Inspection Reports for
Dalton Senior Living
840 E Dalton Ave, Coeur d'Alene, ID 83815, ID, 83815
Back to Facility Profile7 Reports
Inspection Report — Jun 24, 2026
Follow-Up
Date: Jun 24, 2026
Visit Reason
Health Care Non-Core Deficiency Follow-Up survey conducted to verify correction of previously cited deficiencies.
Findings
One non-core deficiency was found related to facility maintenance and cleanliness issues, including cigarette butts in the smoking area, damaged fencing, missing and scratched baseboards and cabinet drawers, and unresolved fire alarm inspection deficiencies previously cited multiple times.
Deficiencies (1)
.260.06 Toxic chemicals: the facility was not maintained in a clean, safe and orderly manner, with cigarette butts in the smoking area, bent fencing, missing and scratched baseboards and cabinet drawers, dust and cobwebs in the kitchen, and unresolved fire alarm inspection deficiencies (previously cited 8/23/2024, 2/2/2026, and 3/27/2026).
Inspection Report — Mar 27, 2026
Follow-Up
Date: Mar 27, 2026
Visit Reason
A Health Care Non-Core Deficiency Follow-Up survey was conducted to assess correction of previously cited deficiencies and compliance with Idaho regulations.
Findings
The facility was found to have multiple repeat non-core deficiencies including failure to provide necessary resources, incomplete background checks, unsafe water temperatures, unclean environment, medication errors, incomplete resident assessments, inadequate monitoring, and fire safety inspection lapses. The facility also failed to maintain proper staffing, protect resident rights, and notify Licensing and Certification of incidents.
Deficiencies (23)
.001.03 General Provider Responsibilities: the Licensee failed to provide necessary resources resulting in multiple repeat non-core deficiencies including background checks, water temperature, medication administration, infection control, fire alarm inspections, kitchen standards, staffing, and incident reporting (previously cited 8/23/2024 and 2/2/2026).
.009.02.b Scope of a Criminal History and Background Check: two employees did not have Idaho State Police Background Checks completed and were working alone unsupervised (previously cited 2/2/2026).
.250.09 Resident Sleeping Rooms: water temperatures were not maintained between 105 and 120 degrees Fahrenheit in multiple buildings, with temperatures as low as 85 degrees (previously cited 8/23/2024 and 2/2/2026).
.260.06 Toxic Chemicals: the facility was not maintained in a clean, safe, and orderly manner with damaged surfaces, soiled floors, cigarette butts outside, missing door knobs, and loose countertops (previously cited 8/23/2024 and 2/2/2026).
.305.02.b Quarterly Nursing Assessments: residents did not receive medications as ordered, including missed doses and incorrect oxygen levels; multiple medications were unavailable or not administered (previously cited 8/23/2024, 1/29/2025, and 2/2/2026).
.305.03 Change in Resident Health Status: the facility nurse did not assess eight of twelve sampled residents after changes in health status, including falls, injuries, and medication refusals (previously cited 8/23/2024 and 2/2/2026).
.310.01.c Medication Distribution: medication refrigerator temperatures were not consistently monitored or maintained between 38 and 45 degrees Fahrenheit, with temperatures as low as 34 degrees (previously cited 8/23/2024 and 2/2/2026).
.310.01.g Medication Distribution System: several residents did not have their PRN or routine medications available in the facility as ordered (previously cited 8/23/2024 and 2/2/2026).
.310.04.e Psychotropic or Behavior Modifying Medication: psychotropic medication reviews were not completed for residents taking such medications (previously cited 8/23/2024 and 2/2/2026).
.320.01 Use of NSA: residents' Negotiated Service Agreements did not clearly reflect current needs or describe services provided, including private duty caregivers, outside agencies, and hospice involvement (previously cited 8/23/2024 and 2/2/2026).
.320.02 Key Elements of the NSA: nine of twelve sampled residents' NSAs lacked required components such as night needs, housekeeping, laundry, and supervision services (previously cited 2/2/2026).
.320.03 Signature, Date, and Approval of Agreement: NSAs were not signed or dated by residents or legal guardians as required (previously cited 2/2/2026).
.330.04.c.vi Resident Care Records: facility staff did not notify the facility nurse when residents had a change of condition; hiring of a licensed nurse was in process (previously cited 2/2/2026).
.335.02 Standard Precautions: staff did not follow infection control procedures, including failure to perform hand hygiene between medication passes (previously cited 1/29/2025 and 2/2/2026).
.403 Fire and Life Safety Standards for Existing Buildings Licensed for Three Through Sixteen Residents: the facility failed to obtain an annual fire alarm inspection, with a gap of over fourteen months since the last inspection (previously cited 3/7/2024 and 2/2/2026).
.450 Requirements for Food and Nutritional Care Services: the facility failed the kitchen inspection and mandatory reinspection was required within 10 days (previously cited 8/23/2024 and 2/2/2026).
.451.01.d Menu: the facility did not serve the planned menu on multiple days and lacked recipes to follow (previously cited 8/23/2024 and 2/2/2026).
.600.02 Detached Buildings or Units: the facility did not ensure all buildings were staffed at all times, leaving buildings unattended during shifts (previously cited 1/29/2025 and 2/2/2026).
.600.04.b Sufficient Personnel: five employees who worked alone did not have current CPR and First Aid certificates; two others lacked current First Aid certificates (previously cited 2/2/2026).
39-3308 Assessment (4)a Assessments: the facility did not ensure 90-day nursing assessments were completed as required for multiple residents (previously cited 2/2/2026).
39-3316 Resident Rights (2) Privacy: the facility failed to provide a private area or portable telephone for residents to make calls (previously cited 2/2/2026).
39-3321.2.d Qualifications and Requirements of Administrator: the facility did not identify or monitor patterns of accidents and incidents nor develop interventions to prevent recurrences (previously cited 2/2/2026).
39-3321.5 Qualifications and Requirements of Administrator: the facility did not notify Licensing and Certification within one business day of a resident fall incident (previously cited 2/2/2026).
Report Facts
date: Mar 27, 2026
date: Apr 26, 2026
count: 23
Inspection Report — Feb 2, 2026
Routine
Date: Feb 2, 2026
Visit Reason
A health care licensure and follow-up survey was conducted to assess compliance with Idaho RALF regulations and identify deficiencies.
Findings
The facility exhibited multiple non-core deficiencies including failure to provide necessary resources, incomplete background checks, unsafe water temperatures, unsecured environment for a cognitively impaired resident, poor facility maintenance, unsecured toxic chemicals, medication errors, incomplete assessments, inadequate behavior documentation, fire and life safety inspection failures, food service violations, staffing shortages, insufficient training, and administrative lapses.
Deficiencies (42)
.001.03 General Provider Responsibilities: the licensee failed to provide necessary resources resulting in multiple non-core deficiencies including background checks, medication administration, assessments, infection control, and staffing issues (previously cited 8/23/2024).
.009.01 Criminal History and Background Check: five of fifteen employees did not have Department Criminal History and Background Checks completed (previously cited 8/23/2024).
.009.02.b Scope of a Criminal History and Background Check: twelve of twelve employees required Idaho State Police Background Checks which were not completed (previously cited 8/23/2024).
.250.09 Resident Sleeping Rooms: water temperatures were not maintained between 105 and 120 degrees Fahrenheit in multiple buildings despite attempts to adjust.
.250.13 Secure Environment: the facility failed to provide a secured environment for a cognitively impaired resident at risk for elopement who was observed attempting to leave and was redirected by staff.
.260.06 Toxic Chemicals: the facility was not maintained in a clean, safe, and orderly manner with soiled bathrooms, damaged cabinetry, and urine odors in common areas (previously cited 8/23/2024).
.260.07 Toxic Chemicals: toxic chemicals were stored unsecured and accessible to cognitively impaired residents in laundry rooms with inoperable locks (previously cited 8/23/2024).
.305.02.b Quarterly Nursing Assessments: residents did not receive medications as ordered, including incorrect medication types and missed doses (previously cited 8/23/2024 and 1/29/2025).
