Show Inspection Reports
Total health inspections
6
Idaho average 3.2
Last Health inspection on Nov 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Prestige Senior Living at Karcher Estates
Independent Living in Nampa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Prestige Senior Living at Karcher Estates
Independent Living in Nampa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Overview of Prestige Senior Living at Karcher Estates
Experience the warmth and dedication of the Karcher Estates community and discover a place where personalized care and a thriving environment are at the forefront of each resident’s experience. At Prestige Senior Living, residents are welcomed into a renowned community situated in the heart of Nampa, Idaho, where a team of passionate and dedicated professionals is committed to providing industry-leading care. Conveniently located just 20 miles west of Boise, Karcher Estates offers a prime setting for those seeking independent or assisted living options, as well as short-term rehabilitation and skilled nursing care.
Prestige Senior Living at Karcher Estates offers a comprehensive range of services including independent living, assisted living, and post-acute skilled nursing and rehabilitative care. With a focus on providing exceptional care and promoting a vibrant lifestyle, residents at Karcher Estates can find everything they need to lead fulfilling and enriching lives.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 4th out of 28 homes in Idaho.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 4th out of 28 homes in Idaho.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 36m per day
vs Idaho avg
+6%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
66
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
79.6%
Avg. Length of Stay
75 days
Occupancy rate
79.6%
Avg. Length of Stay
75 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
32% of new residents, usually for short-term rehab.
Typical stay
21 days
Private pay
53% of new residents, often for short stays.
Typical stay
27 days
Medicaid
15% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$10.0M
Operating loss
-$1.0M
Privately-owned community
Operated by a business corporation.
Home revenue
$10.0M
Operating loss
-$1.0M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.0M
22 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 52 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Grab Bars
Safety FeaturesEach apartment is appointed with safety features, including weight-bearing grab bars and emergency call cords.
24-Hour Staffing
Well-Appointed Apartments
Restaurant-Quality Meals
Regular Housekeeping
Maintenance Services
Transportation To Appointments
Full Calendar Of Events
Fitness Programming
Cognitive Programming
Food DescriptionResidents enjoy restaurant-quality meals in their community’s dining room, with menus tailored to their unique dietary needs.
What does this home offer?
Pets Allowed: Yes, Pets Allowed
Housing Options: Private Rooms
Building Type: 3-story
Transportation Services
Fitness and Recreation
Types of Care at Prestige Senior Living at Karcher Estates
Assisted Living
Independent Living
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.
Idaho average: 5 inspections
Health Inspection History
Inspections
Total health citations
46
Idaho average 25.2
Citations per inspection
7.67
Idaho average 7.94
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 46 resulted from complaint investigations; and 39 of 46 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Idaho averageIdaho average: 0.2
Serious Health citations
6
6
400% worse than Idaho averageIdaho average: 1.2
0 critical citations
6 serious citations
40 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect serious citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Nov 07, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Nov 07, 2025
Corrected
Pharmacy serious citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 07, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 07, 2025
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 03, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 03, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 03, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 03, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Independent Living around Nampa The information below is reported by the Idaho Department of Health and Welfare, Bureau of Facility Standards.
Filter by care type
| Sunny Ridge |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Nampa (Meadowbrook Park) | 166 | No | 71 | Private Rooms | 4 | - | Ellis Victoria | Cascades At Sunny Ridge, Llc | 4 | 2 | 3 | 12 |
| Prestige Senior Living at Karcher Estates |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Nampa | 66 | Yes | 52 | Private Rooms | 22 | - | - | - | 0 | 0 | 0 | 0 |
| Grace Assisted Living – Nampa |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Nampa (Id) | - | Yes | 42 | Private Rooms | 21 | A+ | - | - | 0 | 0 | 0 | 0 |
| Silver Crest Estates II |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Nampa (Silvercrest Estates) | - | Yes | 14 | Private Rooms | - | - | - | - | 0 | 0 | 0 | 0 |
| Streamside Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Nampa | - | Yes | 45 | Private Rooms | 20 | A+ | - | - | 0 | 0 | 0 | 0 |
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Places of interest near Prestige Senior Living at Karcher Estates
2.6 miles from city center
Estimated distance in miles from Nampa's city center to Prestige Senior Living at Karcher Estates's address, calculated via Google Maps.
