1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Providing care since 1967, Silver Ridge Care situated in picturesque Coeur d’Alene, ID, provides short-term rehab, long-term skilled nursing, and therapy services. The community also features a 23-bed respiratory unit for residents with certified ventilator care. Experience exceptional care and support from a warm, genuine, and dedicated team prepared to lend a hand around the clock.
Silver Ridge Care strives to enhance seniors’ quality of life, utilizing an innovative and positive attitude. Focusing on seniors’ independence, the community commits to providing care and support only when it is necessary and wanted. Let go of your worries and cherish every moment surrounded by the wonderful community and serene grounds of Silver Ridge Care.
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.
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.
This home is ranked 24th out of 33 homes in Idaho for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 23m per day | ▼ 53% State avg: 50m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 12m per day | ▲ 56% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 14m per day | ▼ 9% State avg: 2h 28m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 15m per day | ▼ 6% State avg: 3h 28m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 41% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 17m per day | ▼ 46% State avg: 32m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
13% fewer staff per resident than Idaho average
14% better than Idaho average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
6 total: 4 full-time employees and 2 contractors.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursAssists with medical care and medications.
19 total: 14 full-time employees and 5 contractors.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.5 hoursHelps with daily care and mobility.
52 total: 37 full-time employees and 15 contractors.
52
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,139 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 37 | 15 | 52 | 16,122 | 92 | 100% | 9.5 |
| Licensed Practical Nurse | 14 | 5 | 19 | 7,996 | 92 | 100% | 10.5 |
| Qualified Activities Professional | 11 | 0 | 11 | 2,823 | 92 | 100% | 9.2 |
| Registered Nurse | 4 | 2 | 6 | 1,738 | 90 | 98% | 9.6 |
| RN Director of Nursing | 2 | 0 | 2 | 1,083 | 78 | 85% | 7.6 |
| Dental Services Staff | 4 | 0 | 4 | 952 | 66 | 72% | 7.9 |
| Speech Language Pathologist | 2 | 0 | 2 | 907 | 66 | 72% | 7.3 |
| Nurse Aide in Training | 3 | 0 | 3 | 833 | 77 | 84% | 8.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 691 | 66 | 72% | 9.6 |
| Qualified Social Worker | 2 | 0 | 2 | 680 | 66 | 72% | 7.1 |
| Other Dietary Services Staff | 1 | 0 | 1 | 532 | 65 | 71% | 8.2 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dietitian | 1 | 0 | 1 | 496 | 64 | 70% | 7.8 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 444 | 58 | 63% | 6.6 |
| Physical Therapy Aide | 3 | 0 | 3 | 379 | 51 | 55% | 7 |
| Physical Therapy Assistant | 3 | 0 | 3 | 284 | 41 | 45% | 6.3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 123 | 16 | 17% | 7.7 |
Includes penalties issued in 2023-2024
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)
474% higher than Idaho averageIdaho average: $38K
12% more fines than Idaho averageIdaho average: 1.8
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 11, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 18, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.7
20% better than Idaho averageIdaho average: 9.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.3
12% better than Idaho averageIdaho average: 19.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
14.5%
13% better than Idaho averageIdaho average: 16.7%
Percent of long-stay residents whose ability to move independently worsened
16.1%
17% better than Idaho averageIdaho average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.2%
6% better than Idaho averageIdaho average: 22.5%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
23% better than Idaho averageIdaho average: 2.8%
Percent of long-stay high risk residents with pressure ulcers
4.3%
17% worse than Idaho averageIdaho average: 3.6%
Percent of long-stay residents with a urinary tract infection
1.3%
36% better than Idaho averageIdaho average: 2.0%
Percent of long-stay residents who lose too much weight
1.4%
76% better than Idaho averageIdaho average: 5.6%
Percent of long-stay residents who have depressive symptoms
23.7%
86% worse than Idaho averageIdaho average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
12.8%
30% better than Idaho averageIdaho average: 18.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
In line with Idaho averageIdaho average: 97.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.9%
In line with Idaho averageIdaho average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.34
113% worse than Idaho averageIdaho average: 1.10
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.54
66% better than Idaho averageIdaho average: 1.59
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.2%
In line with Idaho averageIdaho average: 89.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Idaho averageIdaho average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.2%
In line with Idaho averageIdaho average: 86.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.1%
8% better than Idaho averageIdaho average: 17.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.5%
8% worse than Idaho averageIdaho average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Idaho averageIdaho average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
57.1%
6% better than Idaho averageIdaho average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
43.9%
13% worse than Idaho averageIdaho average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
31% of new residents, usually for short-term rehab.
