Idaho Nursing Homes: Violations, Fines and Worst Records

Idaho's 80 nursing homes saw 50.3% of nursing staff leave in one year. That put Idaho 10th highest across all 50 states and the District of Columbia, above the 45.8% national average. The source is Medicare nursing home data files, issued by CMS, Medicare's federal agency. Corporate chains operate 64 of Idaho's 80 facilities; Cascadia Healthcare, the biggest chain, runs 25 homes. The federal Special Focus Facility program includes Silverton Health and Rehabilitation of Cascadia. It serves homes repeatedly cited for serious problems, with 5 more Idaho homes listed as candidates.

Over the last three inspection cycles, facilities in the state received 2,142 citations, and complaint visits produced 51.2% of them. In Idaho, the rules cited most often were safe food storage and kitchen practices and infection prevention and control, with 129 citations each. Accident hazards and supervision produced 20 citations involving harm or immediate danger. Across 29 Idaho homes, federal regulators have imposed fines totaling $1,069,954 since September 2023. The largest single fine, $186,850, was issued to Idaho State Veterans Home - Lewiston in June 2024.

The Idaho Department of Health and Welfare, Bureau of Facility Standards maintains a Review Skilled Nursing/Nursing Facilities Survey Results page with posted state survey results and state complaint resources for families. Previously called Nursing Home Compare, Medicare Care Compare is the federal search tool where every Idaho facility also has a profile. For Idaho's 80 homes, every profile carries links to the federal inspection reports. Each is the Form CMS-2567 statement of deficiencies and describes what inspectors found during visits.

Unsafe care or a rule violation at an Idaho home can be reported by families in two ways: by calling the Idaho Department of Health and Welfare, Bureau of Facility Standards at 1-800-345-1453, or through its skilled nursing resource page. For help resolving a care problem, residents and relatives can call (877) 471-2777 to reach the Idaho Long-Term Care Ombudsman Program at the Idaho Commission on Aging. Idaho Adult Protective Services also accepts reports of suspected abuse or neglect involving a vulnerable adult in the state.