Advanced Health Care of Coeur d'Alene

In the surveyor’s words

From the most serious findings on record at Advanced Health Care of Coeur d'Alene, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 21, 2026

  Based on observation, interview, and policy review, the facility failed to ensure shelves, trash cans, and equipment throughout the kitchen were kept clean and/or in good repair and foods were stored, labeled and dated. The failures had the potential to increase the prevalence and spread of foodborne illness and infection for all 29 of 29 residents who received meals prepared in the facility's only kitchen. Findings include: During the dietary tour on 05/18/26 at 9:25 AM, the following observations were made with the Dietary Aide (DA): 1.An open 1 pound box of corn starch in an unsealed plastic storage bag on a shelf in the food preparation area.2.White dry powder substance around the dry storage containers of flour and sugar on the shelf in the food preparation area. […]

• No harm, potential for more than minimal, widespreadF812Mar 20, 2025

  Based on observation and staff interview, it was determined the facility failed to ensure kitchen equipment was maintained, cleaned, and sanitized. These deficiencies had the potential to affect the 43 residents who consumed food prepared by the facility. This placed residents at risk for potential foodborne illnesses and adverse health outcomes due to contaminated food services equipment. Findings include: 1. The Food Drug Administration (FDA) Food Code Section 4-602.11 Equipment Food-Contact Surfaces and Utensils, documented: (E) Surfaces of utensils and equipment contacting food that is not time/temperature control for food shall be cleaned: (4) In equipment such as ice bins and beverage dispensing nozzles and enclosed components of equipment such as ice makers, cooking oil storage… […]

• No harm, potential for more than minimal, widespreadF680Aug 23, 2021

  Based on facility document review and staff interview, it was determined the facility failed to ensure the activities program was directed by a qualified professional. This failure had the potential to compromise the mental and psychosocial well-being of all 25 residents residing in the facility, including Resident #103, if the activities program was not designed to accommodate specific needs and interests. Findings include: Resident #103 was admitted to the facility on [DATE], with multiple diagnoses including dementia and recurrent major depressive disorder. On 8/16/21 at 4:46 PM, Resident #103 was observed in her room sitting in a chair with the TV on. Resident #103 said she did not know why she was in the facility nor for how long, and had difficulty understanding questions. […]

• No harm, potential for more than minimal, patternF550Aug 23, 2021

  Based on observation, review of facility documentation, and staff interview, it was determined the facility violated resident rights when they were placed on quarantine unnecessarily. This was true for 14 of 25 residents (#7, #11, #25, #28, #29, #30, #32, #33, #37, #39, #40, #41, #220, and #225) residing in the facility. This had the potential to cause psychosocial distress such as depression, anxiety, and adverse behaviors from being isolated to their rooms for residents who did not require quarantine. Findings include: The CDC website, accessed on 8/30/21, included a section for Discontinuation of Transmission-Based Precautions and Disposition of Patient with [CONDITION(S)]-CoV-2 Infection in Healthcare Settings. […]

• No harm, potential for more than minimal, patternF641Aug 23, 2021

  Based on record review, policy review, review of facility Incident & Accident (I&A) reports, and staff interview, it was determined the facility failed to ensure their Fall Risk Assessment included all elements to accurately reflect residents' risk for falling. This was true for all 25 residents who currently resided in the facility. This failure increased the potential for harm should a resident receive inappropriate care related to discrepancies in the Fall Risk Assessment. Findings include: The facility's policy Fall Prevention, undated, documented upon admission each resident was evaluated for their risk of falling using the Fall Risk Assessment. […]