Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Advanced Health Care Of Coeur D'alene during CMS and state inspections, most recent first.
The facility failed to properly maintain and clean kitchen equipment, including ice machines and ventilation systems, as per FDA Food Code. Pink slimy residue was found in ice machines, and dust was observed on refrigerator and freezer fan covers. The Dietary Manager was unaware of the cleaning schedule, potentially affecting 43 residents consuming food from the facility.
A facility failed to document a resident's use of oxygen in the baseline care plan, despite a physician's order and the resident being observed receiving oxygen. The DON acknowledged the omission, which was necessary to maintain the resident's oxygen saturation above 90 percent.
Two residents experienced significant medication errors due to documentation and dosage verification failures. One resident missed a scheduled dose of Oxycodone, while another received an incorrect dosage of Zosyn due to a misreading of the physician's order and a pharmacy error. These incidents highlight the importance of adhering to the six rights of medication administration.
Inadequate Cleaning of Kitchen Equipment
Penalty
Summary
The facility failed to maintain, clean, and sanitize kitchen equipment, specifically the ice machines and ventilation systems, as required by the FDA Food Code. On two separate occasions, the interior of the ice machine in the kitchen was observed to have a thin line of pink slimy residue, indicating inadequate cleaning. The Dietary Manager (DM) stated that the ice machine is cleaned by an external company every six months, and internally by the facility every month. However, the last cleaning by the Maintenance Director was on 1/7/25 and 2/10/25, and the DM was unaware of the dirty area in the ice machine. Additionally, the ice machine in the resident's nourishment room also had a thin layer of pink slimy residue, despite being cleaned on 2/28/25. Furthermore, the kitchen refrigerator and freezer fan covers were found to have a thin layer of dust with larger particles billowing from the fan cover, which could lead to contamination. The DM acknowledged that the maintenance director cleans the covers as needed but was unsure of the last cleaning date, agreeing that they needed to be cleaned again. These deficiencies had the potential to affect the 43 residents who consumed food prepared by the facility, placing them at risk for potential foodborne illnesses and adverse health outcomes due to contaminated food services equipment.
Failure to Include Oxygen Use in Baseline Care Plan
Penalty
Summary
The facility failed to ensure that the baseline care plan for a resident included the use of oxygen, which was necessary to maintain the resident's oxygen saturation above 90 percent. This deficiency was identified during a review of the baseline care plan for a resident who had a physician's order to receive oxygen via nasal cannula. Despite the resident being observed receiving oxygen at two liters per minute, the baseline care plan did not document this critical aspect of her care. The Director of Nursing (DON) confirmed that the baseline care plan should have included the resident's use of oxygen but did not.
Medication Errors Affect Two Residents
Penalty
Summary
The facility failed to ensure residents were free from significant medication errors, affecting two residents. One resident, with multiple diagnoses including Guillain-Barre syndrome and cancer, missed a scheduled dose of Oxycodone. Although the medication administration record indicated the medication was given, it was not signed out of the narcotic medication book, and the resident reported not receiving it. The error was discovered when the resident requested her pain medication, and it was found that the medication had not been properly documented or administered at the correct time. Another resident, with diagnoses including peritoneal abscess and diverticulitis, received an incorrect dosage of Zosyn due to a misreading of the physician's order. The resident was supposed to receive 3.375 grams every six hours, but instead received 13.5 grams every six hours. The error occurred because the pharmacy provided the entire 24-hour dose in one IV bag, contrary to the usual practice of dividing it into four separate bags. The nurse administering the medication did not verify the dosage on the IV bag against the physician's order, leading to the administration of an excessive dose.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Coeur D'alene
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ironwood Rehabilitation And Care Center | 0.5 mi | — | 14 | 0 |
| Lakeside Rehabilitation And Care Center | 1 mi | — | 0 | 0 |
| Coeur D Alene Health Of Cascadia | 1.4 mi | — | 2 | 0 |
| Life Care Center Of Coeur D'alene | 3.3 mi | — | 25 | 0 |
| Life Care Center Of Post Falls | 4.8 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.