Below 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 Coeur D Alene Health Of Cascadia during CMS and state inspections, most recent first.
Kitchen food storage and sanitation practices were deficient when frozen meat logs were observed thawing in a sink with only one log under running water, while other logs were not fully submerged. The walk-in refrigerator contained undated and unlabeled items, including unsealed hot dogs, and staff were also using heavily stained towels to clean countertops. The DM confirmed the thawing method and that the food items should have been dated and sealed, and the DON, Administrator, and RD acknowledged the kitchen issues.
A resident with gastroparesis, an eating disorder, and protein-calorie malnutrition was repeatedly served meals after her tablemates had already been served or finished eating, despite being seated with them in the dining room. Staff and the DON/RD acknowledged that residents seated together should be served at the same time. The facility also served cake on clear disposable lids instead of suitable dishware, and the resident stated this happened often and made dining less dignified.
Menu and recipe noncompliance was observed when staff served meals that did not match the posted menu or standardized recipes. Residents reported receiving only lettuce for salad and not always getting dressing, while a dinner vegetable was substituted with corn instead of the listed carrots. For another meal, staff prepared ham and potato casserole without onions or breadcrumbs and served a garden salad with only lettuce and tomatoes. The DON, Administrator, and RD confirmed the menu and recipe were not followed.
Food was not consistently palatable or held at proper temperatures during meal prep and meal service. Several cognitively intact residents reported cold, poor-quality, overcooked, or undercooked food, and a group of residents said meals were often cold in both rooms and the dining room. Kitchen observations showed the hot plate warmer was not in use, steam table wells had low or no water, multiple hot items were placed on the steam table without being temped, and several cold items were left at room temperature. A test tray later showed cold items above the required cold-holding range and a hot casserole below the required hot-holding range.
A resident’s chart contained conflicting code status information: the admission record, transfer orders, and order summary listed DNR, while the POST in the EMR and care plan reflected Full Code/CPR. Staff interviews showed the LPN, RN, and Medical Records all relied on the POST or POST book for emergency code status, but the order was not updated to match the POST and the discrepancy was missed in the audit process.
Surveyors found that staff failed to follow proper hand hygiene, did not use required beard coverings, and did not maintain adequate cleaning and sanitizing practices in the kitchen. These actions included handling food and utensils after touching the face or nose without washing hands, using a sanitizer at insufficient concentration, and storing clean equipment with food residue. Dust was also observed on surfaces where clean dishes were stored, indicating lapses in cleaning routines.
The facility did not ensure residents were free from abuse and neglect, as evidenced by two residents being left in soiled briefs for extended periods without timely incontinence care, and another resident with cognitive impairment being subjected to loud, condescending remarks from a CNA. Staff interviews and grievance reviews confirmed delays in care and inappropriate staff interactions, but the facility failed to properly investigate these grievances as neglect or abuse.
A resident with mobility impairments experienced two unwitnessed falls in one day due to inadequate supervision and lack of updated care plans. The first fall resulted in a minor skin tear, while the second caused a head laceration and severe pain, requiring hospital transfer. The facility failed to train staff to update care plans and implement interventions on weekends.
The facility failed to maintain infection control practices, as a CNA and LPN did not clean a resident lift between uses, and an LPN did not follow hand hygiene or PPE protocols while administering medications, including to a resident on droplet precautions. The DON confirmed a lack of specific training and observations for compliance.
The facility failed to provide physical therapy services as ordered for several residents, leading to a deficiency in care. Residents with various diagnoses, including muscle weakness and mobility issues, did not receive the prescribed number of therapy sessions. The Physical Therapy Director cited insufficient staffing as the reason for the lack of services.
A facility failed to notify a resident's family when the resident, who had a tracheostomy and was respirator-dependent, experienced a change in condition. The resident was found decannulated, and the respiratory therapist could not reinsert the trach. Although the physician was informed, the family was not notified, as confirmed by the DON.
