Inspection Reports for
Country Living Retirement Homes

.405.04.a. Prohibited Applications: two Multi-Plug Adapters were observed in use with an oxygen concentrator and a medical air mattress, which is not permitted.

39-3321.2.d. Qualifications and Requirements of Administrator: the facility did not develop interventions to prevent recurrences after residents' incidents, despite multiple falls by residents between March and July 2026.

.404 Fire and life safety standards for existing buildings licensed for seventeen or more residents and multi-story buildings: facility failed to maintain UL listed hood ventilation systems in accordance with NFPA 96, with gaps between filter panels and the hood allowing grease laden vapors to bypass the filtration panels.

.404 Fire and life safety standards for existing buildings licensed for seventeen or more residents and multi-story buildings: the facility lacked documentation for a 3-year full-trip test of the dry suppression system and a second quarter sprinkler inspection, the clean linen storage room door was not self-closing, double smoke compartment doors would not self-close due to catching on the floor, and the laundry room self-closing door did not close and latch when released from the magnetic hold open device.

.410 Requirements for emergency actions and fire drills: the facility failed to perform the required bimonthly emergency egress and relocation drills, having only conducted drills in October and November 2021 and February, May, and August 2022.

.217.04 Written Notice of Discharge: the facility's written notice of discharge for Resident #8 did not include a statement that the resident has the right to appeal, the Resident Assisted Living Facility program website, the name, address and telephone number of the local ombudsman, and the name, address and telephone number of Disability Rights Idaho.

.260.06 Housekeeping and Maintenance Services: the facility was not maintained in a clean, safe and orderly manner with garbage overflowing in Room #50, multiple spills on floors, dust and debris in Room #46, stains on furniture, multiple dead flies on a hallway window seal, and stained hallway carpets; staff acknowledged rooms needed a lot of help.

.305.02.b. Current Medication Orders and Treatment Orders: residents' medications were not available as ordered, including insulin, diabetic medications, inhalers, pain medication, and anti-inflammatory drugs (previously cited 12/7/18).

.305.02.c. Current Medication Orders and Treatment Orders: medication orders were missing upon admission for Resident #2, and Resident #3 lacked current orders for oral diabetic and blood pressure medications.

.620. Requirements For Training of Facility Personnel: staff were not trained to appropriately respond to residents expressing concerns, with reports that residents were 'talked down to' or 'treated poorly' during interactions with staff and the administrator.

.415.05 Automatic Fire Extinguishing System Service and Testing: missing documentation for a semi-annual ANSUL inspection for March 2018, hood cleaning for February 2018, and quarterly sprinkler inspections for the 2nd and 3rd quarters of 2018.

.405.01.b Electrical Installations and Equipment: broken outlet cover in the dining room, multiple rooms had appliances plugged into relocatable power taps including a microwave, refrigerator, oxygen system, extension cord, toaster oven, coffee pot, and a daisy chain of power taps.

.405.03 Medical Gases: unsecured oxygen cylinder in room #12.

.404.02 Any Change in Ownership of Facility: all exits are not marked by an approved sign, suitably illuminated and readily visible from any direction of exit access.

.335.03 Standard Precautions: the facility did not follow correct infection control procedures during meal preparation and lunch service; kitchen staff and caregivers touched multiple surfaces before handling ready-to-eat foods, and medication carts contained unsecured used syringes, cotton balls, and lancets posing a danger to staff and residents.

.305.02.b Current Medication Orders and Treatment Orders: the facility did not implement Resident #2 and #8's therapeutic diet orders, serving pureed diets instead of mechanical soft diets as ordered.

.225.01 Evaluation for Behavior Management: the facility did not evaluate Resident #2 and Resident #5's behaviors after they were involved in a physical altercation which resulted in injuries to Resident #2.

.225.02 Intervention: the facility did not develop interventions when Resident #2 had physical altercations with other residents.

.711.08.c Care Notes: the administrator and staff did not document Resident #2 and Resident #5 were restricted to their rooms for 24 hours after they were involved in a resident to resident altercation (previously cited 8/18/17).

.520-10 Inadequate Care - Resident Rights: the facility failed to protect the rights of Residents #2 and #5 when they were involuntarily secluded to their rooms for 24 to 48 hours after an altercation, resulting in inadequate care.

.215.09 Identify and monitor patterns of incidents and accidents: the administrator did not identify or monitor patterns to develop interventions to prevent recurrences, including eight occasions of skin tears and resident-to-resident alterations not monitored.

.300.01 Licensed professional nurse (RN): the facility's RN did not delegate medication assistance to two medication technicians and did not complete 90 day nursing assessments for four residents.

.451.01 Menu: the facility did not serve the planned menu items nor substitute like for like food items; on multiple dates residents were served only part of the menu and substitutions were not documented.

.711.08.c Care notes: the facility did not document all unusual events, including a resident reporting another resident made her feel uncomfortable by touching her leg.

.305.08 Resident and facility staff education: the facility did not provide education to care staff on appropriate catheter hanging and monitoring resident intake.

.711.08.e Care notes: caregivers did not document notifying the nurse when residents had abnormal blood glucose and blood pressure readings.