Inspection Reports for
The Gables Assisted Living & Memory Care of Caldwell
ID, 83605
Back to Facility Profile7 Reports
Inspection Report — Jun 12, 2026
Routine
Date: Jun 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
Seven deficiencies were cited related to policies of acceptable admissions, resident health status assessments, emergency actions and fire drills, personnel management, initial assessments, psychotropic medication reviews, and resident care records documentation.
Deficiencies (7)
.152.03.a.ii. Policies of Acceptable Admissions: the facility utilized an outside agency caregiver for Resident #10 without arranging services, and the negotiated service plan did not specify services provided by this caregiver; the family hired and paid the caregiver directly.
.305.03. Change in Resident Health Status: the facility nurse did not conduct assessments after residents experienced changes in health status, including failure to assess Resident #4 after physical therapy start and pain complaints, and Resident #8 after a fall.
.410. Requirements for Emergency Actions and Fire Drills: the facility failed to conduct the required number of fire drills, with documentation showing only three drills between 2/3/26 and 5/28/26 instead of at least six, including two at night.
.600.04. Personnel Management: the facility did not provide sufficient staff to meet residents' needs, with observations of inadequate staffing during care and medication administration, and the administrator acknowledged a staffing crisis.
39-3308 Assessment (1) Initial Assessments: the facility nurse did not conduct assessments within 30 days prior to admission for Residents #1, #2, and #3; the administrator stated assessments were not completed by the former nurse.
.310.04.e. Psychotropic or Behavior Modifying Medication: the facility did not conduct six-month psychotropic medication reviews for residents prescribed such medications, including Residents #1, #2, and #5.
.330.04.c.v. Resident Care Records: the facility nurse did not document provider notifications after residents refused medications, including multiple refusals by Resident #3; the nurse stated collaboration occurred but documentation was inconsistent.
Inspection Report — Nov 4, 2025
Complaint Investigation
Date: Nov 4, 2025
Visit Reason
A health care complaint investigation survey was conducted to evaluate the facility's compliance with care standards.
Findings
Two deficiencies were found related to residents' Negotiated Service Agreements not reflecting care needs and lack of delegation for wound care to unlicensed caregivers.
Deficiencies (2)
.320.01 Use of NSA: residents' Negotiated Service Agreements did not clearly reflect residents' needs or describe services to be provided, lacking specific instructions for wound care and monitoring.
.645.02 Delegation: the facility nurse did not delegate unlicensed caregivers on how to care for high level pressure injuries such as stage 3, 4 and unstageable wounds.
Inspection Report — May 2, 2024
Life Safety
Date: May 2, 2024
Visit Reason
A fire life safety and sanitation licensure survey was conducted to assess compliance with applicable regulations.
Findings
Four deficiencies were identified related to relocation agreements, electrical installations, prohibited power applications, and emergency fire drill requirements.
Deficiencies (4)
.155.01 Relocation agreements: facility must maintain and update relocation agreements on an annual basis; two agreements were signed in 2021 and four in March 2023.
.405.01.a Electrical installations and equipment: use of extension cords and multi-plug adapters is prohibited; observed in Rooms 105 and 115 during facility tour.
.405.02.a Prohibited applications: use of a RPT to supply power to medical devices is prohibited; Room 112 was observed using a RPT to charge a portable oxygen concentrator.
.410 Requirements for emergency actions and fire drills: facility must conduct bi-monthly fire/evacuation drills with two at night annually; only two drills were held in 2023-2024 with one at night.
Inspection Report — Jan 19, 2024
Complaint Investigation
Date: Jan 19, 2024
Visit Reason
A health care complaint investigation survey was conducted to evaluate the facility's compliance with regulations related to resident care and safety.
Complaint Details
The complaint investigation focused on falls and the facility's failure to notify Licensing and Certification timely; the findings substantiated deficiencies in corrective actions and notification procedures.
Findings
Two deficiencies were found related to fall prevention and timely notification to Licensing and Certification. The facility failed to implement adequate corrective actions to prevent resident falls and did not notify the agency within one business day of multiple resident falls requiring hospital assessment.
Deficiencies (2)
.215.08.e. Corrective Action: the facility administrator did not consistently implement corrective actions adequate to ensure residents' falls did not recur; eight sampled residents' records lacked adequate or effective interventions and only documented that no preventative measures were added at this time (previously cited 5/31/2023).
.215.08.f. Notification to Licensing Agency within One Business Day: the facility did not notify Licensing and Certification within one business day when multiple residents fell and required hospital assessment, including Resident #3 on three occasions and Resident #8 once.
Report Facts
date: Aug 17, 2023
date: Oct 9, 2023
date: Nov 13, 2023
date: Oct 29, 2023
count: 8
Inspection Report — May 31, 2023
Routine
Date: May 31, 2023
Visit Reason
A health care licensure and follow-up survey was conducted to assess compliance with state regulations.
Findings
Six deficiencies were found related to criminal history checks, corrective actions for resident falls, nursing assessments, and personnel training documentation. Several issues were previously cited on 12/1/2021.
Deficiencies (4)
.009.01 Criminal History and Background Check: one of seven employees did not have a Department Criminal History and Background Check and was observed working alone with residents in the memory care unit (previously cited 12/1/21).
