Based on observation, record review, and staff interview, it was determined the facility failed to ensure a lap tray was used to treat a medical symptom and not used as a physical restraint for 1 of 1 resident (Resident #78) who was observed for use of restraints. This resulted in harm to Resident #78 was left in a wheelchair with a lap tray for long periods which resulted in skin impairment and psychosocial distress. Findings include: Resident #78 was admitted to the facility on [DATE], with multiple diagnoses including schizophrenia (a mental disorder characterized by delusions, hallucinations, disorganized thoughts, speech, and behavior), anxiety disorder, and malnutrition. …
F604 citations in Idaho
Restraints · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Idaho cites F604 less often than its own record predicts
0.87 times the national share — cited less often here than elsewhere.
Of every deficiency written in Idaho in 2025, this is the portion that was F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Idaho surveyors wrote
F604 findings written in Idaho, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observation, policy review, record review, resident interviews, and staff interviews it was determined the facility failed to provide assistive device assessments to ensure residents were not restrained. This was true for 4 of 4 residents (#2, #8, #10, and #16) whose restraint devices were reviewed. This deficient practice created the potential for psychosocial harm if residents felt the facility was restraining them for purposes of discipline, convenience, and/or not treating their medical symptoms. Findings include:The facility's Motion Detection Device Identification policy, revised 12/15, did not include information related to assessing if a device would be a restraint when used for residents.No Restraint Device Policy was provided.1. …
The short window
Recent years
| Year | Share of Idaho citations | vs expected |
|---|---|---|
| 2023 | 0.48% | 1.24× |
| 2024 | 0.62% | 1.69× |
| 2025 | 0.33% | 0.87× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Idaho surveyors cite →
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