60% of new residents, often for short stays.
9% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
75Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Silver Ridge Care from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #14 / 33Payroll — State benchmarkedThis home is ranked 14th out of 33 homes in Idaho. Shows total annual staff payroll benchmarked to the Idaho average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Idaho that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #18 / 33Payroll % — State benchmarkedThis home is ranked 18th out of 33 homes in Idaho. Shows payroll as a percentage of revenue versus the Idaho average. Well-run Idaho facilities typically land around 54–58% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Idaho that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private Rooms
Building Type: Single-story
Fitness and Recreation
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (60% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.4 miles from city center
Estimated distance in miles from Coeur D'alene's city center to Silver Ridge Care's address, calculated via Google Maps.
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The information below is reported by the Idaho Department of Health and Welfare, Bureau of Facility Standards.
| Ivy Court Skilled Nursing and Rehabilitation | NH NC | Coeur D'alene | 80
Facility
80
ID AVG
69
Rank
#43 / 114 |
90.0%
Facility
90.0%
ID AVG
69.1%
Rank
#7 / 42 | +30% | 3.93
Facility
3.93
ID AVG
4.12
Rank
#8 / 33 | -26% | -5% | $0
Facility
$0
ID AVG
$41.7k
Rank
#1 / 33 | 43
Facility
43
ID AVG
25.2
Rank
#29 / 33 | 14.3
Facility
14.3
ID AVG
7.9
Rank
#32 / 33 | 3 | 62 | - |
50
Facility
50
ID AVG
40
Rank
#67 / 197 | - | $9.5M
Facility
$9.5M
ID AVG
$9.7M
Rank
#15 / 33 | $5.8M
Facility
$5.8M
ID AVG
$3.8M
Rank
#13 / 33 | 61.1%
Facility
61.1%
ID AVG
41.3%
Rank
#11 / 33 | 135053 | ||||
| Silver Ridge Care | NH | Coeur D'alene | 100
Facility
100
ID AVG
69
Rank
#25 / 114 |
71.8%
Facility
71.8%
ID AVG
69.1%
Rank
#23 / 42 | +4% | 3.28
Facility
3.28
ID AVG
4.12
Rank
#24 / 33 | -58% | -20% | $220.8k
Facility
$220.8k
ID AVG
$41.7k
Rank
#33 / 33 | 43
Facility
43
ID AVG
25.2
Rank
#29 / 33 | 10.8
Facility
10.8
ID AVG
7.9
Rank
#29 / 33 | 2 | 82 | - |
78
Facility
78
ID AVG
40
Rank
#13 / 197 | Pnw Healthcare Holdings, LLC | $9.9M
Facility
$9.9M
ID AVG
$9.7M
Rank
#14 / 33 | $5.8M
Facility
$5.8M
ID AVG
$3.8M
Rank
#14 / 33 | 58.2%
Facility
58.2%
ID AVG
41.3%
Rank
#18 / 33 | 135042 |
Silver Ridge Care is located in Coeur d'Alene, Idaho.
Here are the financial assistance programs available to residents in Idaho.
Silver Ridge Care is in the Coeur d'Alene neighborhood.
Silver Ridge Care has a walk score of 78. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Silver Ridge Care's occupancy is 71.8%.
Silver Ridge Care is registered as a for-profit.
Yes — there are 6 photos of Silver Ridge Care in the photo gallery on this page.
Silver Ridge Care is located at 210 W Lacrosse Ave, Coeur D'alene, ID 83814.
(208) 664-2185 will put you in contact with the team at Silver Ridge Care.
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