Ironwood Rehabilitation and Care Center
2200 Ironwood Place · Coeur D'Alene, ID · 83814 · 2086676486
80 certified beds For profit - Corporation Chain: The Ensign Group
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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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
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
67% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.74 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.77 | 0.55–0.75 |
| Weekend hours / resident-day | 3.34 | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (37 in the current record)
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Potential for harm · D May 1, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 4, 2026 · Resident Rights
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Potential for harm · D May 1, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected June 4, 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 4, 2026 · Resident Rights
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Potential for harm · D May 1, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 4, 2026 · Quality of Life and Care
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Potential for harm · E May 1, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 4, 2026 · Quality of Life and Care
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Potential for harm · D May 1, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 4, 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 4, 2026 · Quality of Life and Care
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Potential for harm · D May 1, 2026
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.
Corrected June 4, 2026 · Pharmacy Service
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Potential for harm · D May 1, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2026
Provide and implement an infection prevention and control program.
Corrected June 4, 2026 · Infection Control
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Potential for harm · D May 1, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected June 4, 2026 · Infection Control
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Potential for harm · E May 1, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected June 4, 2026 · Environmental
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Actual harm · G September 26, 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 April 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 26, 2024
Respond appropriately to all alleged violations.
Corrected October 31, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 26, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 31, 2024 · Resident Rights
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Potential for harm · D September 26, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 31, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 26, 2024 · 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 October 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 26, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 31, 2024 · Quality of Life and Care
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Potential for harm · D September 26, 2024 · found via complaint
Provide appropriate foot care.
Corrected October 31, 2024 · Quality of Life and Care
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Potential for harm · D September 26, 2024 · 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 October 31, 2024 · Pharmacy Service
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Potential for harm · F September 26, 2024 · found via complaint
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.
Corrected October 31, 2024 · Nutrition and Dietary
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Potential for harm · E September 26, 2024 · found via complaint
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected October 31, 2024 · Nutrition and Dietary
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Potential for harm · E September 26, 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 31, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 135053 · certified since June 15, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.