Idaho › Lincoln County › Shoshone
Lincoln County Care Center
511 East Fourth Street, Shoshone, ID 83352
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.
Certified for 36 beds, Lincoln County Care Center serves Shoshone in Lincoln County, Idaho and has taken Medicare and Medicaid residents since 1974.
CMS gives it 3 of 5 stars overall, equal to the Idaho median; the health inspection rating is 3, staffing 3 and quality measures 3.
Inspectors recorded 30 health deficiencies across the three most recent survey cycles (13, 10, 7 by cycle, most recent first), none at the actual-harm level. That is 83.3 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 3.4 hours per resident per day (0.9 RN), close to the Idaho median of 3.8; nursing staff turnover is 42.9%.
Compared with county, state and nation
| Measure | This facility | Lincoln Co. median | Idaho median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 30 | 30 | 26 | 28.7 |
| Citations per 100 beds | 83.3 | 83.3 | 34.8 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.8 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.8 | 0.7 |
| Nursing staff turnover | 42.9% | 42.9% | 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: 15 Apr 2026, 16 Apr 2025.
Severity mix: D ×26 E ×4
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 |
|---|---|---|---|---|---|
| 15 Apr 2026 | 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 | Standard survey | 19 May 2026 |
| 15 Apr 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. | E | Standard survey | 19 May 2026 |
| 15 Apr 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 19 May 2026 |
| 15 Apr 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 19 May 2026 |
| 15 Apr 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 19 May 2026 |
| 15 Apr 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 19 May 2026 |
| 15 Apr 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 19 May 2026 |
| 15 Apr 2026 | 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 May 2026 |
| 15 Apr 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 19 May 2026 |
| 15 Apr 2026 | F0732 | Post nurse staffing information every day. | D | Standard survey | 19 May 2026 |
| 15 Apr 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 19 May 2026 |
| 15 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 19 May 2026 |
| 15 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 May 2026 |
| 16 Apr 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 20 May 2025 |
| 16 Apr 2025 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint investigation | 20 May 2025 |
| 16 Apr 2025 | F0680 | Ensure the activities program is directed by a qualified professional. | D | Complaint investigation | 20 May 2025 |
| 16 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 May 2025 |
| 16 Apr 2025 | F0732 | Post nurse staffing information every day. | D | Complaint investigation | 20 May 2025 |
| 16 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 20 May 2025 |
| 16 Apr 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 20 May 2025 |
| 16 Apr 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 | Complaint investigation | 20 May 2025 |
| 16 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 20 May 2025 |
| 16 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 20 May 2025 |
| 21 Feb 2020 | 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. | E | Standard survey | 16 Mar 2020 |
| 21 Feb 2020 | 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. | E | Standard survey | 16 Mar 2020 |
| 21 Feb 2020 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 16 Mar 2020 |
| 21 Feb 2020 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 16 Mar 2020 |
| 21 Feb 2020 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 Mar 2020 |
| 21 Feb 2020 | 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 | Standard survey | 16 Mar 2020 |
| 21 Feb 2020 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Mar 2020 |
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 42.9%, RNs 16.7%; — 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 | 15.6% | 15.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | 1.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 25.0% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.9% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.4% | 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, limited liability company. Legal business name: Cascades At Lincoln County, Llc. Chain: Cascades Healthcare (19 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cascades At Lincoln County, LLC | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 01/01/2023 |
| Lincoln County Ems | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 01/01/2023 |
| Cascades At Lincoln County, LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2023 |
| Lincoln County Ems | Adp of the snf | NOT APPLICABLE | 01/01/1985 |
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 Lincoln County Care Center been cited for?
30 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 Lincoln County Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Lincoln County Care Center compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Idaho median of 3.8 and a national average of 3.9.
Who operates Lincoln County Care Center?
It is part of the Cascades Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Cascades At Lincoln County, LLC, Lincoln County Ems and Cascades At Lincoln County, LLC. Individual owners and managers are not listed on this site.
When was Lincoln County Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 15 Apr 2026; the most recent standard health survey was 15 Apr 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.