Homestead Assisted Living Centers Inc – St. Anthony
Nursing Home · Idaho, ID

Homestead Assisted Living Centers Inc – St. Anthony

Nursing Home · Idaho, ID
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Homestead Assisted Living Centers Inc – St. Anthony accepts Medicaid.

Overview of Homestead Assisted Living Centers Inc – St. Anthony

Homestead Assisted Living Centers Inc – St. Anthony is a 36-bed senior living community at 610 North Bridge Street in Saint Anthony, Idaho. Owned by The Homestead Assisted Living Center, Inc. and administered by James Romney, the facility has served Fremont County since 2010. The campus provides a broad care continuum including independent living, assisted living, memory care, and on-site home health and hospice services.

The facility is regulated by the Idaho Bureau of Facility Standards and maintains a 78% occupancy rate. Between 2021 and 2025, eight inspections yielded a citations-per-inspection rate of 5.8, which is slightly below the state average of 6.0, though the per-year deficiency rate of 9.2 is 92% above the Idaho five-year average. While recent follow-up surveys in 2025 showed improvement with only two deficiencies noted, historical records identify recurring challenges in medication management and fire safety documentation. No fines or immediate jeopardy findings are currently on record.

Healthcare support is available 24/7, with Medicaid accepted for eligible residents. The clinical model coordinates complex needs through a team of nurses and care aides, although an August 2024 inspection identified a significant era where a non-licensed administrator directly implemented medication orders, leading to documented resident falls. Current services include medication management, diabetic care, and hospice coordination, with estimated monthly costs for a private room starting at $4,600.

The community features a residential setting in downtown Saint Anthony with a Walk Score of 60. Amenities include home-style meals, housekeeping, and social activities designed to foster a home-like atmosphere. While 2024 and 2025 reports identified maintenance gaps regarding fire alarm sensitivity and fuel-fired heating inspections, the facility provides essential rural access to specialized memory care and independent living cottages.

Older adults should evaluate the environment and 2026 quality standards firsthand. It is important to confirm the current role of the administrator in clinical oversight and to verify that fire safety systems and medication communication protocols have been brought into full compliance following the 2024 and 2025 surveys.

(208) 624-1088
Bed community size
36-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
16 years in operation
A community with a solid operating history and experience delivering ongoing care.
Walk Score
Walk Score: 60 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
78%
Higher than the Idaho average: 69.1%
Occupied beds
28 / 36
Average residents per home in Idaho 55 per day

License Details

StatusUnrestricted
IssuanceJanuary 28, 2010
License NumberRC-979

Ownership & Operating Entity

Homestead Assisted Living Centers Inc – St. Anthony is administrated by Romney James.

Owner NameThe Homestead Assisted Living Center, Inc

Additional Services

2 services
Home Care
Home Health & Hospice

Contact Information

Fax208-624-1028

Contact Homestead Assisted Living Centers Inc – St. Anthony

Inspection History

In Idaho, the Department of Health and Welfare, Bureau of Facility Standards is the state agency tasked with inspecting and licensing assisted living and nursing home facilities.

Since 2021 · 5 years of data 46 deficiencies 8 inspections

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Idaho state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2021 vs. Idaho state average
Overall vs. ID average 3 Worse Metrics worse than Idaho average:
• Total deficiencies (92% above)
• Deficiencies per year (92% above)
• Total inspections (100% above)
1 Better Metrics better than Idaho average:
• Deficiencies per inspection (3% below)
Latest Inspection July 24, 2025

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityID Averagevs. ID Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 4624 This facility has 92% more total deficiencies than a typical Idaho nursing home (46 vs. ID avg 24).↑ 92% worse
Deficiencies per year Info Average deficiencies per year since 2021. 9.24.8 This facility has 92% more deficiencies per year than a typical Idaho nursing home (9.2 vs. ID avg 4.8).↑ 92% worse
Deficiencies per inspection Info Average deficiencies per inspection. 5.86 This facility has 3% fewer deficiencies per inspection than a typical Idaho nursing home (5.8 vs. ID avg 6).↓ 3% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityID Averagevs. ID Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 84 This facility has 100% more total inspections than a typical Idaho nursing home (8 vs. ID avg 4).↑ 100% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on July 24, 2025, found deficiencies related to incomplete interim care plans for residents and missing documentation for the required fire alarm system inspection. Earlier inspections showed recurring issues with medication administration, nursing assessments, and fire safety compliance, including fire suppression system maintenance and emergency preparedness. Deficiencies often involved resident care documentation, medication management, and life safety system inspections. Complaint investigations were not noted in the available reports. The facility’s inspection history indicates ongoing challenges with both health care and fire safety requirements, with some issues persisting over multiple years.

