Based on record review, policy review, and staff interview, it was determined the facility failed to ensure a baseline care plan was developed within 48 hours of resident's admission. This was true for 1 of 10 residents (Resident #169) reviewed for baseline care plan. This failure created the potential for harm when the baseline care plan failed to provide directions for care. Findings include:The facility's Comprehensive Person-Centered Care Planning policy, revision date 4/25, documented - Procedure 1. …
F655 citations in Idaho
Baseline care plan · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Idaho cites F655 more often than its own record predicts
2.53 times the share F655 takes of citations nationally.
Of every deficiency written in Idaho in 2025, this is the portion that was F655.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Idaho surveyors wrote
F655 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.
The short window
Recent years
| Year | Share of Idaho citations | vs expected |
|---|---|---|
| 2023 | 0.95% | 1.19× |
| 2024 | 1.03% | 1.50× |
| 2025 | 1.66% | 2.53× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Idaho surveyors cite →
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