Ironwood Rehab: Crumbling Walls, Uneven Floors - ID
That is what federal inspectors found on April 27 at Ironwood Rehabilitation and Care Center, a nursing facility at 2200 Ironwood Place in Coeur d'Alene. The inspection, completed May 1, documented deteriorating conditions across two resident rooms and two of the facility's three hallways, and found that the maintenance supervisor had no plan to fix any of it.
The second room belonged to a resident with dementia and a history of stroke. Inspectors noted multiple areas of missing paint on the walls near the window and on the east wall. Above the sink, large water stains covered the ceiling.
Three days later, on April 30, the Maintenance Supervisor confirmed what inspectors had seen in both rooms. He acknowledged the holes, the missing paint, and the water stain. "We have a lot of issues with the holes in residents' walls and need for paint," he told inspectors. He said he did not currently have a repair plan but would make it a priority.
He had not made it a priority before inspectors arrived.
The hallway conditions were their own problem. Throughout the East and South Halls, inspectors found multiple divots in the flooring, cracked and chipped surfaces around drainage covers, and discolored drain grates that sat above the surrounding floor rather than flush with it. Near the nurses' station and extending down both hallways, inspectors observed divots that had been partially filled with shellac, a temporary fix that left the floor surface uneven.
A resident identified in the report as Resident 5 described what that looked like in practice. "He had seen wheelchairs get stuck in the rut and not be able to move throughout the hallways," inspectors wrote, summarizing what he told them during an interview on the afternoon of April 27.
The Maintenance Director, interviewed separately on April 30, confirmed the floors were not flush with the drainage covers and that divots were present throughout both hallways.
The inspection classified the violations under the federal standard requiring facilities to provide a safe, comfortable, and homelike environment. Inspectors determined the deficiencies created the potential for accidents and psychosocial harm. The level of harm was listed as minimal harm or potential for actual harm, and the problems were found to affect some residents.
What the report does not contain is any timeline for when the walls will be patched, when the paint will go up, or when the floors will be made level enough that a wheelchair can move through without getting caught. The maintenance supervisor said he would make repairs a priority. The floors had already been patched once, with shellac, and the divots remained.
Both residents whose rooms were documented in the report have dementia. Neither is described as having raised a complaint about their surroundings. Whether either understands that the wall above their bed is damaged, or that the ceiling above their sink is stained, the inspection report does not say.
What it does say is that another resident watched wheelchairs get stuck in the hallway floor and said so when someone finally asked.
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.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 6, 2026 · Our methodology
Ironwood Rehabilitation and Care Center in Coeur d'Alene, ID was cited for violations during a health inspection on May 1, 2026.
That is what federal inspectors found on April 27 at Ironwood Rehabilitation and Care Center, a nursing facility at 2200 Ironwood Place in Coeur d'Alene.
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.