Inspection Reports for Homestead Assisted Living Centers Inc – St. Anthony
610 North Bridge Street, Saint Anthony, ID, 83445
Back to Facility ProfileInspection Report Summary
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.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
11.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
46% worse than Idaho average
Idaho average: 7.9 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Follow-Up
Deficiencies: 2
Date: Jul 24, 2025
Visit Reason
The visit was conducted as a follow-up health care licensure inspection to verify compliance with previously identified issues.
Findings
The facility failed to develop sufficient interim care plans for residents, including incomplete documentation of oxygen use, pain pump, and AV shunt for Resident #5, and lack of documentation for self-administered supplements for Resident #3. Additionally, the facility could not provide documentation of the required 5-year sensitivity fire alarm system inspection, with the last documented inspection dated 4/29/19.
Deficiencies (2)
Insufficient interim care plan development and updates for residents, including incomplete documentation of oxygen use, pain pump, and AV shunt for Resident #5, and lack of documentation for self-administered supplements for Resident #3.
Failure to provide documentation of the 5-year sensitivity fire alarm system inspection; last inspection documented on 4/29/19.
Report Facts
Inspection date: Jul 24, 2025
Last fire alarm inspection date: Apr 29, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James Romney | Administrator | Named as facility administrator |
| Mina Ramirez | Survey Team Leader | Named as survey team leader conducting the inspection |
Inspection Report
Life Safety
Deficiencies: 6
Date: Oct 7, 2024
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey to assess compliance with fire safety and related regulations.
Findings
The facility was found deficient in maintaining required relocation agreements, fire suppression system inspections, UL listed hood ventilation system maintenance, electrical installations, fuel-fired heating inspections, and documentation of emergency fire drills. Several deficiencies were previously cited in the 7/18/22 survey and remain uncorrected.
Deficiencies (6)
Facility has only one relocation agreement instead of the required two separate agreements for resident relocation.
Failed to maintain fire suppression visual inspections of pressure gauges on wet system as required by NFPA standards.
Failed to maintain UL listed hood ventilation systems; kitchen hood ventilation filters had gaps of 1 inch or greater.
Use of prohibited multi-plug adapter in room #17 to power numerous devices.
Fuel-fired heating inspection was last conducted on 2/16/2021, not annually as required.
Failed to document location point of evacuation for emergency egress and fire drills.
Report Facts
Relocation agreements required: 2
Relocation agreements present: 1
Date of last fuel-fired heating inspection: Feb 16, 2021
Filter gap size: 1
Survey date: Oct 7, 2024
Response due date: Nov 6, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jared Howell | Administrator | Named as facility administrator during inspection. |
| Jeremy Wilson | Survey Team Leader | Led the fire life safety and sanitation licensure survey. |
Inspection Report
Follow-Up
Deficiencies: 12
Date: Aug 13, 2024
Visit Reason
The inspection was a health care licensure and follow-up survey conducted to assess compliance with facility policies, medication administration, resident care, and corrective actions following previous deficiencies.
Findings
The facility failed to ensure proper medication administration, accurate transcription of physician orders, timely investigations, and effective corrective actions for multiple residents, resulting in inadequate care and medication errors including hospitalization of Resident #4. The administrator, who was not a licensed nurse, improperly implemented medication orders leading to multiple resident falls and medication mismanagement.
Deficiencies (12)
Administrator did not ensure facility policies and procedures were developed and implemented to fulfill regulatory requirements, including medication policy adherence.
Administrator failed to conduct investigations within 30 days for multiple incidents involving Resident #4, including wrong medication dose and multiple falls.
Facility did not ensure effective corrective actions were implemented and monitored for Residents #3, #4, and #6 after repeated falls and incidents.
Facility failed to notify Licensing and Certification within one business day of significant resident incidents requiring hospital assessment and treatment.
Facility nurse did not complete initial nursing assessments for Residents #1, #3, #4, and #5.
Facility nurse did not review and implement all physician orders correctly for Residents #3, #4, #5, and #6, resulting in medication errors and misadministration.
Facility failed to ensure residents' medications were available and administered as ordered, including multiple medication errors for Residents #3, #4, #5, and #6.
Facility nurse did not conduct nursing assessments when residents experienced changes in health status, including unassessed skin tear and swelling.
Residents #1 and #2 were taking psychotropic medications longer than six months without required six-month reviews including behavioral updates.
Residents #1 and #4 did not have comprehensive assessments completed prior to admission or readmission.
Facility did not develop or update interim care plans and Negotiated Service Agreements (NSA) appropriately for Residents #4, #5, and #6.
Medication distribution system was inadequate with unlabeled bulk medication bottles supplied by family members.
