Boundary County Nursing Home
6640 Kaniksu Street · Bonners Ferry, ID · 83805 · 2082673141
20 certified beds For profit - Individual Hospital-based
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 80 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 5.75 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 2.24 | 0.55–0.75 |
| Weekend hours / resident-day | 4.97 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (26 in the current record)
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Potential for harm · D May 1, 2026
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.
Corrected June 12, 2026 · Resident Rights
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Potential for harm · D May 1, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 12, 2026 · Resident Rights
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Potential for harm · D May 1, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · E May 1, 2026
Provide 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.
Corrected June 12, 2026 · Quality of Life and Care
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Potential for harm · D May 1, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 12, 2026 · Quality of Life and Care
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Potential for harm · E May 1, 2026
Provide care or services that was trauma informed and/or culturally competent.
Corrected June 12, 2026 · Quality of Life and Care
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Potential for harm · D May 1, 2026
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected June 12, 2026 · Nursing and Physician Services
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Potential for harm · D May 1, 2026
Post nurse staffing information every day.
Corrected June 12, 2026 · Nursing and Physician Services
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Potential for harm · D May 1, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected June 12, 2026 · Pharmacy Service
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Potential for harm · E May 1, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected June 12, 2026 · Pharmacy Service
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Potential for harm · E May 1, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 12, 2026 · Nutrition and Dietary
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Potential for harm · E May 1, 2026
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected June 12, 2026 · Administration
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Potential for harm · D May 1, 2026
Implement a program that monitors antibiotic use.
Corrected June 12, 2026 · Infection Control
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Potential for harm · D May 1, 2026
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected June 12, 2026 · Nursing and Physician Services
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Potential for harm · D September 13, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 7, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F September 13, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 7, 2024 · Nutrition and Dietary
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Potential for harm · D July 28, 2023 · found via complaint
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.
Corrected August 30, 2023 · Resident Rights
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Potential for harm · E July 28, 2023 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 30, 2023 · Resident Assessment and Care Planning
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Potential for harm · E July 28, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 30, 2023 · Quality of Life and Care
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Potential for harm · D July 28, 2023 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected August 30, 2023 · Quality of Life and Care
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Potential for harm · D July 28, 2023 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 30, 2023 · Pharmacy Service
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Potential for harm · D July 28, 2023 · found via complaint
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.
Corrected August 30, 2023 · Pharmacy Service
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Potential for harm · D July 28, 2023 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected August 30, 2023 · Nutrition and Dietary
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Potential for harm · F July 28, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 30, 2023 · Nutrition and Dietary
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Potential for harm · D July 28, 2023 · found via complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected August 30, 2023 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 135004 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.