.305.03 Change in Resident Health Status: the facility nurse did not assess residents after changes in health status including falls, infections, and altercations (previously cited 8/23/2024).
.310.01.c Medication Distribution: medication refrigerator temperatures were not monitored and documented daily across multiple buildings (previously cited 8/23/2024).
.310.01.g Medication Distribution System: four of thirteen sampled residents did not have their PRN medications available in the facility (previously cited 8/23/2024).
.310.02.d Discontinued and Expired Prescriptions: medication destruction documentation was incomplete and did not include method of destruction.
.310.04.e Psychotropic or Behavior Modifying Medication: six-month psychotropic medication reviews were incomplete and lacked behavioral updates (previously cited 8/23/2024).
.319 Comprehensive Assessment Requirements: multiple residents did not have demographics, nursing, and maladaptive behaviors assessed prior to admission (previously cited 8/23/2024).
.320.01 Use of NSA: residents' negotiated service agreements did not clearly reflect needs or describe services to be provided (previously cited 8/23/2024).
.320.02 Key Elements of the NSA: NSAs for sampled residents lacked required components such as night needs, money management, and emergency evacuation (previously cited 8/23/2024).
.320.03 Signature, Date, and Approval of Agreement: NSAs were not signed and dated by residents or legal guardians (previously cited 8/23/2024).
.330.04 Behavior Documentation: residents' care records were not maintained individually; shift notes contained multiple residents' information (previously cited 8/23/2024).
.330.04.c.vi Resident Care Records: staff did not notify nurse of changes in condition including infections and injuries; notification was inconsistent.
.330.06.a Additional Resident Records: residents were not assessed for maladaptive behaviors including refusal of care, smoking, and inappropriate conduct (previously cited 8/23/2024).
.330.06.b Additional Resident Records: behavior plans with specific interventions were not developed for residents with maladaptive behaviors (previously cited 8/23/2024).
.330.06.c Behavior Documentation: maladaptive behaviors were not tracked with time, date, description, or intervention effectiveness; documentation was incomplete.
.330.15.c Fire and Life Safety Records: monthly visual inspections of portable fire extinguishers were not documented in all buildings.
.335.02 Standard Precautions: infection control procedures were not followed including lack of paper towels, improper glove use, and cross-contamination of food utensils (previously cited 1/29/2025).
.403 Fire and Life Safety Standards: the facility failed to obtain annual fire alarm inspection, 5-year obstruction inspections, kitchen hood suppression inspections, and kitchen hood cleaning (previously cited 3/7/2024).
.405.04 Prohibited Applications: fuel-fired heating inspection/testing was incomplete and did not specify which buildings were inspected (previously cited 3/7/2024).
.410 Requirements for Emergency Actions and Fire Drills: fire drills were not consistently conducted or documented for all buildings.
.450 Requirements for Food and Nutritional Care Services: the facility failed kitchen inspections twice and required mandatory re-inspection (previously cited 8/23/2024).
.451.01.d Menu: the facility did not serve the planned menu on multiple days; substitutions were made without notice (previously cited 8/23/2024).
.460.02.d Frequency of Meals: snacks were not offered between meals or at bedtime in multiple buildings; the administrator was unaware of snack requirements.
.600.02 Detached Buildings or Units: buildings were left unattended for short periods due to staffing shortages and scheduling issues (previously cited 1/29/2025).
.600.04.b Sufficient Personnel: five employees lacked current CPR and First Aid certificates and worked alone; administrator confirmed lack of certificates.
.625.01 Number of Hours of Training: all fifteen staff lacked documentation of 16 hours of orientation training; administrator could not locate training contents for nine staff.
39-3308 Assessment (4)a Assessments: 90-day assessments were not completed for eight of thirteen sampled residents (previously cited 8/23/2024).
39-3316 Resident Rights (2) Privacy: the facility did not provide a private area or portable phone for residents to make phone calls; a resident was observed making calls in a common area where others could hear.
39-3316 Resident Rights (3) a.i Humane care and environment: the facility failed to protect residents' rights by placing a cognitively intact resident in a secured memory care unit without justification, causing self-isolation and distress.
