Power County Skilled Nursing Facility

510 Roosevelt Street · American Falls, ID · 83211 · 2082263200

21 certified beds For profit - Corporation Hospital-based

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

Score breakdown

Inspection record 30% of score 37
Serious harm & abuse 20% 94
Staffing 20% 85
Federal penalties 15% 100
Trend 10% 49
Context 5% 35

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: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.533.48 min · 4.1 strong
RN hours / resident-day0.890.55–0.75
Weekend hours / resident-day3.64≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (36 in the current record)

  • Potential for harm · D May 30, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected July 4, 2025 · Resident Rights

  • Potential for harm · F May 30, 2025

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected July 4, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E May 30, 2025

    Ensure each resident receives an accurate assessment.

    Corrected July 4, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F May 30, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 4, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 30, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected July 4, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 30, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected July 4, 2025 · Quality of Life and Care

  • Potential for harm · D May 30, 2025

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected July 4, 2025 · Quality of Life and Care

  • Potential for harm · D May 30, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected July 4, 2025 · Pharmacy Service

  • Potential for harm · D May 30, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected July 4, 2025 · Pharmacy Service

  • Potential for harm · D May 30, 2025

    Ensure that residents are free from significant medication errors.

    Corrected July 4, 2025 · Pharmacy Service

  • Potential for harm · D May 30, 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.

    Corrected July 4, 2025 · Pharmacy Service

  • Potential for harm · F May 30, 2025

    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 July 4, 2025 · Nutrition and Dietary

  • Potential for harm · F May 30, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 4, 2025 · Nutrition and Dietary

  • Potential for harm · D May 30, 2025

    Provide or get specialized rehabilitative services as required for a resident.

    Corrected July 4, 2025 · Quality of Life and Care

  • Potential for harm · F May 30, 2025

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected July 4, 2025 · Administration

  • Potential for harm · D May 30, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 4, 2025 · Infection Control

  • Potential for harm · D May 30, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected July 4, 2025 · Infection Control

  • Potential for harm · D July 12, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected August 16, 2024 · Resident Rights

  • Potential for harm · D July 12, 2024

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected August 16, 2024 · Resident Rights

  • Potential for harm · F July 12, 2024

    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 August 16, 2024 · Resident Rights

  • Potential for harm · D July 12, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected August 16, 2024 · Resident Rights

  • Potential for harm · D July 12, 2024

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected August 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 12, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 12, 2024

    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 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 12, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected August 16, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 135066 · certified since May 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.