.215.08.e Corrective Action: the facility administrator did not implement corrective action to prevent recurrence of 13 falls by Resident #2 from 3/16/23 to 5/10/23; interventions remained unchanged after each fall (previously cited 12/1/21).
.305.03 Resident Health Status: the facility nurse did not conduct nursing assessments when residents experienced changes in physical or mental health status, including after a bedside x-ray and episodes of rash, vomiting, cough, and skin tear (previously cited 12/1/21).
.330.13.e Personnel Records: two of seven staff files lacked documentation of 16 hours of orientation training; one staff file lacked documentation of dementia and job-related continued training (previously cited 12/1/21).
Report Facts
falls:
staff_reviewed:
staff_missing_orientation_training:
staff_missing_dementia_training:
Inspection Report — Aug 16, 2022
Life Safety
Date: Aug 16, 2022
Visit Reason
A fire life safety and sanitation licensure survey was conducted to assess compliance with applicable safety codes and regulations.
Findings
Six deficiencies were identified related to relocation agreements, fire and life safety standards, electrical installations, and emergency fire drills. Issues included outdated relocation agreements, missing self-closing devices on doors, damaged kitchen hood filters, missing sprinkler wrenches, missed fire extinguisher inspections, exposed electrical panel components, prohibited extension cords, and insufficient fire drill documentation.
Deficiencies (5)
.155.01 Relocation agreements: the facility is required to review the relocation agreements annually. The last documented review/update was July 30, 2021.
.404 Fire and life safety standards for existing buildings licensed for seventeen or more residents and multi-story buildings: the kitchen, laundry, and maintenance shop doors lacked self-closing devices; the kitchen hood filter was damaged allowing grease vapors to pass; the facility lacked a specialized wrench for sprinkler pendants; and fire extinguishers missed annual and monthly inspections (previously cited 05/2021).
.405.01 Electrical installations and equipment: electrical panels in the maintenance shop and housekeeping storage were missing blanks, exposing internal components.
.405.01.a Electrical installations and equipment: an extension cord was used from the kitchen desk area through an open pantry door to power a full-sized freezer, which is prohibited; power cords cannot run through doorways.
.410 Requirements for emergency actions and fire drills: the facility failed to perform required bimonthly drills and did not document any night drills when residents were sleeping. No documentation was available for drills in October, November, or December 2021; the last known drill was September 29, 2021.
Inspection Report — Dec 1, 2021
Original Licensing
Date: Dec 1, 2021
Visit Reason
An initial licensure survey combined with a complaint investigation was conducted to assess compliance with health care regulations.
Complaint Details
The complaint investigation was combined with the initial licensure survey; deficiencies included failure to conduct investigations and notifications related to resident falls and elopements.
Findings
Thirteen deficiencies were found, including missing criminal background checks, expired administrator license, failure to conduct timely investigations and corrective actions for resident falls, inadequate secure environment for residents at risk of elopement, incomplete nursing assessments, lack of behavior documentation and plans, insufficient staff training documentation, failure to follow infection control recommendations, and uncertified medication technicians.
Deficiencies (13)
.009.01 Criminal history and background check: one of seven employees did not have a Department Criminal history and background check completed.
.100.04 Administrator: Derek Westover's license had expired on 10/7/21, and he was unaware of the expiration.
.152.03.a. Policies of acceptable admissions: the facility utilized an outside agency caregiver for Resident #6 without arranging services; the family arranged and paid the caregiver directly.
.215.08.b Investigation within thirty days: the administrator did not conduct investigations within 30 days after residents' falls, including multiple incidents for Residents #4, #5, #6, and #8.
.215.08.e Corrective action: the administrator failed to implement interventions to prevent recurrence of falls for Residents #5 and #6 despite documented falls.
.215.08.f Notification to licensing agency within one business day: the facility did not notify Licensing and Certification after Resident #2 eloped and after incidents requiring outside treatment on multiple dates.
.250.13 Secure environment: the facility did not provide a secure environment for residents at risk of elopement, retaining Residents #1 and #2 too long despite cognitive impairments and elopement incidents.
.305.03 Resident health status: nursing assessments were not conducted after residents experienced changes in condition, including falls and a pressure ulcer.
.330.06.a Behavior documentation: the facility did not evaluate Resident #7's behaviors including entering other residents' rooms and aggressive actions toward staff.
.330.06.b Behavior documentation: the facility did not develop a behavior plan with specific interventions for Resident #7.
.330.13.e Personnel records: seven staff files lacked documentation of 16 hours orientation training; two lacked infection control training documentation though trainings were reportedly received.
.335 Requirements for infection control: the facility did not follow CDC recommendations for COVID-19 prevention, including improper mask use by staff and unscreened visitors entering the facility.
.645.01.a Training requirements: one of four medication technicians was not certified to pass medications by an approved medication certification class.
Report Facts
date: 10/7/2021
date: 11/6/2020
date: 6/16/2021
date: 7/7/2021
date: 7/30/2021
date: 6/16/2020
date: 9/10/2020
date: 5/21/2021
date: 6/4/2021
date: 6/10/2021
date: 8/3/2021
date: 12/2/2020
date: 6/13/2021
date: 8/17/2021
date: 8/8/2021
date: 11/29/2021 to 12/1/2021
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