Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Monte Vista Hills Healthcare Center
Pocatello, ID · 113 certified beds · Last Life Safety survey July 26, 2024
CMS Certification Number 135018 · first certified January 1967
Ownership
Operated by THE ENSIGN GROUP · For profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within ID
19 citations — more than 86% of the 80 certified nursing homes in ID. Compared within ID rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 0 citations; the earlier surveys in the window averaged 9.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window is open now: August 2025 to August 2027. This facility’s last Life Safety survey was July 2024. Facilities in ID are typically surveyed 12–36 months after the last one (median 14), measured over 112 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
9 of the 19 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 19 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in ID, and nationally. Surveyors differ markedly between states, so the ID figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 19 |
| Median facility in ID | 9 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| May 4, 2018 | 11 |
| July 26, 2019 | 8 |
| July 26, 2024 | 0 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0511 | Have properly installed electrical wiring and gas equipment. | 2 | 2019-07-26 |
| E-0034 | Provide a means of sharing information on occupancy/needs. | 1 | 2018-05-04 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2018-05-04 |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | 1 | 2018-05-04 |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | 1 | 2019-07-26 |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | 1 | 2018-05-04 |
| E-0037 | Establish staff and initial training requirements. | 1 | 2018-05-04 |
| E-0030 | List the names and contact information of those in the facility. | 1 | 2018-05-04 |
What the citations cover
- Emergency Preparedness Deficiencies 9
- Gas, Vacuum, and Electrical Systems Deficiencies 3
- Smoke Deficiencies 3
- Services Deficiencies 2
- Other 2
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 9 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 3 |
| Smoke Deficiencies | 3 |
| Services Deficiencies | 2 |
| Construction Deficiencies | 1 |
| Egress Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
July 26, 2019 — 8 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (March 8, 2019) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (March 8, 2019) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (March 8, 2019) |
| K-0100 | Meet other general requirements. | Deficient, Provider has date of correction (March 8, 2019) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (March 8, 2019) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (March 8, 2019) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (March 8, 2019) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (March 8, 2019) |
May 4, 2018 — 11 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0001 | Establish an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (February 6, 2018) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (February 6, 2018) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (February 6, 2018) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (February 6, 2018) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (February 6, 2018) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (February 6, 2018) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (February 6, 2018) |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (February 6, 2018) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (February 6, 2018) |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | Deficient, Provider has date of correction (February 6, 2018) |
| K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. | Deficient, Provider has date of correction (February 6, 2018) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.