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3100 CHANNING WAY IDAHO FALLS, ID 83404 | Proprietary

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Health deficiencies are assigned during inspections that assess compliance with rules related to patient health and safety. Examples include violations of patients' rights and safety standards, as well as the administration of drugs and other treatments.

Life Safety deficiencies are assigned during inspections that assess a facility's compliance with National Fire Protection Association codes related to life safety in health care facilities. They are often conducted in tandem with health inspections. Examples include faulty or improperly maintained fire suppression and electrical systems.

Emergency Preparedness deficiencies can be cited during either a health or life safety inspection and relate to violations of CMS' Emergency Preparedness Rule. Examples include a lack of emergency plans, inadequate staff training and insufficient emergency supplies.

Complete reports and deficiency counts

Report date	Health Deficiencies	Life Safety	Emergency Preparedness	Total
Oct 17, 2023	1	0	0	1	Read full report
Deficiencies cited in this report: RECEIVING AN INAPPROPRIATE TRANSFER
Jul 18, 2019	2	0	0	2	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 STABILIZING TREATMENT
Jun 14, 2019	8	0	0	8	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT SAFETY NURSING CARE PLAN CONTENT OF RECORD: INFORMED CONSENT INFECTION CONTROL PROGRAM IMPLEMENTATION OF A DISCHARGE PLAN
Jun 13, 2019	0	11	3	14	Read full report
Deficiencies cited in this report: EP Program Patient Population Procedures for Tracking of Staff and Patients EP Training Program Building Construction Type and Height Means of Egress - General Emergency Lighting Hazardous Areas - Enclosure Alcohol Based Hand Rub Dispenser (ABHR) Sprinkler System - Maintenance and Testing Corridor - Doors Subdivision of Building Spaces - Smoke Barrie Subdivision of Building Spaces - Smoke Barrie Gas and Vacuum Piped Systems - Maintenance Pr Gas Equipment - Cylinder and Container Storag
Oct 17, 2018 Follow-up to inspection on 2018-08-15*	2	0	0	2	Read full report
Deficiencies cited in this report: DISCHARGE PLANNING - EARLY IDENTIFICATION TIMELY DISCHARGE PLANNING EVALUATIONS
Aug 15, 2018	7	0	0	7	Read full report
Deficiencies cited in this report: QAPI PATIENT SAFETY DISCHARGE PLANNING IMPLEMENTATION OF A DISCHARGE PLAN HHA AND SNF REQUIREMENTS TRANSFER OR REFERRAL REASSESSMENT OF DISCHARGE PLANNING PROCESS
Oct 3, 2017	6	0	0	6	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION
Feb 2, 2016 Follow-up to inspection on 2015-11-20*	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION
Nov 20, 2015	12	0	0	12	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION
Aug 9, 2013	4	0	0	4	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE MEDICAL RECORD SERVICES ORDERS FOR REHABILITATION SERVICES MEDICAL RECORD SERVICES
Aug 7, 2013	0	12	0	12	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available Means of Egress - General
Jan 9, 2013	8	0	0	8	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: REVIEW OF GRIEVANCES PATIENT RIGHTS: GRIEVANCE PROCEDURES PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: REVIEW OF GRIEVANCES
Sep 28, 2010	7	0	0	7	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION No Description Available RN SUPERVISION OF NURSING CARE FORM AND RETENTION OF RECORDS MEDICAL RECORD SERVICES
Sep 28, 2010	0	3	0	3	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available
Jan 29, 2010	1	0	0	1	Read full report
Deficiencies cited in this report: No Description Available

Some state health departments and regional offices of the Centers for Medicare and Medicaid Services sometimes did not upload their inspection reports into a central computer system that could then be shared by us. In such cases, CMS identified the dates of the missing inspections and the number of deficiencies identified. You can request the actual reports from CMS or your state health department.

* Deficiencies cited in follow-up inspections are not counted toward a facility's total deficiency count.

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Complete reports and deficiency counts