Inspection Reports for
Mountain Springs Assisted Living Center
3254 Spirit Lake Cutoff Rd, Spirit Lake, ID 83869, United States, ID, 83869
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Inspection Report — Jan 29, 2026
Routine
Date: Jan 29, 2026
Visit Reason
A health care licensure and follow-up survey was conducted to assess compliance with state regulations.
Findings
One deficiency was found related to employee background checks, where one of three employees did not have the required Idaho State Police background check completed prior to working alone with residents.
Deficiencies (1)
.009.06.c Use of previous criminal history and background check: one of three employees did not have the required Idaho State Police background check completed prior to working alone with residents.
Inspection Report — Mar 15, 2024
Original Licensing
Date: Mar 15, 2024
Visit Reason
An initial licensure survey combined with a complaint investigation was conducted to assess compliance with health care regulations and investigate reported concerns.
Complaint Details
The complaint investigation focused on concerns about resident safety, including failure to assess residents after incidents and inadequate staffing during night shifts; these concerns were substantiated by the findings.
Findings
Four deficiencies were identified related to facility administration, resident health assessments, psychotropic medication reviews, and staffing adequacy during night shifts, including failure to assess residents after incidents and insufficient staff to ensure resident safety.
Deficiencies (4)
.215. Requirements for a facility administrator: the facility operated without a licensed administrator overseeing day-to-day operations for multiple periods totaling over 80 days, and the Administrator stated the facility did not always have a licensed administrator.
.305.03 Resident health status: the facility Nurse did not conduct nursing assessments when residents experienced changes in physical or mental health status, including failure to assess residents after bruises, falls, and elopement incidents.
.310.04.e Psychotropic or behavior modifying medication: six-month psychotropic medication reviews were not completed for residents who required them, including Resident #1 and Resident #4, and the Administrator was unaware these reviews were required every six months.
.600.04.a Sufficient personnel: the facility did not sufficiently schedule staff during the night shift to keep residents safe when only one staff was present, and staff did not act in a safe and timely manner when a confused resident eloped; the facility installed door alarms after the incident but had not assessed the resident's safety post-elopement.
Report Facts
: 80
: Mar 3, 2024
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