Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Discovery Rehabilitation and Living
Salmon, ID · 45 certified beds · Last Life Safety survey September 13, 2024
CMS Certification Number 135129 · first certified December 1997
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
11 citations — more than 57% 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 4 citations; the earlier surveys in the window averaged 3.5. 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: September 2025 to September 2027. This facility’s last Life Safety survey was September 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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Emergency preparedness
8 of the 11 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)
7 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 11 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
- F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
- F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 | 11 |
| Median facility in ID | 9 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| November 30, 2018 | 7 |
| August 24, 2023 | 0 |
| September 13, 2024 | 4 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0039 | Conduct testing and exercise requirements. | 2 | 2024-09-13 |
| E-0031 | Provide emergency officials' contact information. | 2 | 2024-09-13 |
| E-0030 | List the names and contact information of those in the facility. | 2 | 2024-09-13 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2018-11-30 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2024-09-13 |
| K-0511 | Have properly installed electrical wiring and gas equipment. | 1 | 2018-11-30 |
| E-0007 | Address patient/client population and determine types of services needed. | 1 | 2018-11-30 |
| E-0015 | Address subsistence needs for staff and patients. | 1 | 2018-11-30 |
What the citations cover
- Emergency Preparedness Deficiencies 8
- Smoke Deficiencies 2
- Services Deficiencies 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 8 |
| Smoke Deficiencies | 2 |
| Services Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
September 13, 2024 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (January 5, 2024) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (January 5, 2024) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (January 5, 2024) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (January 5, 2024) |
November 30, 2018 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (November 16, 2018) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (November 16, 2018) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (November 16, 2018) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (November 16, 2018) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (November 16, 2018) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (November 16, 2018) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (November 16, 2018) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.