The facility failed to ensure accurate MDS assessments for three residents, incorrectly indicating they did not have serious mental illnesses despite PASRR Level II documentation showing diagnoses such as schizophrenia, depression, and bipolar disorder. The MDS Coordinator confirmed these inaccuracies, which could lead to negative outcomes if residents are not properly assessed and monitored.
The facility failed to update care plans for three residents, leading to potential risks. A resident with congestive heart failure had no updated interventions in his care plan. Another resident's care plan lacked documentation of his smoking needs despite a nicotine dependency diagnosis. A third resident, with a tracheostomy, was found decannulated, but the care plan was not revised to reflect the removal of the trach. These deficiencies were acknowledged by facility staff.
A resident with muscle weakness and difficulty walking did not receive scheduled bathing assistance as required. The resident's records showed multiple instances of missing documentation for offered or refused showers over a period of several weeks. The DON confirmed the resident missed scheduled shower opportunities, and no documentation was provided for refusals.
A resident with quadriplegia and a history of constipation did not receive bowel management medications as ordered by the physician, resulting in significant gaps between recorded bowel movements. The DON confirmed the failure to administer the medications but could not explain why this occurred.
A resident with stomach cancer and cognitive communication deficit experienced severe abdominal pain without timely intervention. Despite a physician's order for pain medication, the resident did not receive any pain management until the afternoon, resulting in prolonged unrelieved pain. The DON confirmed that a scheduled pain medication order was not reinstated after the resident's hospital readmission.
The facility failed to ensure an RN was on-site for 8 consecutive hours a day, 7 days a week, as required. A review of nursing staff hours revealed that on two occasions, the facility did not have an RN on-site for the required hours, which was confirmed by the Administrator. This deficiency placed all residents at risk for harm if their routine and/or emergency needs could not be met without the care of a registered nurse.
The facility failed to accurately complete, post daily, and maintain nurse staffing data for at least 18 months. A review of records from October to March revealed numerous missing and incomplete data entries. An observation on March 16 showed outdated staffing data, and the Administrator was unsure why the data was not managed as required.
The facility failed to maintain sanitation in the nutrition room and equipment, as observed during an inspection. An ice bin had a thick, slimy layer, and food containers lacked use-by dates. The Dietary Manager was unsure about cleaning responsibilities, increasing the risk of foodborne illnesses for residents.
Kitchen Food Storage, Thawing, and Sanitation Deficiencies
Penalty
Summary
Food was not stored and handled in accordance with professional standards in the kitchen. During an observation on 05/04/26 at 8:09 AM, three frozen meat logs were seen sticking out of a container in a sink, with water running over only one of the logs while the other two were not fully submerged. By 8:29 AM, the meat remained thawing in the same manner. During an interview at 8:23 AM, the Dietary Manager confirmed the thawing method and stated he was unaware the meat needed to be fully submerged. He identified the items as two pork roast logs and one beef log. The walk-in refrigerator also contained multiple undated and unlabeled items, including baked beans, unsealed hot dogs, cooked ground hamburger, canned diced peaches, and sliced onions. The Dietary Manager confirmed the items were undated and that the hot dogs were unsealed, stating they should have been dated and sealed. In a later kitchen observation on 05/06/26 at 11:12 AM, staff were using towels with an excessively stained appearance to clean countertops. During an interview that afternoon, the DON, Administrator, and RD acknowledged the kitchen issues, and the RD confirmed the towels used during meal preparation appeared dirty and deeply stained.
