Elder Care Record

Idaho › Boundary County › Bonners Ferry

Boundary County Nursing Home

6640 Kaniksu Street, Bonners Ferry, ID 83805

CCN 135004 · For-profit, individual · 20 certified beds

Located in a hospital
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Boundary County Nursing Home, in Bonners Ferry, Idaho, is certified for 20 beds under for-profit, individual ownership.

CMS gives it 4 of 5 stars overall, above the Idaho median of 3; the health inspection rating is 3, staffing 5 and quality measures 4.

Inspectors recorded 26 health deficiencies across the three most recent survey cycles (14, 2, 10 by cycle, most recent first), none at the actual-harm level. That is 130.0 per 100 beds, more than the state median of 34.8.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 5.7 hours per resident per day (2.2 RN), above the Idaho median of 3.8; nursing staff turnover is 41.4%.

26health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
5.7nurse hours per resident per daystate median 3.8
89%occupancy (residents ÷ beds)18 residents a day

Compared with county, state and nation

MeasureThis facilityBoundary Co. medianIdaho medianUS average
Overall star rating4433.0
Health citations, 3 cycles26262628.7
Citations per 100 beds130.0130.034.826.8
Total nurse hours per resident day5.75.73.83.9
RN hours per resident day2.22.20.80.7
Nursing staff turnover41.4%41.4%50.0%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (1 in the county, 80 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)14
Cycle 22
Cycle 310

Dark bar: this facility. Grey bar: Idaho average per facility for the same cycle, as published by CMS. Standard health survey dates: 1 May 2026, 13 Sep 2024.

Severity mix: D ×16 E ×8 F ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
1 May 2026F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EStandard survey12 Jun 2026
1 May 2026F0699Provide care or services that was trauma informed and/or culturally competent.EStandard survey12 Jun 2026
1 May 2026F0759Ensure medication error rates are not 5 percent or greater.EStandard survey12 Jun 2026
1 May 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey12 Jun 2026
1 May 2026F0865Have a plan that describes the process for conducting QAPI and QAA activities.EStandard survey12 Jun 2026
1 May 2026F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey12 Jun 2026
1 May 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey12 Jun 2026
1 May 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey12 Jun 2026
1 May 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey12 Jun 2026
1 May 2026F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard survey12 Jun 2026
1 May 2026F0732Post nurse staffing information every day.DStandard survey12 Jun 2026
1 May 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey12 Jun 2026
1 May 2026F0881Implement a program that monitors antibiotic use.DStandard survey12 Jun 2026
1 May 2026F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard survey12 Jun 2026
13 Sep 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation7 Oct 2024
13 Sep 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation7 Oct 2024
28 Jul 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey30 Aug 2023
28 Jul 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey30 Aug 2023
28 Jul 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey30 Aug 2023
28 Jul 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey30 Aug 2023
28 Jul 2023F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey30 Aug 2023
28 Jul 2023F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey30 Aug 2023
28 Jul 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey30 Aug 2023
28 Jul 2023F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey30 Aug 2023
28 Jul 2023F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey30 Aug 2023
28 Jul 2023F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.DStandard survey30 Aug 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing5.74 h
Nurse aides2.98 h
LPN0.52 h
RN2.25 h
Weekend total4.85 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Idaho average. Turnover: nursing staff 41.4%, RNs 22.2%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityIdaho medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay19.4%15.5%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay10.9%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.4%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.6%2.3%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay9.1%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.3%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay12.9%16.9%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, individual.

OrganisationRole in the CMS recordInterestSince
Boundary County5% or greater direct ownership interest100%01/01/1966
Boundary Community HospitalOperational/managerial controlNOT APPLICABLE01/01/1966
Boundary Community HospitalTrustee of the snfNOT APPLICABLE01/01/1966
Boundary Community HospitalAdp of the snfNOT APPLICABLE12/04/2024
Boundary CountyAdp of the snfNOT APPLICABLE12/04/2024

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Boundary County Nursing Home been cited for?

26 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Idaho median is 26 per facility.

Has Boundary County Nursing Home been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Boundary County Nursing Home compare?

Reported total nurse staffing is 5.7 hours per resident per day against a Idaho median of 3.8 and a national average of 3.9.

Who operates Boundary County Nursing Home?

Ownership type is for-profit, individual. Organisations in the CMS ownership record include Boundary County and Boundary Community Hospital. Individual owners and managers are not listed on this site.

When was Boundary County Nursing Home last inspected?

The most recent survey or investigation in the CMS record is dated 1 May 2026; the most recent standard health survey was 1 May 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.