabetes and traumatic brain injury, was discharged from therapy services and referred to restorative nursing services, but there was no documentation of her receiving these services. Similarly, Resident #4, with osteoporosis and chronic pain, had a care plan indicating the need for restorative services, but her medical record showed she was not receiving them. Resident #15, with spinal stenosis and muscle weakness, was recommended for restorative services, but his medical record also lacked documentation of such services being provided. The deficiency was further highlighted by staff interviews, which revealed systemic issues in the facility's restorative program. The Activities Director admitted to not following care plan interventions and not documenting the exercises performed with residents. CNA #1 and RN #2 acknowledged that the facility's restorative program was undergoing changes, and there was no proper documentation system in place for recording restorative therapy. The Director of Nursing confirmed that restorative therapy minutes were not documented and that the program was under review by the Quality Assurance and Performance Improvement (QAPI) team.
Failure to Ensure Resident Hand Hygiene Before Meals
Penalty
Summary
The facility failed to ensure adherence to infection control and prevention practices by not offering or encouraging hand hygiene for residents before meals served in their rooms. This deficiency was observed during meal service for two residents, who were not offered assistance with hand washing by the CNAs responsible for their care. Specifically, a surveyor noted that food trays were delivered and set up on the overbed tables of these residents without any offer of hand hygiene assistance. Both CNAs acknowledged that they should have offered hand washing but were unaware of any facility requirement to do so. The Director of Nursing confirmed that CNAs should have been asking residents if they would like to wash their hands before meals.
Failure to Maintain Safe and Clean Environment
Penalty
Summary
The facility failed to provide a safe and clean, homelike environment for a resident, leading to a deficiency. The resident, who was admitted with multiple diagnoses including a displaced fracture of the left femur and difficulty walking, was found to have a room with numerous small cracks in the flooring, a large crack with a hole at the doorway entrance, and leaf debris on the floor that had been present for several days. These observations were made over a period of several days, and the Director of Nursing (DON) acknowledged that housekeeping should have been sweeping and mopping residents' rooms daily and removing any debris. Additionally, the hole in the floor should have been repaired to prevent falls.
Inaccurate MDS Assessment for Resident's Dental Care Needs
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) assessment accurately reflected the status of a resident, leading to a deficiency. The resident, who was admitted with multiple diagnoses including shoulder joint surgery, diabetes, muscle weakness, and abnormal gait and mobility, reported needing assistance with cleaning and inserting dentures. However, a nurse's evaluation inaccurately documented that the resident had his own teeth, and the admission MDS did not include documentation of the need for assistance with dental care. Additionally, the resident's care plan lacked interventions for dental care. The Director of Nursing acknowledged that the nurse should have conducted a better assessment to identify the resident's need for assistance with dentures.
Failure to Date Opened Medications
Penalty
Summary
The facility failed to ensure that medications available for residents were properly dated when opened and were not expired. During an inspection of the medication storage room, a vial of Tubersol solution was found in the resident medication refrigerator without an open date. This observation was made in the presence of a registered nurse, who confirmed the absence of an open date on both the vial and its box. The Director of Nursing acknowledged that the Tubersol solution should have been dated upon opening. This oversight created the potential for residents to receive expired medications with decreased efficacy, as per CDC guidelines, which require multi-dose vials to be dated when opened and discarded within 28 days unless otherwise specified by the manufacturer.
Failure to Provide Evening Snacks to Residents
Penalty
Summary
The facility failed to provide evening snacks to residents in accordance with their needs, preferences, and requests, as required by their policy. This deficiency was identified for two residents who attended a Resident Council meeting. One resident, admitted with diagnoses including gastroenteritis, colitis, nausea, and dehydration, reported never being offered evening snacks and was unaware she could request them, despite documentation indicating she refused snacks on multiple occasions. Similarly, another resident with a displaced fracture of the left femur and difficulty walking also stated she was never offered evening snacks and did not know she could ask for them, although records showed she refused snacks on several dates. The Director of Nursing confirmed that CNAs should have offered evening snacks to each resident.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 22 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Blackfoot
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Syringa Chalet Nursing Facility | 0.7 mi | ★★★★★ | 8 | 0 |
| Quinn Meadows Rehabilitation And Care Center | 20.8 mi | ★★★★★ | 6 | 0 |
| Monte Vista Hills Healthcare Center | 21.1 mi | ★★★★★ | 8 | 0 |
| Idaho State Veterans Home - Pocatello | 22.6 mi | ★★★★★ | 0 | 0 |
| Gateway Transitional Care Center | 22.8 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.