Dignity and Dining Service Failures
Penalty
Summary
The facility failed to ensure residents seated at the same table were served at the same time for one resident, R75, who was admitted with diagnoses including gastroparesis, other specified eating disorder, and unspecified protein-calorie malnutrition. R75 had a BIMS score of 15 out of 15, indicating she was cognitively intact. During dining observations, R75 was seated in the main dining room while other residents at her table were served first; on one occasion she did not receive her meal until 26 minutes later, after her tablemates had finished eating, and she then took her meal to her room. On another occasion, the other residents at the table were served first and R75 did not receive her food until 16 minutes later, with no explanation given at the time. R75 stated that she ordered a standard always-available item and that it was late again, saying it happens frequently and that everyone is done eating before she gets her meal. CNA2 confirmed that R75 was served after her tablemates had finished, and the DON and RD stated that residents seated together should be served together or relatively at the same time. The facility also failed to ensure food was not served in disposable dishes when cake was offered. During a kitchen observation, a staff member cut pineapple upside down cake and portioned 60 servings onto clear disposable lids, which she stated the DM had told her to use because there were too many and they did not fit anything. The RD later confirmed the disposable lids were being used and stated they should have been using custard dishes. R75 stated that the disposable dishes happened a lot and that the lids served with cake "kind of sucked," explaining that some residents needed a real dish to soak the cake with milk to make it easier to consume with chewing difficulties. Facility policy stated that residents should be treated with dignity and respect, that residents seated together should be served in a timely and coordinated manner, and that food must be served on suitable dishware.
Menu and Recipe Noncompliance During Meal Preparation and Service
Penalty
Summary
The facility failed to ensure the menu, menu extensions, and standardized recipes were followed for six residents reviewed for menu compliance. During a resident group interview, residents stated they did not always receive what they were supposed to get, and two residents said they sometimes only received lettuce as the salad and used to receive larger salads with fruit in them. The report states this failure had the potential to affect nutritional adequacy for 73 of 80 residents consuming oral food. For one dinner meal, the posted menu listed beef shepherd's pie, dinner roll, veggies and dip, and seasonal fruit, with the vegetable component identified in the menu extension as carrots. During meal observation, 10 of 16 residents who ordered the main dish received a small portion of corn with the shepherd's pie, and no veggies or dip were served. One resident who ordered pizza received only lettuce salad with no other ingredients. A resident confirmed receiving only lettuce as the salad and stated dressing was not always provided. A dietary employee stated the facility did not have the menu items for dinner and that corn was substituted for the vegetable cup. The RD stated the replacement vegetable should have been another high vitamin A food item and confirmed corn was not an appropriate substitute. For another meal, the menu listed ham and potato casserole, garden salad with choice of dressing, and pineapple upside down cake. The recipe for the casserole included potatoes, ham, onion, flour, milk, cheese, and breadcrumbs, and the salad recipe called for lettuce with various salad ingredients and garnish options. During kitchen observation, staff prepared the casserole without onions or breadcrumbs, and the salad was prepared with lettuce and diced tomatoes only. The Administrator, DON, and RD later confirmed the menu items were not followed and the recipe was not followed for the ham and potato casserole. The facility policy stated menus shall be developed and implemented to meet resident preferences and that preparation must follow standardized recipes.
Food Not Held at Safe Temperatures During Meal Service
Penalty
Summary
The facility failed to ensure food was palatable, including proper temperature during food preparation and holding during meal service, for nine of 29 sampled residents reviewed for food palatability. Several cognitively intact residents, including R14, R9, R6, and R75, told surveyors the food was cold, poor quality, nasty, overcooked, undercooked, or not the food they were supposed to receive. During a resident group interview, R11, R91, R71, R75, R79, and R81 stated the food was cold a lot of the time in both resident rooms and the dining room, and that they used their own seasoning to make it more palatable. R75 and R71 also stated they sometimes only received lettuce as salad instead of the larger salads with fruit they used to receive. Kitchen observations showed problems with food holding and temperature monitoring during meal preparation. The hot plate warmer was observed cool to the touch and not in use, and the staff member in the kitchen stated he had not been told anything about it. During meal preparation, spaghetti sauce, ground hamburger meat, cold spaghetti noodles, and hamburger patties were placed on the steam table without being temped first, and the steam table wells were observed with low or no water. Several cold items, including milk, juice, cake with whipped topping, and yogurt, were left out at room temperature during meal service. When temperatures were finally checked, the spaghetti noodles, hamburger patties, and ground beef were below the facility's required hot holding temperature. The Registered Dietitian stated she did not rely on temperature for a test tray and instead relied on how warm the food tasted. Later, a test tray was observed with items including cake with whipped topping, orange juice, salad, and ham and potato casserole; the cold items were measured below cold-holding temperature and the casserole was below the hot-holding temperature. The facility policy required cold foods to be held at 41 degrees F or below and hot foods at 135 degrees F or above, but the observed meal service did not meet those standards.
