Idaho › Lemhi County › Salmon
Discovery Rehabilitation and Living
600 Shanafelt Street, Salmon, ID 83467
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.
Discovery Rehabilitation and Living, in Salmon, Idaho, is certified for 45 beds under for-profit, corporation ownership and belongs to the The Ensign Group chain.
CMS gives it 3 of 5 stars overall, equal to the Idaho median; the health inspection rating is 2, staffing 4 and quality measures 5.
Inspectors recorded 36 health deficiencies across the three most recent survey cycles (6, 13, 17 by cycle, most recent first), none at the actual-harm level. That is 80.0 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 4.3 hours per resident per day (1.1 RN), close to the Idaho median of 3.8; nursing staff turnover is 46.7%.
Compared with county, state and nation
| Measure | This facility | Lemhi Co. median | Idaho median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 36 | 36 | 26 | 28.7 |
| Citations per 100 beds | 80.0 | 80.0 | 34.8 | 26.8 |
| Total nurse hours per resident day | 4.3 | 4.3 | 3.8 | 3.9 |
| RN hours per resident day | 1.1 | 1.1 | 0.8 | 0.7 |
| Nursing staff turnover | 46.7% | 46.7% | 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
Dark bar: this facility. Grey bar: Idaho average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Dec 2025, 13 Sep 2024.
Severity mix: D ×27 E ×6 F ×3
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 3 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 19 Dec 2025 |
| 3 Dec 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 19 Dec 2025 |
| 3 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 19 Dec 2025 |
| 3 Dec 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 19 Dec 2025 |
| 3 Dec 2025 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 19 Dec 2025 |
| 3 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 Dec 2025 |
| 13 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 18 Oct 2024 |
| 13 Sep 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 18 Oct 2024 |
| 13 Sep 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 18 Oct 2024 |
| 13 Sep 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 18 Oct 2024 |
| 13 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 18 Oct 2024 |
| 13 Sep 2024 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 18 Oct 2024 |
| 13 Sep 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Complaint investigation | 18 Oct 2024 |
| 13 Sep 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Complaint investigation | 18 Oct 2024 |
| 13 Sep 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 18 Oct 2024 |
| 13 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 18 Oct 2024 |
| 13 Sep 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 18 Oct 2024 |
| 13 Sep 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 18 Oct 2024 |
| 13 Sep 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 18 Oct 2024 |
| 24 Aug 2023 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Complaint investigation | 28 Sep 2023 |
| 24 Aug 2023 | F0578 | Honor 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. | E | Complaint investigation | 28 Sep 2023 |
| 24 Aug 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint investigation | 28 Sep 2023 |
| 24 Aug 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 28 Sep 2023 |
| 24 Aug 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 28 Sep 2023 |
| 24 Aug 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Complaint investigation | 28 Sep 2023 |
| 24 Aug 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 28 Sep 2023 |
| 24 Aug 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 28 Sep 2023 |
| 24 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 28 Sep 2023 |
| 24 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 Sep 2023 |
| 24 Aug 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 28 Sep 2023 |
| 24 Aug 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 28 Sep 2023 |
| 24 Aug 2023 | F0732 | Post nurse staffing information every day. | D | Complaint investigation | 28 Sep 2023 |
| 24 Aug 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 28 Sep 2023 |
| 24 Aug 2023 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Complaint investigation | 28 Sep 2023 |
| 24 Aug 2023 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Complaint investigation | 28 Sep 2023 |
| 24 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 28 Sep 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Idaho average. Turnover: nursing staff 46.7%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Idaho median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.1% | 15.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.9% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.1% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.3% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.1% | 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, corporation. Legal business name: Sawtooth Healthcare Inc. Chain: The Ensign Group (342 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Jackson Therapy Partners LLC | Operational/managerial control | NOT APPLICABLE | 08/01/2012 |
| Caretrust Gp LLC | Adp of the snf | NOT APPLICABLE | 08/01/2012 |
| Caretrust Reit Inc | Adp of the snf | NOT APPLICABLE | 08/01/2012 |
| Ctr Partnership LP | Adp of the snf | NOT APPLICABLE | 08/01/2012 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 08/01/2012 |
| Salmon River Health Holdings LLC | Adp of the snf | NOT APPLICABLE | 08/01/2012 |
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 Discovery Rehabilitation and Living been cited for?
36 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 Discovery Rehabilitation and Living been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Discovery Rehabilitation and Living compare?
Reported total nurse staffing is 4.3 hours per resident per day against a Idaho median of 3.8 and a national average of 3.9.
Who operates Discovery Rehabilitation and Living?
It is part of the The Ensign Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Jackson Therapy Partners LLC. Individual owners and managers are not listed on this site.
When was Discovery Rehabilitation and Living last inspected?
The most recent survey or investigation in the CMS record is dated 3 Dec 2025; the most recent standard health survey was 3 Dec 2025.
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.