Life Care Center of Coeur d'Alene

In the surveyor’s words

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

• Actual harm, isolatedF686Mar 20, 2026

  Based on observation, review of records and interviews, it was determined the facility failed to ensure residents consistently received necessary care to prevent pressure ulcers and infection from developing. This was true for 1 of 1 resident (Resident #9) reviewed for pressure ulcer. This deficient practice caused harm to Resident #9 when he developed pressure wound and infection to his right palm which required use of antibiotics. Findings include: Resident #9 was admitted to the facility on [DATE] with multiple diagnoses including right-hand contracture and aphasia (an impairment of language due to brain injury, affecting the production or comprehension of speech and the ability to read or write) following a stroke. […]

• No harm, potential for more than minimal, widespreadF761Mar 20, 2026

  Based on observation, policy review, and staff interview, it was determined the facility failed to ensure medication refrigerator temperatures were routinely monitored and documented. This was true for 2 of 2 medication refrigerators (A-Wing and D-Wing Refrigerator) whose temperature logs were reviewed. This deficient practice created the potential for harm if residents received vaccines or medications which had reduced potency and safety from improper storage. Findings include:The facility's Medication Storage in Refrigerator/Freezer policy reviewed 9/9/25, documented the following:Medications and biologicals were stored at their appropriate temperatures according to their manufactures' specifications.The facility should monitor the temperature of medication storage areas at least once a… […]

• No harm, potential for more than minimal, widespreadF801Oct 5, 2024

  Based on interview and job description review, the facility failed to ensure a qualified director of food and nutrition services was in place to oversee the dietary department with the potential to effect 82 census residents. Findings include: Review of the Food Service Director Job Description, date 09/28/22, indicated that the position required a minimum course of study in food safety before October 1,2023 (e.g., Serv Safe Food Manager Certification). During an interview on 10/01/24 at 11:18 AM, the Dietary Manager (DM) stated that he had been employed at the facility for one and a half years. The DM stated that he was not certified and did not have any Serv-Safe courses completed. […]

• No harm, potential for more than minimal, widespreadF802Oct 5, 2024

  Based on observation, interview, and job description review, the facility failed to ensure there was sufficient staff with the appropriate competencies and training to carry out the functions of the dietary department. This failure had the potential to affect the ability of the dietary staff to safely and effectively carry out the functions of the food and nutrition service for 81 of 82 residents consuming food. Findings include: Review of the Food Service Job Description, dated 09/28/22, indicated that specific requirements of the position required that the manager must effectively conduct educational programs . Must be knowledgeable of food service practices and procedures as well as the laws, regulations, and guidelines governing food service functions in the post-acute care facility . […]

• No harm, potential for more than minimal, widespreadF812Oct 5, 2024

  Based on observations, interviews, and policy review, the facility failed to ensure food was not stored on the floor in the freezer and in the dry storage area, a dirty ice machine was cleaned, and proper handling of food and dishware on the tray line. These failures had the potential to increase the prevalence and spread of foodborne illness and infection for all 82 census residents. Findings include: Review of the facility's policy titled, Sanitation and Maintenance, dated 04/30/24, revealed that The Director of Food and Nutrition Services is responsible for ensuring that the department is maintained according to the standards of sanitation and in compliance with federal, state, and local requirements. […]