Life Care Center Of Idaho Falls
Life Care Center of Idaho Falls in Idaho Falls, ID — inspection on September 2, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
to participate in experimental research, and to formulate an advance directive.
policy review, record review, and staff interview, it was determined the facility failed to honor
resident (Resident #5) whose record was reviewed for code status.
This deficient practice created the potential for harm or adverse outcomes if residents' wishes were not followed or documented.
Findings include:Resident #5 was initially admitted to the facility on [DATE], and readmitted on [DATE], with multiple diagnoses including chronic kidney disease and diabetes.A facility investigation documented on [DATE], Resident #5 was found unresponsive by CNA staff and nursing staff were notified.
Nursing staff performed an assessment and determined Resident #5 was a DNR.
LPN #1 then entered Resident #5's room with a POST document in hand and stated she was a full code and CPR was started.
This POST document was later found to be for a different resident and not Resident #5.
Nursing staff called 911 for an ambulance.
When the ambulance crew arrived, facility staff had correctly identified Resident #5 was a DNR and CPR was stopped, and time of death was called at 3:30 PM.Resident #5's physician order dated [DATE] for code status was DNR. Resident #5's POST documented do not resuscitate and can use aggressive interventions to include positioning, oxygen therapy etc.Resident #5's care plan documented code status as DNR.On [DATE] at 2:05 PM, the Admissions nurse and RN #1 stated Resident #5 had been a DNR and CPR should not have been started on her.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
135091 09/02/2025
Life Care Center of Idaho Falls 2725 East 17th Street Idaho Falls, ID 83406
services of a licensed pharmacist.
medications were tracked and kept secure from potential theft and/or diversion.
This was true for 1
diversion of controlled medications and had the potential to affect all residents who received controlled medication in the facility.
Findings include:On 9/2/25 at 12:19 PM, during Hall 2 medication cart review, observed the narcotic accountability record, dated 9/1/25 to 9/2/25, with 1 licensed nurse signature not documented. On 9/2/25 at 12:32 PM, RN #1 stated two nurses should have signed the narcotic accountability record when they accepted the medication cart or released the medication cart. On 9/2/25 at 12:40 PM, the Admissions Nurse stated two nurses should have signed the narcotic accountability record when they accepted the medication cart or released the medication cart.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.