Lakeside Rehabilitation and Care Center
210 West Lacrosse Avenue · Coeur D'Alene, ID · 83814 · 2086642185
100 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Federal penalties on record: $76,832 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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
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.
$76,832 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
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: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.83 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 3.26 | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | 2 · $220,832 |
Inspection citations (43 in the current record)
-
Potential for harm · D August 28, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 30, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D August 28, 2025
Ensure that residents are free from significant medication errors.
Corrected September 30, 2025 · Pharmacy Service
-
Actual harm · H October 11, 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 November 13, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D October 11, 2024
Respond appropriately to all alleged violations.
Corrected November 13, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D October 11, 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 November 13, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D October 11, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 13, 2024 · Quality of Life and Care
-
Potential for harm · D October 11, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 13, 2024 · Quality of Life and Care
-
Potential for harm · D October 11, 2024 · found via complaint
Provide appropriate foot care.
Corrected November 13, 2024 · Quality of Life and Care
-
Potential for harm · D October 11, 2024 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected November 13, 2024 · Quality of Life and Care
-
Potential for harm · D October 11, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 13, 2024 · Pharmacy Service
-
Potential for harm · E October 11, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 13, 2024 · Pharmacy Service
-
Potential for harm · E October 11, 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 November 13, 2024 · Nutrition and Dietary
-
Potential for harm · D October 11, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 13, 2024 · Infection Control
-
Potential for harm · D November 3, 2023 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected November 29, 2023 · Resident Rights
-
Potential for harm · D November 3, 2023 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected February 7, 2024 · Resident Rights
-
Potential for harm · D November 3, 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 November 29, 2023 · Resident Rights
-
Potential for harm · F November 3, 2023 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected November 29, 2023 · Resident Rights
-
Potential for harm · D November 3, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 29, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D November 3, 2023 · found via complaint
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.
Corrected November 29, 2023 · Resident Rights
-
Potential for harm · D November 3, 2023 · found via complaint
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.
Corrected November 29, 2023 · Resident Rights
-
Potential for harm · D November 3, 2023 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected November 29, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D November 3, 2023 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 7, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D November 3, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 29, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D November 3, 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 February 7, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D November 3, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 7, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 11, 2024 | Fine | $76,832 |
| October 18, 2023 | Fine | $144,000 |
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 135042 · certified since December 13, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.