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Wellspring Health & Rehabilitation of Cascadia Inspection Report, Violations & Safety Grade (Nampa, Idaho)

2105 12th Avenue Road, Nampa, Idaho 83686

Phone: 2084675721

CMS Overall:4/5

Overview & Bed Count

Certified Beds
120
Avg Residents/Day
98.5
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Canyon
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing2/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityIdaho AvgDifference
RN Hours per Resident per Day0.820.84-0.03
Total Nurse Hours per Resident per Day3.723.99-0.27
CMS Staffing Rating2/53/5-
Nursing Staff Turnover48.5%49.5%-

Health Citation History

19 health citations on record

DateCategoryDescriptionSeverity
2025-09-18Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2024-07-26Infection Control DeficienciesProvide and implement an infection prevention and control program.L – Immediate Jeopardy
2024-07-26Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.G – Actual Harm
2024-07-26Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2024-07-26Environmental DeficienciesKeep all essential equipment working safely.E – Moderate Harm Potential
2024-07-26Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.D – Moderate Harm Potential
2024-07-26Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2024-07-26Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2024-07-26Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-07-26Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2024-07-26Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-07-26Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential
2019-11-15Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2019-11-15Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2019-11-15Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.D – Moderate Harm Potential
2019-11-15Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2019-11-15Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2019-11-15Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2019-11-15Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential

Fire Safety Citation History

9 fire safety citations on record

DateCategoryDescriptionSeverity
2019-11-15Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2019-11-15Emergency Preparedness DeficienciesEstablish staff and initial training requirements.F – Moderate Harm Potential
2019-11-15Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2019-11-15Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2019-11-15Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2019-11-15Emergency Preparedness DeficienciesProvide emergency officials' contact information.D – Moderate Harm Potential
2019-11-15Construction DeficienciesMeet other general requirements.D – Moderate Harm Potential
2019-11-15Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2019-11-15Gas, Vacuum, and Electrical Systems DeficienciesEnsure that anesthesia apparatus are tested after any adjustment, modification or repair.D – Moderate Harm Potential

Total Penalties & Fines

$30,927
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-07-26Fine$30,927-

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