Read the full inspection reports for this facility, including detailed findings and corrective actions.

Show Inspection Reports

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Address 0.0 miles from city center Info Estimated distance in miles from Saint Anthony's city center to Homestead Assisted Living Centers Inc – St. Anthony's address, calculated via Google Maps.

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Financial Assistance for
Nursing Home in Idaho

Homestead Assisted Living Centers Inc – St. Anthony is located in Saint Anthony, Idaho.
Here are the financial assistance programs available to residents in Idaho.

Get Financial aid guidance

Aged and Disabled Waiver

Idaho Medicaid A&D Waiver

Age 65+ or 18+ with disability
General Idaho resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple) (excludes home, car).
ID

Rural areas prioritized; waitlists possible.

Benefits
Personal care (5-7 hours/day, e.g., bathing, dressing) Respite care (up to 240 hours/year) Adult day care ($55/day) Home modifications ($1,000 avg.)

Idaho Senior Solutions

Idaho Senior Solutions (via AAA)

Age 60+
General Idaho resident, or caregiver of senior.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
ID

Limited funding; focus on rural access.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$55/day) Transportation (~5 trips/month)

Personal Care Services Program (PCSP)

Idaho Medicaid State Plan PCS

Age 65+ or disabled
General Idaho resident, Medicaid-eligible, needs help with ADLs (e.g., bathing, eating).
Income Limits (2025) ~$1,020/month (individual), ~$1,470/month (couple).
Asset Limits $2,000 (individual), $3,000 (couple) (excludes home, car).
ID

Less stringent than A&D Waiver; no nursing home-level care requirement.

Benefits
Personal care (~4-6 hours/day, e.g., dressing, meal prep) Light housekeeping Medication management

Medicare Medicaid Coordinated Plan (MMCP)

Idaho MMCP

Age 65+ or disabled
General Idaho resident, dual-eligible (Medicare A/B/D + Medicaid), health needs requiring coordination.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
ID

Available in select counties (e.g., Ada, Canyon); not statewide.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($55/day) Medical care Home health

Idaho Home Choice (Money Follows the Person)

Idaho Home Choice

Age 65+ or disabled
General Idaho resident, Medicaid-eligible, institutionalized 90+ days, intent to return to community.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset limits
ID

Focus on rural transitions; capped enrollment.

Benefits
Transition services (e.g., moving costs, deposits) Personal care (4-6 hours/day) Home mods ($1,000) Respite (~5 days/year)

Medicare Savings Program (MSP)

Idaho Medicare Savings Program

Age 65+ or disabled
General Idaho resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
ID

No waitlist; three tiers based on income.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

National Family Caregiver Support Program (NFCSP) Respite

Idaho NFCSP Respite Care

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; Idaho resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
ID

Six AAAs; prioritizes rural, low-income caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($55/day) Caregiver training

VA Aid and Attendance (A&A) and Housebound Benefits

Idaho VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Idaho resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
ID

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Homestead Assisted Living Centers Inc – St. Anthony

Who is the owner of Homestead Assisted Living Centers Inc – St. Anthony?

The legal owner and operator of Homestead Assisted Living Centers Inc – St. Anthony is The Homestead Assisted Living Center, Inc.

Is Homestead Assisted Living Centers Inc – St. Anthony in a walkable area?

Homestead Assisted Living Centers Inc – St. Anthony has a walk score of 60. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Homestead Assisted Living Centers Inc – St. Anthony?

According to ID state health department records, Homestead Assisted Living Centers Inc – St. Anthony's license number is RC-979.

What is the occupancy rate at Homestead Assisted Living Centers Inc – St. Anthony?

Homestead Assisted Living Centers Inc – St. Anthony's occupancy is 78%.

Who is the administrator of Homestead Assisted Living Centers Inc – St. Anthony?

Romney James is the administrator of Homestead Assisted Living Centers Inc – St. Anthony.

How many beds does Homestead Assisted Living Centers Inc – St. Anthony have?

Homestead Assisted Living Centers Inc – St. Anthony has 36 beds.

Are there photos of Homestead Assisted Living Centers Inc – St. Anthony?

Yes — there are 14 photos of Homestead Assisted Living Centers Inc – St. Anthony in the photo gallery on this page.

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