Based on observations, record review, policy review and staff interviews, it was determined that the facility failed to ensure services provided met professional standards of nursing practice for 1 of 25 residents (Resident #32) when staff administered an incorrect dosage of medication, which deviated from the physician's order. This failure to give the correct dose of a medication created the potential for adverse health outcomes when the medication was not given at the ordered dose. Findings include:The facility's policy titled, Medication Administration, revised 9/10/25, documented, A medication error refers to any observed or identified mistake in the preparation or administration of medications or biologicals that does not follow- the prescriber's written order. …
F658 citations in Idaho
Professional standards of care · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Idaho cites F658 more often than its own record predicts
1.21 times the share F658 takes of citations nationally.
Of every deficiency written in Idaho in 2025, this is the portion that was F658.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Idaho surveyors wrote
F658 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 |
|---|---|---|
| 2024 | 1.24% | 0.76× |
| 2025 | 2.16% | 1.21× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Idaho surveyors cite →
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