Inspection Reports for
Grace Assisted Living
1610 Sunnyridge Road, Nampa, ID, 83686
Back to Facility Profile10 Reports
Inspection Report — Jun 17, 2026
Routine
Date: Jun 17, 2026
Visit Reason
A health care licensure and follow-up survey was conducted to assess compliance with regulations.
Findings
One non-core deficiency was cited related to discrepancies in narcotic medication tracking and counting during medication pass.
Deficiencies (1)
.310.03 Controlled Substances: there was a discrepancy between the medication technician's reported narcotic count and what was observed, with previous staff neglecting to sign the narcotics book.
Inspection Report — Nov 21, 2024
Life Safety
Date: Nov 21, 2024
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A fire life safety and sanitation licensure survey was conducted to assess compliance with applicable fire and life safety regulations.
Findings
Four deficiencies were identified related to fire and life safety records, fire suppression gauge inspections, electrical installations, and fuel-fired heating maintenance.
Deficiencies (4)
.330.15.a.ii. Fire and Life Safety Records: facility could not provide documentation of smoke detector sensitivity testing within the last five years.
.404. Fire and life safety standards for existing buildings licensed for seventeen or more residents and multi-story buildings: fire suppression gauges monitoring air or nitrogen pressure were not fully documented for system #1, and inspection of two wet systems for water pressure was not included.
.405.01.a. Electrical Installations and Equipment: a 6-2 multi-plug adapter was used to power multiple devices including an oxygen concentrator, which is prohibited.
.405.04. Fuel-Fired Heating: facility failed to maintain fuel-fired heating systems in accordance with the rule; last documented annual inspection/maintenance of the gas fireplace was conducted in April 2023.
Report Facts
date: 2023-04
timeframe: last five years
Inspection Report — Feb 22, 2024
Routine
Date: Feb 22, 2024
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A health care licensure and follow-up survey was conducted to assess compliance with licensing requirements.
Findings
The facility operated without a licensed administrator for 188 days, resulting in both non-core and core deficiencies related to administrator licensing requirements.
Deficiencies (2)
.215. Requirements for a facility administrator: the facility operated without a licensed administrator from 8/18/23 to 2/22/24 for 188 days; the administrator was unaware their license had expired.
.215.03. Lapse of administrator: the facility failed to retain a licensed administrator for day-to-day operations for more than 30 days, resulting in a core deficiency.
Report Facts
: 188
Inspection Report — Mar 30, 2023
Life Safety
Date: Mar 30, 2023
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Fire life safety and sanitation licensure survey conducted to assess compliance with fire safety and sanitation regulations.
Findings
Five deficiencies were identified related to smoking area markings, fire alarm sensitivity testing documentation, use of extension cords and multiple plug adapters, oxygen use and smoking policies, and emergency egress and relocation drills.
Deficiencies (5)
.161.04 Designated Smoking Areas: staff were using an unmarked smoking area by dumpsters outside 100 north that was not identified in the smoking policy.
.404 Fire and life safety standards: fire alarm sensitivity testing was not documented with the range or tested sensitivity of smoke detectors, only location and low voltage reading were provided.
.405.01.a Electrical installations and equipment: extension cords and multiple plug adapters are prohibited; a salon was using a 6-2 multiple plug adapter to supply power to hair dryers and curling irons (corrected on site 3/30/23).
.405.03 Medical gases: oxygen use and storage was not properly signed in room 154, and a resident in room 154 was a smoker in possession of smoking materials despite facility policy.
.410 Requirements for emergency actions and fire drills: emergency egress and relocation drills were conducted less than six times per year with no documented drills to the assembly point listed in the emergency plan.
Inspection Report — Dec 7, 2022
Routine
Date: Dec 7, 2022
Visit Reason
A health care licensure and follow-up survey was conducted to assess compliance with applicable regulations.
Findings
One non-core deficiency was identified related to medication storage temperatures not being maintained appropriately.
Deficiencies (1)
.310.01.c. Medication Distribution System: the facility did not maintain appropriate temperatures for the refrigerator storing the residents' medications, including insulin, with temperatures below 38 degrees F on 90 occasions between 09/01/22 and 11/30/22.
