7 Reports
Inspection Report — Sep 25, 2025
Routine
Date: Sep 25, 2025
Visit Reason
A health care licensure and follow-up survey was conducted to assess compliance with applicable regulations.
Findings
Two deficiencies were identified related to medication refrigerator temperature maintenance and fire and life safety standards for wet suppression system inspections.
Deficiencies (2)
.310.01.c. Medication Distribution System: the facility did not maintain medication refrigerator temperatures between 38 and 45 degrees F; the refrigerator contained Uzedy and was below 38 degrees for 84 days between 7/1/25 and 9/24/25 (previously cited 12/2/2022).
.403. Fire and life safety standards for existing buildings licensed for three through sixteen residents: the last 5-year inspection of wet suppression system gauges and check valves was in 2019; gauges and valves must be inspected, recalibrated, or replaced every 5 years per NFPA 25.
Report Facts
: 84
: 2019
Inspection Report — Feb 8, 2023
Life Safety
Date: Feb 8, 2023
Visit Reason
A fire life safety and sanitation licensure survey was conducted to assess compliance with applicable safety standards.
Findings
Two non-core deficiencies were identified related to prohibited electrical applications and failure to visually inspect fire extinguishers as required.
Deficiencies (2)
.405.02.c. Prohibited Applications: a coffee pot was plugged into a Relocatable Power Tap (RPT) in both the office and the dining room, which is a prohibited use for a RPT.
.403. Fire and life safety standards for existing buildings licensed for three through sixteen residents: fire extinguishers in the facility were not visually inspected in January of 2023.
Inspection Report — Dec 2, 2022
Routine
Date: Dec 2, 2022
Visit Reason
A health care licensure and follow-up survey was conducted to assess compliance with state regulations.
Findings
Three deficiencies were found related to the use of previous criminal history checks, failure to notify Licensing and Certification within one business day of a resident fall, and inadequate monitoring of medication refrigerator temperatures.
Deficiencies (3)
.009.06.c Use of Previous Criminal History and Background Check: the facility used a previous criminal history and background check for one employee without receiving completed results from the Idaho State Police, and the staff member was allowed to work alone without meeting all conditions.
.215.08.f Notification to Licensing Agency within One Business Day: the facility did not notify Licensing and Certification within one business day when a resident fell and required hospital assessment and treatment.
.310.01.c Medication Distribution System: the facility's medication refrigerator temperatures containing insulin were not monitored and documented daily, with only 8 days logged out of 30 in November 2022.
Report Facts
date: Nov 18, 2022
count: 8
count: 30
Inspection Report — Jul 16, 2020
Complaint Investigation
Date: Jul 16, 2020
Visit Reason
A health care complaint investigation survey was conducted to determine compliance with applicable regulations.
Findings
One non-core deficiency was found related to the lack of a contract with an outside mental health agency providing services to residents.
Deficiencies (1)
.330.13.k Personnel Records: the facility did not have a contract with an outside mental health agency who were providing services to residents at the facility.
Inspection Report — Dec 5, 2019
Routine
Date: Dec 5, 2019
Visit Reason
A health care licensure and follow-up survey was conducted to assess compliance with regulations.
Findings
Two deficiencies were found related to resident health status and food supply. The facility nurse failed to assess or document wounds on residents, and the food supply did not meet the required quantity or types of non-perishable foods for seven days.
Deficiencies (2)
.305.03 Resident health status: the facility nurse did not assess or document changes of condition including wounds on multiple residents identified by home health.
.455 Food supply: the facility's non-perishable food items were insufficient in type and quantity to feed residents for seven days according to the administrator.
Inspection Report — May 3, 2019
Life Safety
Date: May 3, 2019
Visit Reason
A Fire Life Safety Survey was conducted at Diamond Peak of Pocatello to assess compliance with fire safety and sanitation licensure requirements.
Findings
Non-core issue deficiencies were identified related to the automatic fire extinguishing system, including insufficient spare sprinklers and lack of documentation for monthly visual inspections of sprinkler system gauges and control valves.
Deficiencies (1)
.415.05 Automatic fire extinguishing system service and testing: there were only four spare sprinklers in the spare sprinkler box instead of the required six, and no documentation was available for monthly visual inspection of the sprinkler system gauges and control valves.
Report Facts
count: 4
count: 6
Inspection Report — Feb 12, 2018
Life Safety
Date: Feb 12, 2018
Visit Reason
A Fire Life Safety Survey was conducted to assess the safety environment of the facility.
Findings
One non-core deficiency was identified related to emergency light testing and maintenance.
Deficiencies (1)
.405.05 Structure, Maintenance, Equipment to Assure Safety: no documentation for emergency light testing at 30 seconds monthly and 90 minutes annually; two dead emergency lights were found, one at the right hand side of the fireplace and one at the southwest hall.
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