Inspection Reports for
Pomerelle Place Senior Living
1301 Bennett Ave, Burley, ID 83318, United States, ID, 83318
Back to Facility Profile5 Reports
Inspection Report — Aug 19, 2026
Complaint Investigation
Date: Aug 19, 2026
Visit Reason
A health care complaint investigation survey was conducted to evaluate the facility's compliance with resident care and health status assessment requirements.
Complaint Details
The complaint investigation focused on resident care record accuracy and assessment of residents after changes in health status; deficiencies were substantiated.
Findings
Two deficiencies were found related to resident care records and failure to assess residents after changes in health status. Documentation issues and lack of face-to-face assessments by the previous nurse were noted.
Deficiencies (2)
.330.03 Resident care records: the facility did not ensure all entries in each resident's record were completed and documented by the person providing care; medication administration records were altered by a previous nurse using medication technician electronic signatures without proper documentation.
.305.03 Change in resident health status: the facility nurse did not assess residents after changes in health status, including residents with headaches, suicidal ideation, and multiple falls; the previous nurse relied on staff reports without face-to-face assessments.
Report Facts
: Jul 18, 2026
: Array
: Aug 14, 2026
Inspection Report — Mar 12, 2026
Routine
Date: Mar 12, 2026
Visit Reason
A health care licensure and follow-up survey was conducted to assess compliance with state regulations and identify any deficient practices.
Findings
Six deficiencies were identified related to relocation agreements, medication availability, facility records maintenance, behavior documentation, and resident care records documentation.
Deficiencies (5)
.155.01 Relocation agreements: the facility could not provide written or signed agreements for transfer or relocation of residents in the event of an emergency evacuation.
.310.01.g Medication distribution system: the facility did not ensure all residents' as-needed medications were available, including Banophen, hyoscyamine sulfate, ondansetron, guaifenesin, and Pepto-Bismol.
.330 Requirements for facility records: the facility did not maintain records for a minimum of three years during transition to a new electronic records system, resulting in lost access to some previous incident and accident reports.
.330.04 Behavior documentation: residents' care records were not maintained with current and complete entries by caregivers; six of eight sampled residents lacked documentation of care, including illness and pneumonia.
.330.04.c.vii Resident care records: the facility nurse did not consistently document residents' changes in physical and mental conditions or pre-admission assessments, including lethargy, respiratory symptoms, and admission assessments.
Inspection Report — May 21, 2025
Routine
Date: May 21, 2025
Visit Reason
A health care licensure and follow-up survey was conducted to assess compliance with applicable regulations.
Findings
Three non-core deficiencies were identified related to medication destruction documentation, lack of a Certified Food Protection Manager, and insufficient first aid certification among night shift staff.
Deficiencies (3)
.310.02 Discontinued and expired prescriptions: the facility's medication destruction log did not consistently document medication destruction dates nor a witness; medication destruction was not always witnessed by two people.
.450 Requirements for food and nutritional care services: the facility did not have a Certified Food Protection Manager at the time of survey; the kitchen manager was in the process of obtaining certification and no current staff had certification.
.600.04.b Sufficient personnel: three staff members who worked alone on the night shift did not have evidence of first aid certification; staff with expired first aid are enrolled in a class to review their certification.
Inspection Report — Dec 3, 2024
Complaint Investigation
Date: Dec 3, 2024
Visit Reason
A health care complaint investigation survey was conducted to evaluate compliance with licensing requirements and investigate reported concerns.
Findings
The facility failed to have a licensed administrator overseeing day-to-day operations for 141 days, resulting in both core and non-core deficiencies. Additionally, residents did not consistently receive medications as ordered.
Deficiencies (3)
.215. Requirements for a facility administrator: the facility did not have a licensed administrator overseeing day-to-day operations for 141 days, and several staff, residents, family members, and outside agency staff stated they did not know who the administrator was.
.305.02.b. Current medication orders and treatment orders: the facility did not ensure residents received medications as ordered, including missed doses of Montelukast Sodium and Bisoprolol-Hydrochlorothiazide, and administration of Clobetasol Propionate foam beyond the prescribed duration.
.215.03. Lapse of administrator: the facility failed to retain a licensed administrator for day-to-day operations for more than 30 days, operating without one for 141 days, with verbal but not written delegation to the assistant administrator, resulting in a core deficiency.
Report Facts
days_without_administrator: 141
missed_medication_doses: 11
extra_medication_doses: 152
Inspection Report — Feb 29, 2024
Original Licensing
Date: Feb 29, 2024
Visit Reason
A health care initial licensure survey combined with a complaint investigation was conducted to assess compliance with licensing requirements and investigate complaints.
Complaint Details
The complaint investigation was combined with the initial licensure survey; specific complaint details were not stated in the report.
Findings
Seven deficiencies were identified related to incomplete background checks, lack of coordination with private duty caregivers, missing admission agreements after change of ownership, improper medication refrigerator temperatures, outdated negotiated service agreements, and insufficient staff training on dementia and mental illness care.
Deficiencies (7)
.009.01 Criminal History and Background Check: the facility did not complete background checks for all employees who had direct resident access; two of seven staff members worked without completed checks.
.152.03.a.ii Policies of Acceptable Admissions: the facility did not arrange or coordinate private duty caregiver services for Resident #6 and two other residents, with no instructions provided if caregivers were unavailable.
.216.02 Written Agreement: seven of seven residents did not receive admission agreements after the facility's change of ownership on 1/1/24 despite technical assistance provided.
.310.01.c Medication Distribution System: the medication refrigerator containing insulin was not maintained between 38 and 45 degrees F, with documented lows as low as 25 degrees on multiple occasions and no corrective action taken.
.320 Negotiated Service Agreement (NSA) Requirements: seven residents' NSAs were not updated to reflect current needs, were unsigned, incomplete, and did not include pertinent care information such as emergency evacuation instructions.
.630.01 Dementia: three of seven staff did not have Alzheimer's and Dementia training despite the facility retaining residents with dementia.
.630.02 Mental Illness: seven of seven staff lacked evidence of specialized training to care for residents with mental illness, although the facility retained such residents.
Report Facts
temperature: 25
count: 18
count: 10
count: 7
count: 7
count: 3
count: 2
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