39-3316A .4 Notice of Resident’s Rights: residents' rights were not posted in the Pine and Spruce buildings; the administrator was unsure why postings were missing.
39-3321.1 Qualifications and Requirements of Administrator: the facility operated without a licensed administrator for nine days in November 2025.
39-3321.2.d Qualifications and Requirements of Administrator: the administrator did not identify or monitor patterns of accidents and incidents nor develop interventions to prevent recurrences.
39-3321.2.e Qualifications and Requirements of Administrator: the administrator did not complete investigations and written reports within 30 days for incidents including falls and altercations.
39-3321.4 Qualifications and Requirements of Administrator: the administrator did not immediately implement corrective actions to prevent recurrence of incidents including multiple falls and altercations.
39-3321.5 Qualifications and Requirements of Administrator: the facility did not notify licensing and certification within one business day of resident falls resulting in hospital evaluation.
Inspection Report — Sep 12, 2025
Complaint Investigation
Date: Sep 12, 2025
Visit Reason
An on-site inspection was conducted in response to complaint allegations of unauthorized construction changes to an existing building.
Complaint Details
The complaint alleged unauthorized construction changes to an existing building, which was substantiated during the inspection.
Findings
One deficiency was found regarding construction changes performed without prior authorization or approvals, including added kitchenette features after the final building inspection was completed. The complaint was substantiated.
Deficiencies (1)
.250.01 Construction Changes: construction changes were performed to an existing building without prior authorization or approvals, including added kitchenette features after the final building inspection was completed.
Inspection Report — Jan 29, 2025
Complaint Investigation
Date: Jan 29, 2025
Visit Reason
A health care complaint investigation survey was conducted to determine compliance with medication administration, infection control, staffing, and other regulatory requirements.
Complaint Details
The complaint investigation focused on medication administration and related care practices; deficiencies were substantiated as the facility failed to ensure proper medication administration and observation.
Findings
The facility failed to ensure residents received medications as ordered and did not observe all residents taking their medications. Infection control procedures were not followed properly, and staffing was insufficient to have one staff member in each building at all times.
Deficiencies (4)
.305.02.b. Current Medication Orders and Treatment Orders: the facility did not ensure residents received medications as ordered, including missed doses of Eliquis, Zyrtec, melatonin, and multiple medications for Resident #6 (previously cited 8/23/2024).
.310.01.f. Medication Distribution System: medication technicians did not observe all residents taking their medications, walking away after handing medications without observation.
.335.02. Standard Precautions: the facility did not follow standard infection control procedures, including failure to wash or sanitize hands between medication passes, bare hand contact with ice, contaminated ice scoop storage, and kitchen staff touching ready-to-eat rolls with contaminated gloves.
.600.02. Detached Buildings or Units: the facility did not ensure all buildings were staffed sufficiently to have one staff member present at all times, with buildings left unattended during staff transitions and insufficient medication technician coverage.
Report Facts
: 14
: 10
: 5
: 10/8/24
Inspection Report — Aug 23, 2024
Original Licensing
Date: Aug 23, 2024
Visit Reason
A health care initial licensure survey combined with a complaint investigation was conducted to assess compliance with Idaho RALF regulations.
Complaint Details
The complaint investigation was combined with the initial licensure survey; deficiencies included staffing shortages, medication errors, and failure to provide adequate resident care.
Findings
The facility was found deficient in multiple areas including staffing shortages, incomplete nursing assessments, medication errors, inadequate behavior documentation, and failure to maintain proper food service standards. Several residents lacked comprehensive assessments and proper service agreements, and unsafe storage of toxic chemicals was observed.
Deficiencies (23)
.001.03 General Provider Responsibilities: the licensee failed to provide necessary resources, resulting in insufficient staff to meet residents' needs across three buildings, with one medication technician overwhelmed by multiple duties.
.009.01 Criminal History and Background Check: two of seven employees did not have Department Criminal History and Background Checks completed as required.
.215.08.e Corrective Action: the facility did not ensure effective corrective action to prevent recurrence of falls for Residents #3 and #5 despite multiple incidents.
