Lincoln County Care Center
511 East Fourth Street · Shoshone, ID · 83352 · 2088862228
36 certified beds For profit - Limited Liability company Chain: Cascades Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 73 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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.27 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.00 | 0.55–0.75 |
| Weekend hours / resident-day | 2.80 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (30 in the current record)
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Potential for harm · D April 15, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 19, 2026 · Resident Rights
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Potential for harm · D April 15, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 19, 2026 · Resident Rights
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Potential for harm · D April 15, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected May 19, 2026 · Resident Rights
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Potential for harm · E April 15, 2026
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.
Corrected May 19, 2026 · Resident Rights
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Potential for harm · D April 15, 2026
Ensure each resident receives an accurate assessment.
Corrected May 19, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 15, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 19, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 15, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 19, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 15, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 19, 2026 · Quality of Life and Care
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Potential for harm · D April 15, 2026
Post nurse staffing information every day.
Corrected May 19, 2026 · Nursing and Physician Services
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Potential for harm · E April 15, 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 May 19, 2026 · Pharmacy Service
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Potential for harm · D April 15, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 19, 2026 · Nutrition and Dietary
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Potential for harm · D April 15, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 19, 2026 · Nutrition and Dietary
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Potential for harm · D April 15, 2026
Provide and implement an infection prevention and control program.
Corrected May 19, 2026 · Infection Control
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Potential for harm · D April 16, 2025 · 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 May 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 16, 2025 · found via complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected May 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 16, 2025 · found via complaint
Ensure the activities program is directed by a qualified professional.
Corrected May 20, 2025 · Quality of Life and Care
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Potential for harm · D April 16, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 20, 2025 · Quality of Life and Care
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Potential for harm · D April 16, 2025 · found via complaint
Post nurse staffing information every day.
Corrected May 20, 2025 · Nursing and Physician Services
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Potential for harm · D April 16, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 20, 2025 · Pharmacy Service
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Potential for harm · D April 16, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 20, 2025 · Pharmacy Service
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Potential for harm · D April 16, 2025 · found via complaint
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 May 20, 2025 · Pharmacy Service
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Potential for harm · D April 16, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 20, 2025 · Nutrition and Dietary
-
Potential for harm · D April 16, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 20, 2025 · Infection Control
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Potential for harm · D February 21, 2020
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 16, 2020 · Resident Rights
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Potential for harm · D February 21, 2020
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 16, 2020 · Resident Assessment and Care Planning
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 135056 · certified since July 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.