Inspection Report Summary
The most recent inspection on May 14, 2025, identified multiple deficiencies related to employee background checks, resident incident follow-up, admission agreements, medication storage, service agreements, staff certifications, and orientation documentation. This initial licensure survey found several compliance issues, and earlier inspections were not available for comparison. Inspectors cited main themes involving personnel qualifications and administrative processes, as well as medication storage practices. No fines, enforcement actions, or complaint investigations were listed in the available reports. Since this was the first inspection, no trend in compliance can be determined at this time.
Deficiencies (last 1 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
| Description |
|---|
| Three of three employees did not have a Department Criminal History and Background Check completed. |
| Two of two employees did not have an Idaho State Police Background check completed. |
| Facility did not ensure effective corrective action to prevent recurrence for Residents #3, #5, and #6 after incidents. |
| Six of seven residents' admission agreements were not created and signed on or before change of ownership. |
| Medication refrigerator temperatures were not maintained between 38 and 45 degrees F, ranging between 30 and 37 degrees, with no corrective actions taken. |
| Negotiated Service Agreements were not completed within 14 days of admission for Residents #1, #3, #5, #6, and #7 after change of ownership. |
| Three of seven staff members lacked evidence of CPR or First Aid certification. |
| Seven of seven staff records did not contain documentation of 16 hours of orientation. |
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