Deficiency Index

Discovery Rehabilitation and Living

Salmon, Idaho · CCN 135129

10 surveys since 2011, 3 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
100
Surveys
10
Harm or worse
3
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse3

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file7/10

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
45
Ownership
For profit - Corporation
Chain
THE ENSIGN GROUP
County
Lemhi · rural
Medicare-certified since
1997

CMS ratings

Overall
4
Health inspection
3
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 24 for-profit facilities with fewer than 66 beds in Idaho.

Last survey on record

Dec 3, 2025

341 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.303.98
Registered-nurse hours per resident day1.10—
Annual nurse turnover46.7%55.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2775.0%E616.7%F38.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 36 of the 100 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6953×

    Provide safe and appropriate respiratory care for a resident when needed.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6572×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F7612×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

In the surveyor’s words

From the most serious findings on record at Discovery Rehabilitation and Living, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Dec 3, 2025

    Based on observation, interview, policy review, and review of the Idaho Food Code, the facility failed to appropriately store, distribute, and label foods. 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, widespreadF812Sep 13, 2024

    Based on observation, staff interview, and policy review, it was determined the facility failed to ensure food was stored in a safe and sanitary manner. This deficient practice had the potential to affect the 31 residents residing in the facility who consumed food prepared by the facility. This placed residents at risk for potential contamination of food and adverse health outcomes, including food-borne illnesses. Findings include: The facility's Food Storage Policy documented: - All food must be labeled and dated immediately after opening or being prepared. All dates must be in a visible location and easily readable. - All foods will be labeled with the name of the product and the use-by date. The day of opening or production counts as the first day. […]

  • No harm, potential for more than minimal, widespreadF802Aug 24, 2023

    Based on observation, policy review, and staff interview the facility failed to ensure staff provided meal service according to the facility's posted meal time schedule. This failure resulted in residents in the dining rooms having to wait 30 minutes to an hour before being served, which placed residents at risk for decreased quality of life and potential nutritional issues. Findings include: The facility's Meal times and Frequency policy, dated 2019, documented the facility provided at least three meals a day at regular times. Meals were served in a timely manner to maintain food quality. The facility's Timely Meal Service, dated 2019, documented food was delivered promptly to assure safe, palatable, and high-quality food. These policies were not followed. […]

  • No harm, potential for more than minimal, patternF584Sep 13, 2024

    Based on observation, policy review, and staff interview, it was determined the facility failed to ensure residents were provided with a safe, clean, and homelike environment. This was true for 1 of 1 shower/tub room observed. This deficient practice created the potential for harm if: a) the holes in the floors caused a resident to fall and b) cross-contamination from spread of microorganisms. Findings include: The facility's Environmental Safety policy, revised August 2024, documented the facility would provide a safe environment, free from physical hazards to protect the health and safety of residents, personnel, and the public. […]

  • No harm, potential for more than minimal, patternF695Sep 13, 2024

    Based in policy review, observation, and staff interview, it was determined the facility failed to ensure respiratory equipment was changed and stored as indicated. This was true for 1 of 2 residents (Resident #2) observed for respiratory equipment. This created the potential for respiratory infections due to growth of pathogens (organisms that cause illness) in respiratory treatment equipment. Findings include: 1. Resident #2 was admitted to the facility on [DATE], with multiple diagnoses including COPD (a lung disease that causes breathing problems and restricted airflow) and kidney disease. A quarterly MDS assessment, dated 8/30/24, documented Resident #2 received oxygen therapy. […]

Read 23 findings in full →The most serious and the most recent: 23 of 100 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 3, 2025Standard6 findings
  • Sep 13, 2024Standard and complaint13 findings
  • Aug 24, 2023Standard17 findings
  • Nov 30, 2018Standard14 findings
  • Aug 11, 2017Standard5 findings
  • May 13, 2016Standard7 findings
  • Dec 5, 2014Standard7 findings · 1 harm
  • Sep 13, 2013—13 findings · 1 harm
Show the 2 earlier surveys
  • Jun 8, 2012—7 findings
  • Apr 15, 2011—11 findings · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction