Based on record review, policy review, and staff interview, it was determined the facility did not ensure residents were free from chemical restraints. There was no documented evidence a systematic process of evaluation and care planning was utilized for staff to first implement resident-specific focused non-pharmacological interventions should residents demonstrate aggressive behaviors. This resulted in harm to 1 of 6 residents (Resident #261) reviewed for [MEDICAL CONDITION] drug use. Resident #261 was harmed when he experienced increased somnolence, sedation, and a decline in ADL's as a result of multiple [MEDICAL CONDITION] medications. …
F605 citations in Idaho
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Idaho cites F605 less often than its own record predicts
0.24 times the national share — cited less often here than elsewhere.
Of every deficiency written in Idaho in 2025, this is the portion that was F605.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Idaho surveyors wrote
F605 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 record review, policy review, and staff interviews, it was determined the facility failed to physician's orders. This was true for 1 of 5 residents (Resident #25) reviewed for unnecessary medication. This deficient practice created the potential for harm if Resident #25 medication administration was not followed as ordered. Findings include: The facility's Physician's Orders policy, revised 2/11/26, documented the facility is obligated to follow and carry out the orders of the prescriber in accordance with all applicable state and federal guidelines. …
What else Idaho surveyors cite →
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