Inspection Reports for Magic Valley Manor
210 North Idaho, Wendell, ID, 83355
Back to Facility ProfileInspection Report Summary
The most recent inspection on May 16, 2024, identified a deficiency related to the facility’s failure to conduct fire drills on a bi-monthly basis as required. Earlier inspections showed a pattern of fire safety and documentation issues, including incomplete emergency plans, missing fire system inspections, and inadequate emergency drill records. Prior reports also noted deficiencies in nursing assessments, incident documentation, and staff orientation records. A complaint investigation in January 2021 found deficiencies in evaluating and documenting residents’ maladaptive behaviors and maintaining staff schedules; the complaint included serious allegations but enforcement actions were not listed in the available reports. The facility’s inspection history indicates ongoing challenges with fire safety compliance and documentation, with no clear improvement trend evident.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
1% worse than Idaho average
Idaho average: 7.9 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Life Safety
Deficiencies: 1
Date: May 16, 2024
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey to assess compliance with emergency actions and fire drill requirements.
Findings
The facility failed to conduct fire drills on a bi-monthly basis as required. Documentation showed only one drill conducted in 2024 and a total of four drills from May 2023 to May 2024, with gaps in compliance noted.
Deficiencies (1)
Facility failed to conduct fire drills on a bi-monthly basis; only one drill conducted in 2024 and a total of four drills from May 2023 to May 2024.
Report Facts
Fire drills conducted in 2024: 1
Fire drills conducted in 2023: 5
Total fire drills from May 2023 to May 2024: 4
Months gap without drills: 5
Inspection Report
Follow-Up
Deficiencies: 3
Date: Jan 11, 2023
Visit Reason
The inspection was a health care licensure and follow-up survey to assess compliance with prior cited deficiencies and evaluate current facility practices.
Findings
The facility failed to conduct nursing assessments when residents experienced changes in health status, did not consistently document investigations and interventions related to resident incidents and accidents, and lacked documentation of staff orientation hours for five of seven staff members.
Deficiencies (3)
Facility nurse did not conduct nursing assessments when residents experienced changes in physical or mental health status.
Administrator did not consistently document investigations or interventions related to residents' incidents and accidents.
Five of seven staff members lacked documentation of completing 16 hours of orientation.
Report Facts
Staff members lacking orientation documentation: 5
Staff members total: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Scott Burpee | Administrator | Named as administrator responsible for investigations and statements regarding documentation. |
| Torrey Bollinger | Survey Team Leader | Led the health care licensure and follow-up survey. |
Inspection Report
Life Safety
Deficiencies: 10
Date: Aug 19, 2022
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
Multiple deficiencies were identified including repeated failures to maintain required relocation agreements, incomplete emergency action plans, missing documentation for fire alarm sensitivity testing, fire suppression system inspection delays, and electrical safety issues. Several repeat deficiencies were noted related to emergency drills and emergency light testing.
Deficiencies (10)
Only one relocation agreement documented instead of the required two, with the location subject to the same geographical risks as the facility.
Emergency Action Plan does not specify the designated point of assembly as required.
No documented sensitivity testing completed for fire alarm smoke detectors.
No documentation for testing of alcohol-based hand rub (ABHR) dispensers each time a refill is replaced.
Fire suppression system inspection and testing was seven months apart, exceeding the six-month requirement.
Smoke barrier door on the southwest side would not release from the lock, hindering egress.
No documentation of emergency light testing.
No documentation for the five-year internal piping inspection.
Outlet for air compressor of fire suppression system missing cover; two open breaker spots in electrical panel.
Only two emergency egress and relocation drills conducted in the past twelve months; drills did not document evacuation to a designated point of assembly.
Report Facts
Relocation agreements required: 2
Relocation agreements documented: 1
Emergency egress drills conducted: 2
Fire suppression system inspection interval: 7
Licensed residents threshold: 17
Open breaker spots: 2
Inspection Report
Life Safety
Deficiencies: 14
Date: Aug 30, 2021
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey to assess compliance with fire and life safety codes and regulations.
Findings
The facility was found to have multiple deficiencies related to fire and life safety standards, including missing or outdated relocation agreements, lack of documentation for fire sprinkler inspections and tests, incomplete emergency drill records, and issues with emergency lighting and door closures.
Deficiencies (14)
Facility had only one relocation agreement instead of the required two, and the agreement had not been updated annually since 6/5/2017.
Facility could not produce documentation for quarterly sprinkler inspections.
Facility could not produce documentation for the required 3-year full trip test of the dry fire suppression system.
Facility could not produce documentation for weekly visual inspections of dry suppression system gauges and monthly inspections of secured control valves.
Facility could not produce documentation showing fire sprinkler in walk-in cooler had been replaced or tested in past 5 years.
Facility could not produce documentation of testing/inspection of Alcohol Based Hand Rub dispensers each time they are refilled.
Documentation for semi-annual inspection of ANSUL system was missing; last known inspection was 1/29/2019.
Only one of two semi-annual kitchen hood cleaning/inspections could be produced for past 12 months.
Facility could not produce documentation that emergency lighting was tested monthly for 30 seconds or annually for 90 minutes.
Required annual staff training on oxygen use and handling could not be produced.
Facility is not licensed as secure memory care but has magnetic locks with keypad override on exits without delayed egress components, which is non-compliant.
Main-floor laundry door was not self-closing; kitchen door did not fully close due to magnetic hold open device; oxygen transfilling room door was hollow core and unrated.
Sensitivity testing of smoke detectors was last performed on January 18, 2016 and is past due.
Facility failed to perform emergency egress and relocation drills bimonthly as required; drill documentation included only May and June 2021 and December 2020.
Report Facts
Number of relocation agreements required: 2
Number of relocation agreements present: 1
Last known update of relocation agreement: 2017
Last known inspection date ANSUL system: 2019
Number of semi-annual kitchen hood inspections produced: 1
Last sensitivity testing of smoke detectors: 2016
Number of emergency drills documented in 2021: 2
Number of emergency drills documented in 2020: 1
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Jan 11, 2021
Visit Reason
The inspection was conducted as a health care licensure and follow-up visit combined with a complaint investigation.
Complaint Details
The visit was complaint-related, investigating allegations including reports from Resident #2 of being raped by their brother and the facility administrator, and other maladaptive behaviors by residents.
Findings
The facility failed to evaluate residents exhibiting maladaptive behaviors, lacked behavior plans and documentation for these behaviors, and did not maintain as worked schedules for all staff including caregivers, the administrator, the facility nurse, and contracted physician's assistant.
Deficiencies (4)
The facility did not evaluate residents who exhibited maladaptive behaviors.
The facility did not have a behavior plan that includes at least one intervention specific to each maladaptive behavior.
The facility did not have documentation of maladaptive behaviors exhibited by residents.
The facility did not maintain as worked schedules for all staff including caregivers, the administrator, the facility nurse and contracted physician's assistant.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Scott Burpee | Administrator | Named in complaint allegations and referenced in findings regarding maladaptive behaviors. |
| Teresa McClenathan | Survey Team Leader | Led the health care licensure and follow-up plus complaint investigation survey. |
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