.216.02 Written Agreement: Residents #1, #7, and #8 did not have new admission agreements following change in ownership.
.250.09 Plumbing: water temperatures in several resident rooms ranged from 69 to 101 degrees F, not consistently maintained between 105 and 120 degrees F.
.260.06 Housekeeping and Maintenance Services: the facility was not maintained in a clean, safe, and orderly manner with issues including weeds, missing siding, damaged flooring, dirty vents, bent fencing, and garbage in exterior areas.
.260.07 Toxic Chemicals: toxic chemicals including dishwasher detergent pods, stainless steel cleaner, and bleach were stored in unlocked areas accessible to cognitively impaired residents on multiple occasions.
.300.01 Licensed Registered Nurse (RN): initial and quarterly nursing assessments were not completed for multiple residents by the previous facility nurse.
.305.02.b Current Medication Orders and Treatment Orders: residents did not consistently receive medications and treatments as ordered, including missed doses and incorrect diet provision.
.305.03 Resident Health Status: nursing assessments were not conducted when residents experienced changes in physical or mental health status, including after falls and emergency department visits.
.310.01.c Medication Distribution System: medication refrigerator temperatures where insulin was stored were not monitored and documented daily for June, July, and August 2024.
.310.01.g Medication Distribution System: some residents lacked PRN medications such as loperamide, lorazepam, and milk of magnesium due to incomplete medication cart audits.
.310.04.e Psychotropic or Behavior Modifying Medication: residents taking psychotropic medications for longer than six months did not have required six-month medication reviews including behavioral updates.
.319 Comprehensive Assessment Requirements: multiple residents did not have comprehensive assessments completed prior to admission.
.320.01 Use of NSA: residents' Negotiated Service Agreements did not clearly reflect their needs or describe services to be provided, including wound care and assistance levels.
.330.06.a Behavior Documentation: the facility did not evaluate behaviors of certain residents including yelling, swearing, swinging at staff, refusals of medications and ADLs.
.330.06.b Behavior Documentation: behavior plans with specific interventions were not developed for residents engaging in maladaptive behaviors.
.330.13.e Personnel Records: four of seven employees did not have documentation of completing 16 hours of orientation training.
.330.14 As Worked Schedules: as-worked schedules did not document dates and times worked for various staff including maintenance director and caregivers.
.450 Requirements for Food and Nutritional Care Services: the facility failed to meet Idaho Food Code standards, lacked a Certified Food Protection Manager, and kitchen inspection failed requiring mandatory re-inspection.
.451.01.c Menu: the current weekly menu was not posted in common areas of all buildings for residents to view.
.451.01.d Menu: documentation of menu substitutions was not maintained and the facility did not serve the planned menu on multiple occasions.
.600.04.a Sufficient Personnel: the facility did not have sufficient personnel on the night shift of 8/19/24, leaving one building without supervision and residents not receiving ADLs due to staff shortages.
Report Facts
date: Aug 23, 2024
date: Sep 22, 2024
count: 7
count: 2
count: 4
count: 23
Inspection Report — Mar 7, 2024
Life Safety
Date: Mar 7, 2024
Visit Reason
A fire life safety and sanitation licensure survey was conducted to assess compliance with applicable safety standards.
Findings
Two deficiencies were found related to fuel-fired heating inspection and fire and life safety standards including smoke detector sensitivity, sprinkler protection, missing escutcheons, and lack of fire alarm inspection documentation.
Deficiencies (2)
.405.04 Fuel-Fired Heating: the last documented annual inspection of the facility's gas fireplaces was dated 2020; fuel-fired heating systems must be inspected, serviced, and cleaned at least annually by a professional.
.403 Fire and life safety standards: smoke detector sensitivity testing was last documented in 2017, combustible overhangs exceed 48 inches without sprinkler protection, closet sprinklers in two rooms are missing escutcheons creating membrane penetrations, and annual fire alarm system inspection documentation was not provided.
Report Facts
year: 2020
year: 2017
length_inches: 48
Viewing
Loading inspection reports...