Medical record and POST code status mismatch
Penalty
Summary
The facility failed to ensure medical record accuracy when one resident’s updated order did not match the Portable Medical Orders (POST) form. The resident’s admission record listed the advance directive as DNR, the hospital transfer orders showed Code Status: DNR, and the Order Summary Report also listed Do Not Resuscitate. However, the POST document in the electronic medical record stated Yes: CPR, and the care plan was revised to reflect that the resident had a Full Code POST in place. The resident’s MDS showed a BIMS score of 14 out of 15, indicating the resident was cognitively intact. During interviews, an LPN stated she would look at the POST form and POST book during an emergency and reviewed the POST book for the resident, stating the POST form was accurate to reflect full code. The RN/Resident Care Manager stated the DNR was on the transfer orders, that he would have usually gotten the DNR paperwork, and that the order should have been changed when the POST was completed. He also stated the care plan was changed appropriately but was missed in the audit process. Medical Records stated she reviewed the POST and made sure it matched the orders, but was unsure how it got missed. The Administrator and DON stated staff looked at the POST or POST book for code status and were made aware the order was not updated to match the POST.
Deficient Food Safety and Sanitation Practices in Kitchen
Penalty
Summary
Surveyors observed multiple failures in food safety and sanitation practices within the facility's kitchen, affecting 57 of 76 residents who received food prepared there. Staff were seen not performing proper hand hygiene, including instances where a kitchen aide wiped his nose with his fingers and then handled clean silverware and napkins for resident trays without washing his hands. The same aide was also observed putting on gloves without prior hand hygiene and repeatedly touching his face and arms without washing hands between tasks. Staff interviews confirmed a lack of understanding and adherence to hand hygiene protocols during meal service. Additional deficiencies included the absence of required beard coverings for food preparation staff, as both the dietary manager and a kitchen aide were observed preparing food without beard restraints. The sanitizing solution used for cleaning food thermometers was found to be at half the required concentration, and food-contact equipment was not properly cleaned, as evidenced by a food particle left in a supposedly clean immersion blender container. Furthermore, the kitchen environment was not maintained in a sanitary condition, with dust observed on shelves and pipes above food preparation areas, despite claims of daily and weekly cleaning schedules.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
The facility failed to protect residents from abuse and neglect by not properly investigating grievances and ensuring timely care. One resident with quadriplegia and total dependence on staff for activities of daily living reported being left in a wet brief for four hours after requesting incontinence care. The resident also reported that a CNA repeatedly turned off his call light and failed to return in a timely manner, with similar incidents occurring in the past. Staff interviews confirmed the delay in care, and facility leadership acknowledged the incident should have been investigated as neglect. Another resident with severe cognitive impairment was the subject of a grievance after a CNA was heard yelling and making condescending remarks, such as telling the resident to go to her room and accusing her of seeking attention. Multiple staff reported the CNA used a stern or loud tone, which was disruptive and could be perceived as scolding, though the facility's investigation did not substantiate abuse. Additionally, a third resident with cognitive and physical impairments was left in a stool-filled brief for an extended period after unsuccessfully seeking assistance from a CNA. The facility did not determine why the resident was not changed as requested, and the resident expressed increased sadness and frustration related to care provided.
