Nursing homeActive

Lincoln County Care Center

511 East Fourth Street, Shoshone, ID 83352208886222836 certified beds · 27 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2020
Deficiencies
30
0300
Penalties · 3 yrs
none on file
Last survey
2026-04-15
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Idaho Bureau of Facility Standards · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-04-15Standard0130CMS-2567 (Care Compare)
2025-04-16Standard0100CMS-2567 (Care Compare)
2020-02-21Standard070CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Idaho Bureau of Facility Standards publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-04-15Standard survey · 13 deficienciesOfficial report
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-19Record 135056-20260415-F552
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-19Record 135056-20260415-F554
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-19Record 135056-20260415-F558
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-19Record 135056-20260415-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-19Record 135056-20260415-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-19Record 135056-20260415-F644
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-19Record 135056-20260415-F655
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-19Record 135056-20260415-F698
F732Post nurse staffing information every day.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-19Record 135056-20260415-F732
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-19Record 135056-20260415-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-19Record 135056-20260415-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-19Record 135056-20260415-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-19Record 135056-20260415-F880
2025-04-16Standard survey · 10 deficienciesOfficial report
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 135056-20250416-F655
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 135056-20250416-F661
F680Ensure the activities program is directed by a qualified professional.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 135056-20250416-F680
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 135056-20250416-F684
F732Post nurse staffing information every day.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 135056-20250416-F732
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 135056-20250416-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 135056-20250416-F757
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 135056-20250416-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 135056-20250416-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 135056-20250416-F880
2020-02-21Standard survey · 7 deficienciesOfficial report
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-16Record 135056-20200221-F552
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-16Record 135056-20200221-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-16Record 135056-20200221-F684
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-16Record 135056-20200221-F693
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-03-16Record 135056-20200221-F758
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-03-16Record 135056-20200221-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-16Record 135056-20200221-F880

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.93
Facility
Idaho
National
Idaho 0.86 · National 0.69
Total nurse hours per resident day3.45
Facility
Idaho
National
Idaho 4.04 · National 3.86
Weekend total nurse hours2.95
Facility
Idaho
National
Idaho 3.49 · National 3.42
Total nursing staff turnover43%
Facility
Idaho
National
Idaho 50% · National 46%
Registered nurse turnover17%
Facility
Idaho
National
Idaho 41% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityIdahoNational
Percentage of long-stay residents with pressure ulcers
lower is better
0.9%3.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
4.1%3.0%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
16.4%20.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.0%2.0%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
15.6%15.6%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
0.0%5.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
16.7%16.3%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Cascades At Lincoln County, LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Lincoln County Ems
Organization
5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Burdick, Anita
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Cascades At Lincoln County, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Fullmer, Chad
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Gies, Florian
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mcspadden, Darin
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Burdick, Anita
Individual
ADP OF THE SNFNOT APPLICABLE
Crump, Jason
Individual
CORPORATE DIRECTORNOT APPLICABLE
Eelir Flp
Organization
GENERAL PARTNERSHIP INTERESTNOT APPLICABLE
Fullmer, Chad
Individual
CORPORATE DIRECTORNOT APPLICABLE
Gies, Florian
Individual
ADP OF THE SNFNOT APPLICABLE
Lincoln County Ems
Organization
ADP OF THE SNFNOT APPLICABLE
Mcspadden, Darin
Individual
CORPORATE DIRECTORNOT APPLICABLE
Moore, Thomas
Individual
CORPORATE DIRECTORNOT APPLICABLE
Quest Flp
Organization
GENERAL PARTNERSHIP INTERESTNOT APPLICABLE
Ronnmark Flp
Organization
GENERAL PARTNERSHIP INTERESTNOT APPLICABLE
Takayama Flp
Organization
GENERAL PARTNERSHIP INTERESTNOT APPLICABLE
Tower Bridge Flp
Organization
GENERAL PARTNERSHIP INTERESTNOT APPLICABLE
White, Derek
Individual
CORPORATE DIRECTORNOT APPLICABLE
Part of a chain
Cascades Healthcare19 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Idaho.

No county cost figures on file for Lincoln.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Bennett Hills Rehabilitation and Care Center
Gooding
15.7 mi2026-04-300371
Serenity Transitional Care
Twin Falls
24.6 mi2026-06-260261
Twin Falls Transitional Care of Cascadia
Twin Falls
26.4 mi2025-06-120170
Oak Creek Rehabilitation Center of Kimberly
Kimberly
27.6 mi2025-12-050142
Cascades at Desert View
Buhl
29.8 mi2026-05-150511
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01