Report Facts
temperature: 38
temperature: 30
count: 90
date_range: period during which temperature violations occurred
Inspection Report — Dec 29, 2021
Follow-Up
Date: Dec 29, 2021
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A health care core deficiency follow-up survey was conducted to evaluate compliance with abuse reporting, investigation, and resident protection requirements.
Findings
The facility failed to report, investigate, and protect residents from abuse after allegations involving two residents were made. These failures affected 100% of the residents and resulted in abuse.
Deficiencies (4)
.215.07 Notification of Adult Protection and Law Enforcement: the administrator failed to report all allegations of abuse to Adult Protection, reporting only after being made aware on 11/15/21 (previously cited 7/30/2020).
.215.08.b Investigation within Thirty Days: the administrator failed to investigate all allegations of abuse, treating them as training concerns and initiating investigations only after 11/15/21 (previously cited 4/27/2018 and 7/30/2020).
.215.08.c Resident Protection: the administrator failed to protect residents after being informed of abuse allegations, not removing caregivers from the schedule (previously cited 7/30/2020).
.510. Requirements to Protect Residents from Abuse: the facility did not protect two residents from abuse when the administrator failed to notify adult protective services, complete thorough investigations, and protect residents during investigations after caregiver reports of abuse.
Report Facts
: 2
: 12
Inspection Report — Oct 27, 2021
Life Safety
Date: Oct 27, 2021
Visit Reason
A fire life safety and sanitation licensure survey was conducted to assess compliance with applicable fire and life safety standards.
Findings
Six deficiencies were identified related to fire and life safety standards, including lack of documented inspections, use of prohibited power taps, incomplete emergency drill procedures, and insufficient staff training.
Deficiencies (6)
.404 Fire and life safety standards for existing buildings licensed for seventeen or more residents and multi-story buildings: no documented monthly dry and wet system gauge and control valve inspections, and unsealed penetrations reducing fire resistive features in multiple locations.
.405.02.a Prohibited applications: Room 218 using a relocatable power tap to supply power to an oxygen concentrator.
.405.02.c Prohibited applications: Beauty salon using relocatable power tap to supply power to all curling irons and hair dryer (corrected on site 10/27/21).
.404 Fire and life safety standards for existing buildings licensed for seventeen or more residents and multi-story buildings: no documented 90 minute emergency light testing and no documented training for staff and residents on disaster plan roles and responsibilities.
.405.03 Medical gases: no documented inservice for staff qualifications on the risks associated with oxygen.
.410 Requirements for emergency actions and fire drills: emergency drills not conducted to a designated point of assembly and not all drills evaluated for areas of improvement.
Inspection Report — Jul 30, 2020
Routine
Date: Jul 30, 2020
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A health care licensure and follow-up survey with complaint investigation was conducted to assess compliance with regulations and investigate allegations of neglect and resident care issues.
Complaint Details
The complaint investigation involved allegations of neglect including residents found in dried feces, left unattended, soaked in urine, ignored call lights, and inadequate care leading to harm. The complaint was substantiated with findings of neglect and failure to protect residents.
Findings
The facility was found deficient in multiple areas including failure to report and investigate neglect allegations, inadequate resident care resulting in harm and weight loss, and denial of full access to resident records. Both core and non-core deficiencies were cited, with serious neglect impacting multiple residents and failure to protect residents from harm.
Deficiencies (13)
.215.07 Notification of Adult Protection and Law Enforcement: the administrator failed to report all allegations of neglect to Adult Protection despite multiple caregivers reporting concerns such as residents found in dried feces, left unattended, soaked in urine, and ignored call lights.
.215.08.a Administrator Notification: the administrator stated she had not been informed of multiple allegations of neglect or rights violations including residents found in dried feces, left unattended, soaked in urine, ignored call lights, and caregivers using social media in a resident's room as they were passing away.
.215.08.b Investigation within Thirty Days: the facility did not conduct investigations until May 2020 after the regional administrator was informed of allegations of neglect including residents found in dried feces, left unattended, soaked in urine, and ignored call lights (previously cited 4/27/18).
.215.08.c Resident Protection: the regional administrator received allegations of neglect on 5/14/20 and found accused caregivers worked during the investigation, indicating failure to protect residents during the investigation.