Inadequate Supervision Leads to Resident Falls
Penalty
Summary
The facility failed to ensure adequate supervision for a resident, resulting in two falls with injuries. The resident, who was admitted with diagnoses including muscle weakness and abnormalities of gait and mobility, was assessed to be at risk for falls and required extensive assistance with transfers and direct supervision while toileting. Despite these assessments, the resident experienced two unwitnessed falls on the same day. The first fall occurred while transferring from the toilet to a wheelchair, resulting in a skin tear and a reported pain level of 1 out of 10. The care plan did not include any interventions to prevent further falls after this incident. Later that day, the resident suffered a second unwitnessed fall while transferring, leading to a laceration on the back of the head and a reported pain level of 10 out of 10. The resident exhibited severe pain and a rapid decline in vital signs, necessitating a transfer to the hospital for further evaluation and treatment. The post-fall investigation did not document the severity of the injuries after the hospital transfer. The Director of Nursing acknowledged that the facility failed to train staff to update care plans and implement interventions post-falls on weekends.
Infection Control and Prevention Deficiencies
Penalty
Summary
The facility failed to maintain proper infection control and prevention practices, as evidenced by observations and staff interviews. The facility's policy required that resident care items, such as lifts, be cleaned and disinfected between each use. However, on March 18, 2025, a CNA and an LPN were observed using a resident lift without cleaning or disinfecting it afterward. The CNA stated that they were not required to clean or disinfect the lifts between resident use, which was later confirmed as incorrect by the Infection Prevention Nurse and the Director of Nursing (DON). Additionally, hand hygiene and personal protective equipment (PPE) practices were not followed according to CDC guidelines. On March 19, 2025, an LPN was observed failing to perform hand hygiene before and after administering medications to residents, including one on droplet transmission precautions for influenza. The LPN also improperly handled PPE and did not disinfect the medication cart after use. The DON confirmed that the facility had not provided specific in-service training for PPE use during the current influenza outbreak and had not conducted staff observations to ensure compliance with hand hygiene and PPE protocols.
Failure to Provide Ordered Physical Therapy Services
Penalty
Summary
The facility failed to provide physical therapy services as ordered by physicians for five residents, leading to a deficiency in care. Resident #19, who was readmitted for surgical aftercare with diagnoses including muscle weakness and difficulty walking, was ordered to receive physical therapy three times a week for eight weeks. However, only 2 out of 24 sessions were documented as provided, with no refusals noted. Similarly, Resident #33, with diagnoses of abnormal gait, muscle weakness, and lack of coordination, was ordered the same frequency of therapy but only received 7 out of 24 sessions, with three refusals documented. Resident #37, diagnosed with quadriplegia and muscle weakness, was to receive therapy six times a week for four weeks but received none, with no refusals documented. Resident #67, with muscle weakness and cognitive communication deficit, was ordered therapy five times a week for eight weeks but received only 16 out of 20 sessions before discharge. Resident #182, with difficulty walking and an amputation, was ordered therapy five times a week for eight weeks but received only 9 out of 19 sessions, with no refusals documented. The Physical Therapy Director acknowledged that residents were not receiving therapy services as per evaluations due to insufficient staffing, contributing to the deficiency in care.
Failure to Notify Family of Change in Resident's Condition
Penalty
Summary
The facility failed to notify a resident's representative when the resident experienced a change in condition. This deficiency involved a resident who was admitted for care following a traumatic brain injury and had multiple diagnoses, including a tracheostomy, respirator dependence, and acute respiratory failure. On a specific date, a physician's verbal order was documented, stating that if the resident decannulates and the respiratory therapist cannot reinsert the trach, the resident should not be sent to the emergency room, and the trach may be left out. Subsequently, the resident was found decannulated, and the respiratory therapist was unable to reinsert the trach. Although the physician was notified, the resident's family was not informed of this change in condition, as confirmed by the Director of Nursing (DON).
