Inspection Reports for Dalton Senior Living
840 E Dalton Ave, Coeur d'Alene, ID 83815, ID, 83815
Back to Facility ProfileInspection Report Summary
The most recent inspection on September 12, 2025, found deficiencies related to unauthorized construction changes, specifically the addition of kitchenette features without prior approval. Earlier inspections showed a pattern of issues including medication administration errors, infection control lapses, insufficient staffing, and fire and life safety deficiencies. Complaint investigations substantiated concerns about missed medications, inadequate supervision, and unauthorized building modifications, but enforcement actions such as fines or license suspensions were not listed in the available reports. Prior reports also noted problems with resident care planning, staff training, and facility maintenance. The trend suggests ongoing challenges with regulatory compliance, particularly in staffing and facility management, with no clear indication of sustained improvement.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
15.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
96% worse than Idaho average
Idaho average: 7.9 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Sep 12, 2025
Visit Reason
The inspection was conducted in response to complaint allegations received on August 5, 2025, regarding unauthorized construction changes performed to an existing building without prior approval.
Complaint Details
Complaint was received on August 5, 2025, alleging unauthorized construction changes; the complaint was substantiated during the inspection.
Findings
The inspection substantiated the complaint that kitchenette features were added to a newly constructed building after the final building inspection without notification or approval from the Bureau of Facility Standards Fire, Life Safety and Construction program or the Residential Assisted Living Facilities program.
Deficiencies (1)
Unauthorized construction changes including added kitchenette features without prior authorization or approvals.
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Jan 29, 2025
Visit Reason
The inspection was conducted as a health care complaint investigation to assess allegations related to medication administration, infection control, staffing, and safety practices at Dalton Senior Living.
Complaint Details
The visit was triggered by a complaint regarding medication administration errors, infection control breaches, and staffing insufficiencies. The facility nurse and administrator acknowledged the issues and noted ongoing efforts to address them.
Findings
The facility failed to ensure residents received medications as ordered, did not observe proper medication administration procedures, did not follow standard infection control protocols, and did not maintain sufficient staffing to ensure one staff member was present in each building at all times.
Deficiencies (4)
Residents did not receive medications as ordered, including missed doses of Eliquis, Zyrtec, melatonin, and multiple medications for Resident #6.
Medication technician did not observe all residents taking their medications during medication passes.
Facility did not follow standard infection control procedures, including failure to wash or sanitize hands between medication passes, bare hand contact with ice, contaminated ice scoop storage, and kitchen staff using contaminated gloves.
Facility did not ensure sufficient staffing to have one staff member in each building at all times, leading to unattended buildings during staff transitions and challenges managing residents with maladaptive behaviors.
Report Facts
Missed medication doses: 7
Missed medication doses: 10
Missed medication doses: 5
Missed medication doses: 1
Inspection Report
Original Licensing
Deficiencies: 21
Date: Aug 23, 2024
Visit Reason
The inspection was conducted as a health care initial licensure combined with a complaint investigation to assess compliance with regulatory requirements and address specific complaints.
Complaint Details
The visit included a complaint investigation triggered by concerns about staffing shortages, medication administration, and resident care deficiencies. The complaint was substantiated by findings of insufficient staffing, missed medications, and inadequate supervision.
Findings
The facility failed to provide sufficient staffing and resources, resulting in multiple deficiencies including inadequate medication administration, incomplete nursing assessments, unsafe storage of toxic chemicals, failure to maintain proper water temperatures, and poor housekeeping. Several residents did not have proper care plans, behavior plans, or comprehensive assessments. The kitchen failed inspection and lacked a certified food protection manager. Staffing shortages led to residents not receiving necessary care and supervision.
Deficiencies (21)
Failure to provide necessary resources and sufficient personnel for safe operation of the facility.
Two of seven employees lacked Department Criminal History and Background Checks.
No effective corrective action implemented after multiple resident falls.
Residents did not have new admission agreements after change in ownership.
Water temperatures not maintained between 105 and 120 degrees F in resident rooms.
Facility not maintained in a clean, safe, and orderly manner with multiple building maintenance issues.
Toxic chemicals stored in unlocked areas accessible to cognitively impaired residents.
Initial and quarterly nursing assessments not completed for multiple residents.
Residents did not consistently receive medications and treatments as ordered.
Nursing assessments not conducted after changes in resident health status.
Medication refrigerator temperatures not monitored and documented daily.
Missing PRN medications for some residents.
Psychotropic medications taken longer than six months without required reviews.
Comprehensive assessments not completed prior to admission for several residents.
Residents' Negotiated Service Agreements did not reflect current needs or services.
Facility did not evaluate or develop behavior plans for residents with maladaptive behaviors.
Four of seven employees lacked documentation of required orientation training.
As-worked schedules did not document dates and times for various staff positions.
Facility failed kitchen inspection and lacked a Certified Food Protection Manager.
Weekly menu not posted in common areas and menu substitutions not documented.
Insufficient personnel on night shift left one building without supervision.
Report Facts
Resident falls: 9
Missed medication doses: 34
Employees reviewed: 7
Employees lacking background checks: 2
Employees lacking orientation documentation: 4
Medication refrigerator temperature monitoring months missed: 3
Inspection date: Aug 23, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bennett Kirk Goodin | Administrator | Named as former administrator responsible for staffing and admission agreement issues. |
| Jenny Walker | Survey Team Leader | Led the health care initial licensure and complaint investigation survey. |
Inspection Report
Life Safety
Deficiencies: 5
Date: Mar 7, 2024
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey of Dalton Senior Living facility.
Findings
The inspection identified several deficiencies including outdated annual inspections of fuel-fired heating systems and fire alarm systems, missing escutcheons on closet sprinklers in specific rooms, combustible overhangs exceeding allowed depth without sprinkler protection, and outdated smoke detector sensitivity testing.
Deficiencies (5)
Last documented annual inspection of the facility's gas fireplaces was dated 2020; fuel-fired heating systems must be inspected, serviced, and cleaned annually.
Smoke detector sensitivity test last documented in 2017, not compliant with NFPA 72 requirements.
Combustible overhangs greater than 48 inches in depth lack required sprinkler protection.
Closet sprinklers in Pine building rooms #11 and #14 missing escutcheons, creating membrane penetration.
Facility could not provide documentation for annual fire alarm system inspection as required.
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