— 0.34 miles to nearest hospital (DaVita Nampa Dialysis Center)
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
136
Employees
73
Contractors
63
Staff to resident ratio
2.52:1
35% better than Idaho averageIdaho average ratio: 1.86:1
Avg staff/day
34
Average shift
7.9 hours
0% compared with Idaho averageIdaho average: 8.1 hours
Total staff hours (quarter)
24,327
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
27
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
73
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
5.7%
1,393 contractor hours this quarter
Certified Nursing Assistant: 42
Licensed Practical Nurse: 12
Registered Nurse: 9
Staff by category
| Certified Nursing Assistant | 31 | 42 | 73 | 11,494 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 15 | 12 | 27 | 6,579 | 91 | 100% | 9.3 |
| Registered Nurse | 8 | 9 | 17 | 1,253 | 72 | 79% | 9.2 |
| RN Director of Nursing | 2 | 0 | 2 | 1,058 | 70 | 77% | 8 |
| Speech Language Pathologist | 4 | 0 | 4 | 833 | 74 | 81% | 6.1 |
| Administrator | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 501 | 70 | 77% | 7.2 |
| Physical Therapy Aide | 1 | 0 | 1 | 460 | 63 | 69% | 7.3 |
| Other Dietary Services Staff | 1 | 0 | 1 | 401 | 59 | 65% | 6.8 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 357 | 62 | 68% | 4.1 |
| Dental Services Staff | 2 | 0 | 2 | 179 | 31 | 34% | 5.2 |
| Physical Therapy Assistant | 1 | 0 | 1 | 140 | 29 | 32% | 4.8 |
| Qualified Social Worker | 1 | 0 | 1 | 48 | 15 | 16% | 3.2 |
73 Certified Nursing Assistant
% of Days
100%
27 Licensed Practical Nurse
% of Days
100%
17 Registered Nurse
% of Days
79%
2 RN Director of Nursing
% of Days
77%
4 Speech Language Pathologist
% of Days
81%
2 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
1 Dietitian
% of Days
77%
1 Physical Therapy Aide
% of Days
69%
1 Other Dietary Services Staff
% of Days
65%
3 Respiratory Therapy Technician
% of Days
68%
2 Dental Services Staff
% of Days
34%
1 Physical Therapy Assistant
% of Days
32%
1 Qualified Social Worker
% of Days
16%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
54
Medicare
3
5.6% of residents
Medicaid
45
83.3% of residents
Private pay or other
6
11.1% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.7
11% worse than Idaho averageIdaho average: 9.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
12% worse than Idaho averageIdaho average: 19.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
15.1%
Percent of long-stay residents whose need for help with daily activities has increased
15.1%
10% better than Idaho averageIdaho average: 16.7%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
31.2%
Percent of long-stay residents whose ability to move independently worsened
31.2%
59% worse than Idaho averageIdaho average: 19.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.3%
14% better than Idaho averageIdaho average: 22.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
14% better than Idaho averageIdaho average: 2.8%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.7%
Percent of long-stay high risk residents with pressure ulcers
4.7%
29% worse than Idaho averageIdaho average: 3.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.6%
Percent of long-stay residents with a urinary tract infection
0.6%
70% better than Idaho averageIdaho average: 2.0%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.0%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Idaho averageIdaho average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.3%
Percent of long-stay residents who have depressive symptoms
3.3%
75% better than Idaho averageIdaho average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
17.1%
Percent of long-stay residents who received an antipsychotic medication
17.1%
7% better than Idaho averageIdaho average: 18.3%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
In line with Idaho averageIdaho average: 97.0%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
In line with Idaho averageIdaho average: 96.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.0%
In line with Idaho averageIdaho average: 89.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
21% worse than Idaho averageIdaho average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.8%
6% better than Idaho averageIdaho average: 86.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$36K
6% lower than Idaho averageIdaho average: $38K
Number of fines
3
67% more fines than Idaho averageIdaho average: 1.8
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Idaho averageIdaho average: 0.0
Fines amount comparison
Fines amount comparison
This facility
$36K
Idaho average
$38K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 4, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 4, 2025
$11K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 2, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 2, 2024
$9K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 13, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 13, 2023
$16K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Prestige Senior Living at Karcher Estates based on CMS SNF Cost Reports.
Occupancy Rate
79.6%
↓ 1.8pp vs 2022
Net Income
-$1.0M
↓ ~$682.6K vs 2022
Total Payroll
$5.3M
↑ ~$50.4K vs 2022
Profit Margin
-10.6%
↓ 6.9pp vs 2022
Loading trend charts...
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