Inaccurate MDS Assessments for Residents with Mental Illness
Penalty
Summary
The facility failed to ensure the accuracy of the Minimum Data Set (MDS) assessments for three residents, which is a standardized tool used to assess residents' health and functional status. Specifically, the assessments for these residents incorrectly indicated that they did not have serious mental illness or intellectual disabilities, despite documentation to the contrary in their Preadmission Screening and Resident Review (PASRR) Level II records. This discrepancy was identified for three residents who had diagnoses of serious mental illnesses such as schizophrenia, depression, and bipolar disorder, among others. Resident #11 had a PASRR Level II indicating diagnoses of depression, schizophrenia, and dementia, yet her MDS assessment incorrectly marked 'No' for having a serious mental illness. Similarly, Resident #20's MDS assessment did not reflect her PASRR Level II diagnoses of schizophrenia, OCD, bipolar disorder, and depression. Resident #44's MDS assessment also failed to acknowledge her PASRR Level II diagnoses of autism, schizophrenia, depression, and anxiety. The MDS Coordinator confirmed these inaccuracies, which could potentially lead to negative outcomes if residents are not properly assessed and monitored.
Failure to Revise Care Plans for Residents
Penalty
Summary
The facility failed to ensure that resident care plans were revised to reflect current needs and interventions, as evidenced by the cases of three residents. Resident #60, who was readmitted with congestive heart failure, had a care plan dated several months prior that did not include any updates or new interventions related to his condition. The Director of Nursing acknowledged the need for improvement in care planning. Resident #182, admitted with nicotine dependency, had a smoking evaluation indicating he could smoke independently, yet his care plan lacked documentation regarding his smoking needs. The Director of Nursing confirmed that the care plan did not reflect the resident's current smoking status. Resident #64, admitted following a traumatic brain injury and with a tracheostomy, experienced a significant event when he was found decannulated, and the respiratory therapist was unable to reinsert the trach. Despite this incident, the care plan was not updated to reflect the removal of the tracheostomy. The Staff Development Coordinator Nurse noted that the care plan should have been revised to account for this change. These deficiencies in care planning placed residents at risk for adverse outcomes due to the lack of updated interventions and documentation.
Failure to Provide Scheduled Bathing Assistance
Penalty
Summary
The facility failed to ensure that a resident who required assistance with bathing received the necessary care. The resident, admitted with diagnoses including generalized muscle weakness and difficulty walking, was scheduled to receive showers twice weekly. However, the resident's bathing records from February to March 2025 showed multiple instances where there was no documentation of a shower being offered or refused. Specifically, there were extended periods where no records indicated that a shower was offered, and on two occasions, the resident refused a shower. The Director of Nursing confirmed that the resident did not receive shower opportunities as scheduled, and no documentation was provided to account for bathing refusals.
Failure to Administer Bowel Management Medications as Ordered
Penalty
Summary
The facility failed to provide quality care to a resident by not following physician orders for bowel management. The resident, who was admitted with multiple diagnoses including quadriplegia, respirator dependence, and a history of constipation and gastrointestinal hemorrhage, had specific physician orders for bowel care. These orders included administering Milk of Magnesia if there was no bowel movement for two days, followed by a Dulcolax suppository if there was no result, and finally a Fleet Enema if needed. However, the resident's bowel movement records and medication administration records from February to March 2025 showed multiple instances where there were significant gaps between recorded bowel movements, and no as-needed medications were administered as per the physician's orders. The Director of Nursing (DON) confirmed that the resident did not receive the bowel management medications as ordered and was unable to provide an explanation for this failure. This oversight placed the resident at an increased risk for harm, as the necessary interventions to manage the resident's bowel care were not implemented. The report highlights a deficiency in the facility's adherence to physician orders, which is critical for ensuring the well-being of residents with complex medical needs.
