Ironwood Rehabilitation and Care CenterCMS ratings, inspections and fines
- Address
- 2200 Ironwood Place, Coeur D'Alene, ID 83814
- CCN
- 135053
- Ownership type
- For-profit, corporation
- Certified beds
- 80
- Chain
- The Ensign Group
- Residents per day
- 67
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Ironwood Rehabilitation and Care Center an overall rating of 2 of 5 stars. The last standard survey was on 1 May 2026. The latest survey cycle has 14 health citations. The median for nursing homes in Idaho is 10. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Kootenai County median | Idaho median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 7 homes in the county, 80 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Idaho median |
|---|---|---|---|
| Cycle 1 (latest) | 1 May 2026 | 14 | 10 |
| Cycle 2 | 26 Sep 2024 | 12 | 7 |
| Cycle 3 | No date | 11 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 4 Jun 2026 |
| 1 May 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 4 Jun 2026 |
| 1 May 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 4 Jun 2026 |
| 1 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 4 Jun 2026 |
| 1 May 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 4 Jun 2026 |
| 1 May 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 4 Jun 2026 |
| 1 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 4 Jun 2026 |
| 1 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 4 Jun 2026 |
| 1 May 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 4 Jun 2026 |
| 1 May 2026 | 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 | 4 Jun 2026 |
| 1 May 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 4 Jun 2026 |
| 1 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 4 Jun 2026 |
| 1 May 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 4 Jun 2026 |
| 1 May 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 4 Jun 2026 |
Survey cycle 2: 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 31 Oct 2024 |
| 26 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 30 Apr 2024 |
| 26 Sep 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 31 Oct 2024 |
| 26 Sep 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 31 Oct 2024 |
| 26 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 | 31 Oct 2024 |
| 26 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 31 Oct 2024 |
| 26 Sep 2024 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 31 Oct 2024 |
| 26 Sep 2024 | F0758 | Implement 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. | D | Complaint investigation | 31 Oct 2024 |
| 26 Sep 2024 | 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. | F | Complaint investigation | 31 Oct 2024 |
| 26 Sep 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Complaint investigation | 31 Oct 2024 |
| 26 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 31 Oct 2024 |
| 26 Sep 2024 | F0920 | Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | E | Complaint investigation | 31 Oct 2024 |
Survey cycle 3: 11 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 Oct 2021 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 17 Jan 2022 |
| 22 Oct 2021 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 17 Jan 2022 |
| 22 Oct 2021 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 17 Jan 2022 |
| 22 Oct 2021 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 17 Jan 2022 |
| 22 Oct 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 17 Jan 2022 |
| 22 Oct 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 17 Jan 2022 |
| 22 Oct 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 17 Jan 2022 |
| 22 Oct 2021 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 17 Jan 2022 |
| 22 Oct 2021 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 17 Jan 2022 |
| 22 Oct 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Jan 2022 |
| 22 Oct 2021 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 17 Jan 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Idaho median | Idaho average (CMS) |
|---|---|---|---|
| All nurse staff | 3.71 | 3.80 | 4.04 |
| Registered nurses (RN) | 0.79 | 0.80 | 0.86 |
| Licensed practical nurses (LPN) | 0.78 | 0.74 | |
| Nurse aides | 2.14 | 2.44 | |
| All nurse staff, weekends | 3.24 | 3.30 | 3.49 |
- Nurse staff turnover in a year
- 62.2%
- Nurse staff turnover, Idaho median
- 50.0%
- RN turnover in a year
- 62.5%
- Administrators who left in a year
- 3
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Idaho median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.5% | 15.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 1.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.9% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.6% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.5% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.2% | 16.9% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Golden Ridge Healthcare, Inc.
- Chain
- The Ensign Group (342 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ensign Services Inc | Adp of the snf | 1 Jun 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Kootenai County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Advanced Health Care of Coeur D'Alene | Coeur D'Alene | 5 of 5 | 3 | $0 | 21 May 2026 | |
| Lakeside Rehabilitation and Care Center | Coeur D'Alene | 1 of 5 | 2 | $220,832 | 28 Aug 2025 | |
| Coeur D Alene Health of Cascadia | Coeur D'Alene | 1 of 5 | 7 | $33,815 | 7 May 2026 | |
| Life Care Center of Coeur D'Alene | Coeur D'Alene | 1 of 5 | 19 | $39,520 | 20 Mar 2026 | |
| Life Care Center of Post Falls | Post Falls | 5 of 5 | 5 | $0 | 14 Aug 2025 | |
| Idaho State Veterans Home - Post Falls | Post Falls | 1 of 5 | 12 | $36,855 | 1 Aug 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Ironwood Rehabilitation and Care Center (CCN 135053). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/ironwood-rehabilitation-and-care-center-coeur-d-alene-id-135053/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Ironwood Rehabilitation and Care Center last inspected?
- The latest inspection with a citation in the CMS record was on 1 May 2026. It was a standard survey and a complaint investigation. It gave 14 citations. The standard survey before the last one was on 26 Sep 2024.
- Who operates Ironwood Rehabilitation and Care Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain The Ensign Group. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Ironwood Rehabilitation and Care Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Idaho as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.