Inspection Reports for
Overland Court Generations Memory Care

10172 West Smoke Ranch Drive, Boise, ID, 83709

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1 Report

2025

Inspection Report — Oct 2, 2025

Original Licensing
Date: Oct 2, 2025

Visit Reason
A health care initial licensure survey was conducted to assess compliance with state regulations and licensing requirements.

Findings
Fifteen deficiencies were identified related to criminal background checks, relocation agreements, admission and service agreements, housekeeping, medication management, fire safety, food preparation, and staff training. The facility failed to meet multiple regulatory requirements following a recent change of ownership.

Deficiencies (15)
.009.01 Criminal History and Background Check: six employees did not have a Department Criminal History and Background Check after the change of ownership due to a payment issue.
.155.01 Relocation Agreements: the facility lacked current relocation agreements with two separate locations for resident evacuation.
.216.02 Written Agreement: admission agreements for six of seven sampled residents were not created and signed by all responsible parties on or before the change of ownership.
.260.06 Housekeeping and Maintenance Services: the facility was not maintained in a clean, safe, and orderly manner including broken fences, stained windows, damaged walls, and a malfunctioning portable food hot box with exposed wires.
.305.02.b Current Medication Orders and Treatment Orders: residents did not receive medications and diets as ordered by their physician, including delayed medication availability and incorrect diet consistency.
.305.03 Resident Health Status: nursing assessments were not conducted when residents experienced changes in physical or mental health status, including foot pain, skin concerns, and resident elopements.
.310.02 Discontinued and Expired Prescriptions: the medication destruction log did not document the method of disposal used for destroyed medications.
.320 Negotiated Service Agreement (NSA) Requirements: after the change of ownership, NSAs were not reviewed or updated for six of eight sampled residents and lacked clear identification and detailed service instructions.
.320.03 Signature, Date, and Approval of Agreement: NSAs were not signed and dated by residents or their legal guardians for five residents.
.330.04.a Resident Care Records: the facility did not maintain accurate and authentic caregiver notes, limiting caregivers' ability to document unusual events and concerns.
.330.09 Resident Admission and Discharge Register: the admission and discharge register was not up-to-date, underreporting the actual number of residents.
.404 Fire and Life Safety Standards: the facility failed to obtain an annual fire alarm system inspection, with a gap of over fourteen months since the last inspection.
.405.04 Fuel-Fired Heating: the facility failed to inspect, service, and clean fuel-fired heating systems annually as required.
.460.01 Food Preparation: residents were served food at unsafe temperatures due to inoperable steam tables and a malfunctioning hot box with exposed wires and an improperly sealed door.
.625.01 Number of Hours of Training: five of six staff lacked documentation of 16 hours of orientation and training on new company policies after the change of ownership.
Report Facts
date: Dec 12, 2023 date: Oct 12, 2023 date: Jun 1, 2025 temperature: 101.4 temperature: 96.8 temperature: 89.3 temperature: 135 count: 6 count: 6 count: 5

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