Inadequate Pain Management for Resident
Penalty
Summary
The facility failed to provide adequate pain management for Resident #60, who was readmitted after a hospital stay with diagnoses including stomach cancer and a cognitive communication deficit. On the morning of 3/17/25, Resident #60 reported severe abdominal pain, rating it 9 out of 10, and requested pain medication. Despite acknowledging the resident's pain, LPN #3 did not conduct an assessment or provide any pain management interventions. By the afternoon, the resident continued to experience significant pain, rating it 8 out of 10, and reported not receiving any pain management interventions since the morning. The resident's medical record indicated a physician's order for Hydrocodone-Acetaminophen to be administered every 8 hours as needed for pain, with non-pharmacological interventions to be attempted first. However, the resident did not receive any interventions until LPN #2 administered pain medication at 2:39 PM. The Director of Nursing later confirmed that a previously scheduled pain medication order was not reinstated upon the resident's return from the hospital. This oversight resulted in the resident experiencing prolonged periods of unrelieved pain.
Failure to Provide RN Coverage for 8 Consecutive Hours
Penalty
Summary
The facility failed to ensure that a registered nurse (RN) was on-site for 8 consecutive hours a day, 7 days a week, as required to provide care to the residents. This deficiency was identified during a review of nursing staff hours worked from February 23, 2025, to March 15, 2025. It was found that on February 24, 2025, and March 3, 2025, the facility did not have an RN on-site for the required 8 consecutive hours. This lapse in staffing was confirmed by the Administrator on March 20, 2025, at 1:22 PM. The absence of an RN for the specified hours placed all residents at risk for harm if their routine and/or emergency needs could not be met without the care of a registered nurse.
Failure to Accurately Post and Maintain Nurse Staffing Data
Penalty
Summary
The facility failed to ensure that nurse staffing data was accurately completed, posted daily, and maintained for a minimum of 18 months. This deficiency was identified through observation, record review, and staff interviews. The review of the facility's daily nurse staffing data posting records from October 1, 2024, to March 20, 2025, revealed numerous missing dates and instances of incomplete data. Specific dates in October, November, December, January, February, and March were identified as either missing or incomplete. On March 16, 2025, it was observed that the facility's daily nurse staffing data posting was outdated, showing data from March 14, 2025. During an interview on March 20, 2025, the Administrator expressed uncertainty regarding why the nurse staffing data was not completed accurately, posted, and retained as required.
Sanitation Deficiency in Nutrition Room and Equipment
Penalty
Summary
The facility failed to ensure the sanitation of nutrition rooms and equipment, as observed during an inspection. One of the two ice bins in the nutrition room was found to have a thick, slimy layer with different shades of pink surrounding the ice dispensing tray. This indicates a lack of proper cleaning and sanitation, which is necessary to minimize the growth of microorganisms that may result in food contamination. Additionally, plastic containers of food were found without any indication of use-by dates, and thickened cocktail cranberry juice was observed with no indication of when it was opened or when it should be disposed of. During an interview, the Dietary Manager acknowledged that the ice bin was not in sanitary conditions and expressed uncertainty about who was responsible for cleaning it. The manager also admitted that the food items in the refrigerator were unclear regarding when they were opened or when they should be disposed of. This lack of clarity and responsibility in maintaining sanitation standards in the nutrition room and equipment could potentially affect all residents consuming food or ice from these areas, increasing the risk of transmission of foodborne illnesses.
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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) |
|---|---|---|---|---|
| Lakeside Rehabilitation And Care Center | 0.8 mi | ★★★★★ | 14 | 0 |
| Ironwood Rehabilitation And Care Center | 1 mi | ★★★★★ | 21 | 0 |
| Advanced Health Care Of Coeur D'alene | 1.4 mi | ★★★★★ | 10 | 0 |
| Life Care Center Of Coeur D'alene | 2.9 mi | ★★★★★ | 25 | 0 |
| Life Care Center Of Post Falls | 6.1 mi | ★★★★★ | 8 | 0 |
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