Homestead Assisted Living Centers Inc – St. Anthony
Homestead Assisted Living Centers Inc – St. Anthony is a 36-bed senior living community at 610 North Bridge Street in Saint Anthony, Idaho. Owned by The Homestead Assisted Living Center, Inc. and administered by James Romney, the facility has served Fremont County since 2010. The campus provides a broad care continuum including independent living, assisted living, memory care, and on-site home health and hospice services.
The facility is regulated by the Idaho Bureau of Facility Standards and maintains a 78% occupancy rate. Between 2021 and 2025, eight inspections yielded a citations-per-inspection rate of 5.8, which is slightly below the state average of 6.0, though the per-year deficiency rate of 9.2 is 92% above the Idaho five-year average. While recent follow-up surveys in 2025 showed improvement with only two deficiencies noted, historical records identify recurring challenges in medication management and fire safety documentation. No fines or immediate jeopardy findings are currently on record.
Healthcare support is available 24/7, with Medicaid accepted for eligible residents. The clinical model coordinates complex needs through a team of nurses and care aides, although an August 2024 inspection identified a significant era where a non-licensed administrator directly implemented medication orders, leading to documented resident falls. Current services include medication management, diabetic care, and hospice coordination, with estimated monthly costs for a private room starting at $4,600.
The community features a residential setting in downtown Saint Anthony with a Walk Score of 60. Amenities include home-style meals, housekeeping, and social activities designed to foster a home-like atmosphere. While 2024 and 2025 reports identified maintenance gaps regarding fire alarm sensitivity and fuel-fired heating inspections, the facility provides essential rural access to specialized memory care and independent living cottages.
Older adults should evaluate the environment and 2026 quality standards firsthand. It is important to confirm the current role of the administrator in clinical oversight and to verify that fire safety systems and medication communication protocols have been brought into full compliance following the 2024 and 2025 surveys.
About this community
Occupancy
Homestead Assisted Living Centers Inc – St. Anthony is administrated by Romney James.
Inspection History
In Idaho, the Department of Health and Welfare, Bureau of Facility Standards is the state agency tasked with inspecting and licensing assisted living and nursing home facilities.
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Idaho state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2021 vs. Idaho state average• Total deficiencies (92% above)
• Deficiencies per year (92% above)
• Total inspections (100% above) 1 Better Metrics better than Idaho average:
• Deficiencies per inspection (3% below)
Deficiencies
| This Facility | ID Average | vs. ID Avg |
|---|---|---|---|
|
Total deficiencies
| 46 | 24 | This facility has 92% more total deficiencies than a typical Idaho nursing home (46 vs. ID avg 24).↑ 92% worse |
|
Deficiencies per year
| 9.2 | 4.8 | This facility has 92% more deficiencies per year than a typical Idaho nursing home (9.2 vs. ID avg 4.8).↑ 92% worse |
|
Deficiencies per inspection
| 5.8 | 6 | This facility has 3% fewer deficiencies per inspection than a typical Idaho nursing home (5.8 vs. ID avg 6).↓ 3% better |
Inspections
| This Facility | ID Average | vs. ID Avg |
|---|---|---|---|
|
Total inspections
| 8 | 4 | This facility has 100% more total inspections than a typical Idaho nursing home (8 vs. ID avg 4).↑ 100% worse |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on July 24, 2025, found deficiencies related to incomplete interim care plans for residents and missing documentation for the required fire alarm system inspection. Earlier inspections showed recurring issues with medication administration, nursing assessments, and fire safety compliance, including fire suppression system maintenance and emergency preparedness. Deficiencies often involved resident care documentation, medication management, and life safety system inspections. Complaint investigations were not noted in the available reports. The facility’s inspection history indicates ongoing challenges with both health care and fire safety requirements, with some issues persisting over multiple years.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsPlaces of interest near Homestead Assisted Living Centers Inc – St. Anthony
0.0 miles from city center
Estimated distance in miles from Saint Anthony's city center to Homestead Assisted Living Centers Inc – St. Anthony's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Idaho
Homestead Assisted Living Centers Inc – St. Anthony is located in Saint Anthony, Idaho.
Here are the financial assistance programs available to residents in Idaho.
Frequently Asked Questions about Homestead Assisted Living Centers Inc – St. Anthony
Who is the owner of Homestead Assisted Living Centers Inc – St. Anthony?
The legal owner and operator of Homestead Assisted Living Centers Inc – St. Anthony is The Homestead Assisted Living Center, Inc.
Is Homestead Assisted Living Centers Inc – St. Anthony in a walkable area?
Homestead Assisted Living Centers Inc – St. Anthony has a walk score of 60. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
What is the license number of Homestead Assisted Living Centers Inc – St. Anthony?
According to ID state health department records, Homestead Assisted Living Centers Inc – St. Anthony's license number is RC-979.
What is the occupancy rate at Homestead Assisted Living Centers Inc – St. Anthony?
Homestead Assisted Living Centers Inc – St. Anthony's occupancy is 78%.
Who is the administrator of Homestead Assisted Living Centers Inc – St. Anthony?
Romney James is the administrator of Homestead Assisted Living Centers Inc – St. Anthony.
How many beds does Homestead Assisted Living Centers Inc – St. Anthony have?
Homestead Assisted Living Centers Inc – St. Anthony has 36 beds.
Are there photos of Homestead Assisted Living Centers Inc – St. Anthony?
Yes — there are 14 photos of Homestead Assisted Living Centers Inc – St. Anthony in the photo gallery on this page.
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