Boundary County Nursing Home

In the surveyor’s words

From the most serious findings on record at Boundary County Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 13, 2024

  Based on observation, policy review, review of the Idaho Food Code, and staff interview, it was determined the facility failed to appropriately store, prepare, distribute, and serve food in accordance with professional standards for food service safety. This deficient practice had the potential to affect 18 of 18 residents who received meals prepared in the facility's kitchen and placed residents at risk for potential contamination, use of spoiled foods, and adverse health outcomes including contracting food-borne illnesses. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF812Jul 28, 2023

  Based on observation, policy review, and staff interview, it was determined the facility failed to provide safe and sanitary food handling and distribution of food for the residents who received dietary services from the facility's kitchen and had the potential to affect all 19 residents currently in the facility. This failed practice had the potential to expose residents to food borne illness. Findings include: The facility's policy Infection Control in Food Service, revised 6/8/23, documented all food service personnel will demonstrate consistent personal sanitation and infection control practices which included: - Wash hands frequently - Wash hands frequently during food preparation - Wash hands anytime hands should become soiled - Clean, disposable gloves must be worn when handling… […]

• No harm, potential for more than minimal, patternF688May 1, 2026

  Based on record review, policy review, and staff interview, it was determined the facility failed to ensure residents received restorative services as ordered. This was true for 2 of 3 residents (#17 and #18) reviewed for limited range of motion who did not receive restorative services as ordered. It was also determined the facility failed to assess the need for restorative services for 1 of 3 residents (Resident #19) whose records were reviewed for limited range of motion. These failures created the potential for decline in residents' range of motion. […]

• No harm, potential for more than minimal, patternF699May 1, 2026

  Based on record review and staff interview, it was determined the facility failed to ensure residents were comprehensively assessed for a history of trauma, including identification of trauma related triggers. This was true for 3 of 3 residents (#7, 17, and 18) whose records were reviewed for trauma informed care. This failure created the potential for psychosocial harm related to re traumatization. Findings include:1.Resident #7 was admitted to the facility on [DATE] with multiple diagnoses including anemia, moderate dementia, and chronic pain.A review of Resident #7's care plan documented she had experienced sexual assault during her lifetime and expressed feeling safe in the facility.The care plan did not document the need for an annual trauma evaluation.A review of Resident #7's record… […]

• No harm, potential for more than minimal, patternF759May 1, 2026

  Based on record review, observation, facility policy, and staff interview, it was determined the facility failed to ensure residents were free from medication error rates greater than 5%. This failure had the potential to affect all residents who receive medications in the facility by increasing the risk of adverse health outcomes. Findings include:The facility's Medication Administration Policy, revised 4/15/26, documented that the following rights of medication administration must be followed to ensure accurate identification of the medication and the resident prior to administration:-Right drug-Right dose-Right time (within one hour of the time ordered)-Right route of administration-Right patient/resident-Verification of accuracy if the resident questions a medicationOn 4/29/26 at 9:24… […]