Report Facts
Falls: 23
Falls: 7
Falls: 3
Wrong medication doses: 6
Medication orders: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jared Howell | Administrator | Named in multiple findings related to medication errors and implementation of physician orders despite not being a licensed nurse |
| Melvin Lu | Survey Team Leader | Conducted the health care licensure and follow-up survey |
| Torrey Bollinger | Health Facility Surveyor | Surveyor involved in the licensure survey |
| Jenny Walker | Health Facility Surveyor | Surveyor involved in the licensure survey |
Inspection Report
Life Safety
Deficiencies: 14
Date: Jul 18, 2022
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey to assess compliance with fire safety, emergency preparedness, and related regulatory standards.
Findings
The facility was found to have multiple deficiencies including insufficient documented relocation agreements, lack of documentation for fire suppression system maintenance and emergency lighting testing, unsecured oxygen cylinders, missing staff training on emergency plans, and absence of annual inspections for fire alarms and fuel-fired heating systems.
Deficiencies (14)
Only one documented relocation agreement from 2011; facility requires at least two reviewed annually.
No documentation for last full trip of dry fire suppression system as required by NFPA 25.
Annual fire suppression system report shows anti-freeze loop expansion tanks not rated for fire systems.
No documented emergency lighting testing per NFPA 101 requirements.
Storage blocking access to riser and electrical panels (corrected on site).
No documentation of testing or replacement of dry system pendants.
No documented annual inspection for fire alarm since 2020.
No documented bi-monthly staff training on emergency plan actions.
Oxygen storage exceeds 300 cubic feet without appropriate ventilation.
Unsecured oxygen cylinders in Room 20 'A' and 'B' sides; cylinders not secured by rack or chain.
No documented inservice training for staff on oxygen risks.
No policy for misuse of flammable substances and elimination of ignition sources for respiratory therapy.
No documented annual furnace and fireplace inspection since Jan/Feb 2021.
Facility emergency egress and relocation drills not documented to designated assembly point.
Report Facts
Oxygen volume stored: 384
Unsecured oxygen cylinders: 5
Inspection Report
Follow-Up
Deficiencies: 2
Date: Aug 10, 2021
Visit Reason
The visit was a follow-up inspection to verify correction of previously cited health care core deficiencies related to medication orders and medication distribution.
Findings
The facility nurse failed to ensure medication orders matched the Medication Administration Records and bubble packs, resulting in inconsistent medication administration for multiple residents. Additionally, residents did not have their as-needed medications available at all times, including lorazepam and nystatin cream.
Deficiencies (2)
Medication orders did not match the bubble packs and MARs, leading to inconsistent dosing for residents.
Residents did not have their as-needed medications available at all times, including lorazepam and nystatin cream.
Report Facts
Previously cited date: May 7, 2021
Medication order date: Jul 26, 2021
Medication order date: Apr 16, 2021
Medication assessment date: Aug 4, 2021
Medication unavailability period: 3
Medication unavailability period: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stacey Brown | Survey Team Leader | Named as survey team leader for the health care core deficiency follow-up |
| Sam Stoddard | Administrator | Facility administrator named in the report header |
Inspection Report
Follow-Up
Census: 28
Capacity: 36
Deficiencies: 10
Date: May 7, 2021
Visit Reason
The inspection was a health care licensure and follow-up survey conducted to assess compliance with regulatory requirements and to verify correction of previous deficiencies at Homestead Assisted Living Centers Inc - St. Anthony.
Findings
The facility was found to have multiple deficiencies including failure to obtain new criminal background checks for staff, admitting and retaining residents requiring secured environments in an unsecured facility, failure to report serious incidents timely, unsecured toxic chemicals, inadequate nursing assessments, medication administration issues, and failure to follow COVID-19 protocols. Two residents with cognitive impairments were admitted or retained in an unsecured environment, placing them at risk for elopement and harm.
Deficiencies (10)
The facility did not obtain new criminal history background checks for two staff members whose previous checks were over three years old.
The facility admitted and retained residents who required a secured facility despite being unsecured.
The administrator did not report serious resident injuries to Licensing and Certification within one business day.
The facility was not approved as a secured environment; some exterior doors were unlocked allowing residents at risk for wandering to exit unsupervised.
Toxic chemicals were not secured in areas accessible to cognitively impaired residents.
The facility nurse did not conduct nursing assessments after residents experienced changes in health status or prior to admission.
Medication administration records, bubble packs, and provider orders were not congruent, leading to medication errors.
Medications were not available for some residents, and controlled substances were not counted daily or accurately.
The facility's as worked schedules did not document dates, times, or titles of key staff.
The facility did not follow CDC recommendations for COVID-19 prevention, including visitor screening and mask use.
Report Facts
Facility licensed capacity: 36
Resident census: 28
Residents with cognitive impairment: 16
Resident falls: 6
Controlled substances not counted: 5
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