Valley Vista Care Center of St Maries

820 Elm Street · St Maries, ID · 83861 · 2082454576

74 certified beds Non profit - Corporation

Why this verdict

  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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Red flags

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

62% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 56
Serious harm & abuse 20% 62
Staffing 20% 63
Federal penalties 15% 66
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.243.48 min · 4.1 strong
RN hours / resident-day0.350.55–0.75
Weekend hours / resident-day3.53≈ weekday level
Nursing turnover / year62%median 45%
Fines (3-yr window)1 · $43,843

Inspection citations (17 in the current record)

  • Potential for harm · D May 8, 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

  • Potential for harm · D May 8, 2026

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected June 12, 2026 · Quality of Life and Care

  • Potential for harm · D May 8, 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 12, 2026 · Pharmacy Service

  • Actual harm · G December 4, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected March 1, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G December 4, 2023 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected March 1, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G December 4, 2023 · found via complaint

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

    Corrected January 22, 2024 · Quality of Life and Care

  • Potential for harm · D December 4, 2023 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected January 22, 2024 · Resident Rights

  • Potential for harm · E December 4, 2023 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 1, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 4, 2023 · found via complaint

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected January 22, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 4, 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 March 1, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 4, 2023 · found via complaint

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected January 22, 2024 · Quality of Life and Care

  • Potential for harm · F December 4, 2023 · found via complaint

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected January 22, 2024 · Nursing and Physician Services

  • Potential for harm · F December 4, 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 January 22, 2024 · Nutrition and Dietary

  • Potential for harm · F December 4, 2023 · found via complaint

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected January 22, 2024 · Administration

  • Potential for harm · F December 4, 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 January 22, 2024 · Administration

  • Potential for harm · D December 4, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 22, 2024 · Infection Control

  • Potential for harm · F December 4, 2023 · found via complaint

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Corrected January 22, 2024 · Freedom from Abuse, Neglect, and Exploitation

Federal penalties

DateTypeAmount / length
December 4, 2023Fine$43,843

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 135075 · certified since March 1, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.