Bear Lake Memorial Skilled Nursing Facility

In the surveyor’s words

From the most serious findings on record at Bear Lake Memorial Skilled Nursing Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 19, 2026

  Based on observation, interview, and review of the Idaho Food Code, the facility failed to appropriately store, distribute, and label foods, and use proper hand hygiene when serving food. This deficient practice had the potential to affect all residents who received meals prepared in the facility's kitchen. This placed residents at risk for potential contamination and use of spoiled foods, and adverse health outcomes including food-borne illnesses. Findings include:The Idaho Food Code, revised February 2021, stated, 3-501.17 Ready-to-Eat, Time/Temperature Control for Safety Food, Date Marking . […]

• No harm, potential for more than minimal, isolatedF552Feb 19, 2026

  Based on record review and staff interview, it was determined the facility failed to ensure informed consent was obtained prior to initiation of psychotropic medications for 1 of 12 residents (Resident #6) reviewed for unnecessary medications. This deficient practice placed residents at risk of receiving medications without knowledge of the reason why medications were prescribed, the expected benefits, and the risks associated with the medications. Findings include:Resident #6 was admitted to the facility on [DATE], with multiple diagnoses including dementia and diabetes. On 1/21/26, a physician order documented Resident #6 was to start Sertaline (an antipsychotic medication) 25 mg one time a day for depression. […]

• No harm, potential for more than minimal, isolatedF558Feb 19, 2026

  Based on policy review, observation, record review, and staff interview, it was determined the facility failed to ensure a resident's call light was within reach for 2 of 12 residents (#30 and #35) reviewed for residents' rights. This deficient practice had the potential to cause harm if the resident could not call for assistance when needed or experienced an adverse medical event that required attention. Findings include: The facility's Call System, Residents policy, no date or revision date, documented each resident is provided with a means to call staff directly for assistance from his/her bed, from toileting/bathing facilities and from the floor.Resident #35 was admitted to the facility on [DATE], with multiple diagnoses including atrial fibrillation (rapid irregular heart rate) and… […]

• No harm, potential for more than minimal, isolatedF584Feb 19, 2026

  Based on observation and resident and staff interviews, it was determined the facility failed to ensure residents were provided with a safe and clean, homelike environment that did not pose any safety risks. This was true for 1 of 6 resident room doors (room [ROOM NUMBER]) whose room doors were opened. This deficient practice created the potential for diminished quality of life and psychosocial distress for residents when their room doors do not open correctly or fully to allow entrance or exit of the room. […]

• No harm, potential for more than minimal, isolatedF657Feb 19, 2026

  Based on observation, interview, and record review, it was determined the facility failed to ensure resident care plans were revised to reflect current needs and interventions. This was true for 2 of 12 residents (Resident #7and Resident #23) whose care plans were reviewed. This placed residents at risk for adverse outcomes if care and services were not provided due to care plans not being revised as residents' needs changed. Findings include.Resident #7 was admitted to the facility on [DATE], with multiple diagnoses including chronic pulmonary edema (long-term condition involving gradual buildup of fluid in the lungs) and open right foot wound. […]