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Ironwood Rehab: Accident Hazard Violations Cited - ID

Healthcare Facility
Ironwood Rehabilitation And Care Center
Coeur D'alene, ID  ·  2/5 stars

The citation, issued under a regulatory category covering quality of life and care, is classified as an isolated deficiency with no documented actual harm. But inspectors noted the potential for more than minimal harm to residents, the threshold that triggers formal citation.

That distinction matters in a nursing home. Residents at long-term care facilities are, by definition, among the most physically vulnerable people in any community. Many cannot reposition themselves, call for help reliably, or recognize and avoid a hazard in their path. When a facility falls short on accident prevention, the gap between "no actual harm documented" and a serious injury can close in seconds.

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Ironwood did not dispute the finding. The facility submitted a plan of correction and reported the deficiency resolved as of June 4, 2026, roughly five weeks after inspectors completed their review.

The accident hazard citation was one of 14 deficiencies recorded during the May 1 inspection. The full scope of those findings spans the quality-of-life and care categories that federal inspectors use to evaluate whether a nursing home is meeting its basic obligations to residents. Fourteen citations in a single inspection is a substantial total, and the accident hazard finding was not the only one.

What inspectors found when they examined the facility's accident prevention practices falls under regulatory tag F0689, one of the more commonly cited deficiencies in nursing home inspections nationally. The tag covers a broad obligation: that a facility's physical environment and staff supervision practices together keep residents reasonably safe from foreseeable harm. When inspectors cite it, they have observed something, or a pattern of something, that created risk.

The inspection report does not detail the specific hazard or hazards that triggered the citation, nor does it identify which residents were exposed to the risk or describe the circumstances inspectors observed. What the record shows is that inspectors found the conditions serious enough to cite formally, and that the facility's own plan of correction acknowledged the problem required fixing.

Ironwood Rehabilitation and Care Center operates in Coeur d'Alene, a city in northern Idaho's Kootenai County. Like nursing facilities across the country, it serves residents who depend on staff not just for medical care but for the basic safety of their physical surroundings.

The correction timeline is worth noting. The facility reported its fix to inspectors on June 4, five weeks after the May 1 inspection. Whether the specific hazard that prompted the citation was addressed in the days immediately following the inspection, or whether it remained present for some portion of that five-week window, is not reflected in the public record.

Nursing home inspections are point-in-time events. Inspectors observe what is present on the days they are on-site. A deficiency that goes uncorrected between the day inspectors leave and the day a correction plan is filed represents continued exposure for residents who live in the facility around the clock.

The facility's plan of correction is on file with the Centers for Medicare and Medicaid Services. CMS will conduct a follow-up review to verify the correction was implemented as reported.

Fourteen deficiencies. One of them documented conditions where residents could be hurt. The paperwork now says it has been fixed.

The residents who live at Ironwood were there before inspectors arrived in May, and they were there during the five weeks it took to close the finding. They are there still.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Ironwood Rehabilitation and Care Center from 2026-05-01 including all violations, facility responses, and corrective action plans.

Additional Resources


Editorial Standards

Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).

Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.

Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.

Last verified: August 4, 2026  ·  Our methodology

Quick Answer

Ironwood Rehabilitation and Care Center in Coeur d'Alene, ID was cited for violations during a health inspection on May 1, 2026.

The citation, issued under a regulatory category covering quality of life and care, is classified as an isolated deficiency with no documented actual harm.

Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at Ironwood Rehabilitation and Care Center?
The citation, issued under a regulatory category covering quality of life and care, is classified as an isolated deficiency with no documented actual harm.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in Coeur d'Alene, ID, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from Ironwood Rehabilitation and Care Center or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 135053.
Has this facility had violations before?
To check Ironwood Rehabilitation and Care Center's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.


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