Inspection Reports for
Heritage of Soda Springs
425 S Spring Creek Dr, Soda Springs, ID, 83276
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Inspection Report — Jul 23, 2026
Routine
Date: Jul 23, 2026
Visit Reason
A health care licensure and follow-up survey was conducted to assess compliance with state regulations.
Findings
Seven deficiencies were identified related to plumbing, emergency fire drills, relocation agreements, HVAC maintenance, fire extinguisher inspections, employee training, and nursing assessments for resident health changes.
Deficiencies (7)
.250.06 Plumbing: the facility did not keep water temperatures between 105 and 120 degrees F, with observed temperatures at 136.0 and 124.1 degrees F; the administrator adjusted the temperatures back into range.
.410 Requirements for emergency actions and fire drills: the facility did not complete fire drills at least quarterly, with gaps of four and five months between drills (previously cited 1/10/2024).
.155.01 Relocation agreements: the facility could not provide signed agreements for transfer or relocation of residents for two separate locations and had only one relocation agreement.
.250.07 Heating, ventilation, and air-conditioning (HVAC): the facility failed to have the HVAC system inspected annually, with a lapse of over three years between inspections.
.330.12.c Fire and life safety records: a large portable fire extinguisher in the kitchen had not been inspected monthly, with the last examination over three months prior.
.625.02.b Content for training: seven employee records did not contain documentation of orientation training related to reporting and documenting allegations of abuse, neglect, and exploitation.
.305.03 Change in resident health status: the facility nurse did not conduct nursing assessments when residents experienced changes in physical or mental health status, including multiple incidents for Resident #5.
Inspection Report — Apr 10, 2026
Complaint Investigation
Date: Apr 10, 2026
Visit Reason
A health care complaint investigation survey was conducted to assess compliance with regulations and investigate alleged deficiencies.
Findings
The facility did not update residents' Negotiated Service Agreements to reflect changes in their condition, resulting in inadequate care instructions for staff.
Deficiencies (1)
.320.08 Periodic Review: the facility did not update residents' Negotiated Service Agreements to reflect changes in condition, including a resident who fell and broke their arm and had a draining bump on their shoulder.
Inspection Report — Jul 11, 2024
Routine
Date: Jul 11, 2024
Visit Reason
A health care licensure and follow-up survey was conducted to assess compliance with state regulations.
Findings
Six deficiencies were identified related to background checks, toxic chemical storage, medication administration, nursing recommendations, and food protection certification.
Deficiencies (5)
.009.06.c Use of Previous Criminal History and Background Check: one of four employees did not have Idaho State Police background check results obtained prior to working alone with residents; the administrator stated the results were not completed.
.260.07 Toxic Chemicals: toxic chemicals were stored in an unlocked area accessible to cognitively impaired residents on three occasions, including dishwasher detergent, disinfectant surface cleaner, and peroxide (previously cited 4/13/2024).
.305.02.b Current Medication Orders and Treatment Orders: the facility nurse did not ensure residents received medications as ordered, including multiple missed doses for Resident #4 and wrong insulin doses for Resident #2; the nurse was unaware of these issues (previously cited 4/13/2024).
.305.04 Recommendations: the facility nurse did not consistently make recommendations for follow-up care; Resident #3 had a skin tear from a fall with delayed treatment, and medications were withheld per family request without nurse awareness of decision authority.
.450 REQUIREMENTS FOR FOOD AND NUTRITIONAL CARE SERVICES: the facility did not have a Certified Food Protection Manager at the time of survey; the previous manager's certification expired in June 2023.
Report Facts
date: Jul 11, 2024
date: Aug 10, 2024
date: Apr 13, 2024
date: Jun 1, 2023
Inspection Report — Jan 10, 2024
Life Safety
Date: Jan 10, 2024
Visit Reason
A fire life safety and sanitation licensure survey was conducted to assess compliance with emergency action and fire safety standards.
Findings
Two deficiencies were found related to emergency fire drills and maintenance of emergency lighting testing.
Deficiencies (2)
.410. Requirements for emergency actions and fire drills: the facility did not conduct the required six annual bi-monthly fire/emergency evacuation/relocation drills, including two drills during nighttime hours when residents would be sleeping.
.404. Fire and life safety standards for existing buildings licensed for seventeen or more residents and multi-story buildings: the facility failed to maintain testing of their battery back-up emergency lighting, including 30 seconds monthly testing and 90-minute annual testing, in accordance with NFPA 101.
Inspection Report — Apr 13, 2023
Original Licensing
Date: Apr 13, 2023
Visit Reason
Initial licensure survey conducted to assess compliance with health care licensure requirements.
Findings
The facility failed to provide a secure environment for residents at risk of elopement and improperly stored toxic chemicals accessible to cognitively impaired residents. Medication orders and treatments were not consistently available or assessed, residents' health status changes were not fully evaluated, and medication distribution was inadequate. Negotiated Service Agreements were not updated to reflect residents' current care needs. Behavior documentation and management plans were lacking for residents exhibiting maladaptive behaviors.
Deficiencies (8)
.250.13 Secure Environment: the facility did not provide a secure environment for residents with cognitive impairments at risk for elopement; some residents without impairments had door codes, allowing confused residents to elope.
.260.07 Toxic Chemicals: toxic chemicals were stored in unlocked areas accessible to cognitively impaired residents, including bleach, barbicide, and various cleaners in the salon and kitchen.
.305.02.b Current Medication Orders and Treatment Orders: several residents did not have prescribed medications available for periods between January and April 2023, including Gemtasa, eye drops, buspirone, and furosemide; medication orders were missing or delayed.
.305.03 Resident Health Status: the facility nurse did not assess all residents after changes in condition, including gait changes, confusion, suicidal ideation, and pressure injuries, and failed to review caregiver notes documenting these changes.
.310.01.g Medication Distribution System: several residents lacked availability of ordered PRN medications, including benzonatate, albuterol inhaler, and antibiotic ointment; the administrator confirmed these medications were not available.
.320.08 Periodic Review: residents' Negotiated Service Agreements were not updated to reflect significant changes in care needs, including medication changes, hospice services, functional abilities, orientation, pressure injury care, and oxygen orders.
.330.06.a Behavior Documentation: the facility did not assess maladaptive behaviors or create behavior management plans for residents who attempted elopement, exhibited aggression, or disturbed others; no behavior plans were in place.
.330.06.b Behavior Documentation: the facility did not develop behavior plans with specific interventions for residents exhibiting maladaptive behaviors; staff interventions were inconsistent and sometimes increased agitation.
Report Facts
: 2
: 1
: 3
: 8
: 8
: 3
: Mar 28, 2023
: Apr 4, 2023
: 7
: 4
: 5
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