.215.08.d Written Response to Complaint within Thirty Days: the administrator did not provide a written response to Resident #14's Power of Attorney after a complaint of violation of the resident's right to privacy.
.300.02 Licensed Nurse: the facility nurse did not assess residents after changes in health condition including significant weight loss, falls, vomiting, pain, and skin tears; assessments were not completed for these changes.
.305.02.b Current Medication Orders and Treatment Orders: Resident #13 was discharged with an order for Metformin but the facility did not start the medication until over a month later, resulting in 11 days of incorrect medication administration (previously cited 4/27/18).
.320.08 Periodic Review: residents' nursing service assessments did not reflect current needs such as bathing, toileting, hygiene, mobility, and equipment status; for example, Resident #14, #12, #13, and #7 had incomplete or outdated assessments.
.330.02.c Electronic Records: the facility utilized an electronic record system that allowed deletion of documents; the facility nurse admitted deleting one to two resident nurse change forms weekly.
.330.04.c.vi Resident Care Records: caregivers did not document notifying the nurse when residents experienced health changes; nurse documentation showed notifications for some residents but no staff documentation of those notifications.
.335.02 Standard Precautions: the facility gave tours to family members after CDC guidelines recommended no outside visitors, and did not promote social distancing during meals where residents were seated closely together.
.525 REQUIREMENTS TO PROTECT RESIDENTS FROM NEGLECT: the facility failed to protect multiple residents from neglect, including failure to report, investigate, and prevent neglect; residents experienced weight loss, falls, untreated medical conditions, and inadequate care; the administrator failed to act on reports and protect residents from further neglect.
.130.04 Access and Authority to Entire Facility: the facility did not allow State surveyors full access to residents' records, failing to provide all nurse change forms for Resident #13 despite multiple requests, impeding the survey process.
Report Facts
: 19
: 23
: 13
: 14
: 14
: 220
: 206
: 189
: 11
: 7
Inspection Report — Apr 27, 2018
Complaint Investigation
Date: Apr 27, 2018
Visit Reason
A health care complaint investigation survey was conducted to assess compliance with regulations and investigate alleged deficiencies.
Complaint Details
The survey was conducted as a health care complaint investigation; specific complaint details were not provided in the report.
Findings
Seven deficiencies were found related to medication policies, record accuracy, administrator responsibilities, resident belongings, medication orders, unused medication disposal, and investigation of allegations.
Deficiencies (7)
.157.01.f Medication: the facility's disposal of unused medications policies were undated, lacked documentation on destruction procedures and responsible persons, and it was unclear which policy was in use.
.159.01 Complete and Accurate Records: resident records were not accurately maintained as documentation was added months later to controlled substance tracking sheets.
.215.01 Administrator Responsibility: the administrator did not implement policies related to medication assistance, disposal of unused medications, exploitation investigations, and access to resident records.
.220.08 Resident Belongings Responsibility: the Admission Agreement did not specify responsibility for protection and disposition of personal belongings when residents were temporarily absent.
.305.02.b Current Medication Orders and Treatment Orders: residents were not assisted to take medications as ordered, resulting in delayed application of narcotic pain patches and adverse effects from missed medication doses.
.310.02 Unused Medication: unused medications were disposed of in sharps containers without additives to disintegrate them, and these containers were accessible in a locked medication room to multiple employees.
.350.02 Administrator or Designee Investigation Within Thirty Days: the administrator did not complete or document an investigation into an allegation of prescription fraud.
Report Facts
: 3 to 8 months
: 7 out of 9 days in August 2017
: 6 days (from 4/17/18 to 4/23/18)
Inspection Report — May 5, 2016
Routine
Date: May 5, 2016
Visit Reason
A health care licensure and follow-up survey was conducted with a complaint investigation component.
Findings
One non-core deficiency was cited regarding conflicting and missing medication orders for multiple residents, some of which had been previously cited in 2011.
Deficiencies (1)
.305.02 Current medication orders and treatment orders: Resident #7 had conflicting insulin orders and it could not be determined which dose should be given. Additionally, orders were missing and had to be obtained from the pharmacy for Residents #1, #6, #9, and #10 (previously cited 3/18/2011).
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