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Power County Skilled Nursing: Care Order Failures - ID

Healthcare Facility
Power County Skilled Nursing Facility
American Falls, ID  ·  1/5 stars

The citation, issued June 9, 2026, falls under a federal category that governs whether residents actually receive the treatment and care specified in their orders and aligned with their own preferences and goals. At Power County, inspectors found the facility was not meeting that standard.

The deficiency was classified at Scope/Severity Level D, meaning inspectors identified it as isolated rather than widespread, and documented no actual harm to residents. But Level D does not mean harmless. The classification still requires inspectors to find that the lapse carried potential for more than minimal harm. In a skilled nursing setting, where residents depend on staff to execute physician orders they often cannot carry out themselves, the gap between a written care plan and what actually happens in a room can matter quickly.

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The inspection report does not name the residents affected or describe the specific orders that went unfollowed. What it records is the conclusion: the facility failed to provide appropriate treatment and care according to orders and according to what residents wanted for themselves.

That is a narrow finding on paper. In practice, it describes something that nursing home residents and their families recognize immediately. A medication given at the wrong time. A repositioning schedule that nobody followed. A diet order that staff did not know about or did not act on. The inspection report does not say which of these it was. It says the failure happened.

Power County Skilled Nursing is a small facility in a rural Idaho town of roughly 4,000 people. For many residents, it is the only skilled nursing option within a reasonable distance. That is not unusual in rural America, and it is not a violation. But it is the context in which ten deficiencies were recorded in a single inspection.

Ten citations in one visit is not a catastrophic outlier for the industry, but it is not a clean bill of health either. The care order deficiency was one piece of a larger picture that inspectors documented that day. The report does not rank the ten findings or describe the others in the narrative provided, but ten separate areas of concern, identified in a single standard inspection, signal that reviewers found recurring problems rather than a single isolated incident.

The facility submitted a plan of correction and reported the deficiency corrected as of July 14, 2026, five weeks after the inspection closed. A plan of correction is a required response, not an independent confirmation that conditions have changed. Inspectors do not verify correction until a follow-up review.

What the record shows is a facility that, on the day inspectors walked through, was not reliably delivering care the way it had been ordered and the way residents had asked for it. For the residents involved, that is not an abstraction. Their care plans exist because someone, at some point, determined what they needed. A physician wrote an order. A care conference identified a preference. The paperwork said one thing. What happened in the facility, on the days inspectors observed, did not match it.

The facility's plan says that has been fixed. The inspection record says it needed fixing. The people living at Power County Skilled Nursing during those days in early June did not have the option of waiting for a corrective timeline. They were there, and their care was not being delivered the way it was supposed to be.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Power County Skilled Nursing Facility from 2026-06-09 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 1, 2026  ·  Our methodology

Quick Answer

Power County Skilled Nursing Facility in American Falls, ID was cited for violations during a health inspection on June 9, 2026.

At Power County, inspectors found the facility was not meeting that standard.

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 Power County Skilled Nursing Facility?
At Power County, inspectors found the facility was not meeting that standard.
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 American Falls, 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 Power County Skilled Nursing Facility 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 135066.
Has this facility had violations before?
To check Power County Skilled Nursing Facility'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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