| Discovery Rehabilitation and Living | |
| 600 Shanafelt Street, Salmon, Idaho 83467 | |
| (208) 756-8391 | |
| Name | Discovery Rehabilitation and Living |
|---|---|
| Location | 600 Shanafelt Street, Salmon, Idaho |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 45 |
| Occupancy Rate | 66.89% |
| Medicare ID (CCN) | 135129 |
| Legal Business Name | Sawtooth Healthcare Inc |
| Ownership Type | For Profit - Corporation |
| Chain | The Ensign Group (342 nursing homes) |
| Chain Average Overall Rating | 3.2 out of 5 |
| NPI Number | 1477816965 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Sawtooth Healthcare, Inc. |
| Doing Business As | Discovery Rehabilitation and Living |
| Address | 600 Shanafelt St, Salmon, ID 83467 |
| Phone Number | 208-756-8391 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.3 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.1 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.44 | 0.86 |
| Nurse aide hours per resident per day | 2.75 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.65 | 3.42 |
| RN hours per resident per day on the weekend | 0.59 | 0.48 |
| Physical therapist hours per resident per day | 0.06 | 0.07 |
| Total nursing staff turnover | 46.7% | 45.8% |
| Registered nurse turnover | 33.3% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Dec 3, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Dec 19, 2025 |
| Dec 3, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 19, 2025 |
| Dec 3, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 19, 2025 |
| Dec 3, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 19, 2025 |
| Dec 3, 2025 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Dec 19, 2025 |
| Dec 3, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Dec 19, 2025 |
| Sep 13, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Oct 18, 2024 |
| Sep 13, 2024 | 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. F0584, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Oct 18, 2024 |
| Sep 13, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Oct 18, 2024 |
| Sep 13, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Oct 18, 2024 |
| Sep 13, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Oct 18, 2024 |
| Sep 13, 2024 | 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. F0622, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Sep 13, 2024 | 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. F0625, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Sep 13, 2024 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Sep 13, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Sep 13, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Sep 13, 2024 | 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. F0761, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Sep 13, 2024 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Sep 13, 2024 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Aug 24, 2023 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Sep 28, 2023 |
| Aug 24, 2023 | 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. F0578, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Sep 28, 2023 |
| Aug 24, 2023 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Sep 28, 2023 |
| Aug 24, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Sep 28, 2023 |
| Aug 24, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Sep 28, 2023 |
| Aug 24, 2023 | Assess the resident when there is a significant change in condition F0637, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Sep 28, 2023 |
| Aug 24, 2023 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Sep 28, 2023 |
| Aug 24, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Sep 28, 2023 |
| Aug 24, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Sep 28, 2023 |
| Aug 24, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Sep 28, 2023 |
| Aug 24, 2023 | 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. F0693, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Sep 28, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.14 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 11.11 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 40.21 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.92 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 17.09 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.69 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.29 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 36.17 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 8.06 | 15.38 |