Nursing homeActiveSpecial Focus Facility candidate · what this means

Karcher Post Acute

1127 Caldwell Blvd, Nampa, ID 83651208465493566 certified beds · 55 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2024
Deficiencies
39
0354
Penalties · 3 yrs
$41,603
4 fines
Last survey
2026-05-29
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 4
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
2026-05-29Standard0170CMS-2567 (Care Compare)
2025-11-07Complaint011CMS-2567 (Care Compare)
2025-09-03Complaint011CMS-2567 (Care Compare)
2025-04-04Standard0101CMS-2567 (Care Compare)
2024-07-02Complaint001CMS-2567 (Care Compare)
2024-01-26Standard060CMS-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.

2026-05-29Standard survey · 17 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 135110-20260529-F550
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 135110-20260529-F578
F585Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 135110-20260529-F585
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 135110-20260529-F604
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 135110-20260529-F605
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 135110-20260529-F628
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 2026-06-25Record 135110-20260529-F644
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 135110-20260529-F645
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 2026-06-25Record 135110-20260529-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 135110-20260529-F658
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 2026-06-25Record 135110-20260529-F684
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 135110-20260529-F695
F730Observe each nurse aide's job performance and give regular training.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 135110-20260529-F730
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 135110-20260529-F812
F814Dispose of garbage and refuse properly.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 135110-20260529-F814
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 135110-20260529-F842
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 135110-20260529-F883
2025-11-07Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-11-30Record 135110-20251107-F600
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-11-30Record 135110-20251107-F760
2025-09-03Complaint survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-09-05Record 135110-20250903-F689
F585Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-05Record 135110-20250903-F585
2025-04-04Standard survey · 11 deficienciesOfficial report
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity GHarm
Dignity & rights
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-04-25Record 135110-20250404-F561
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 135110-20250404-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 135110-20250404-F610
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 135110-20250404-F641
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 2025-04-25Record 135110-20250404-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 135110-20250404-F657
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 135110-20250404-F689
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 2025-04-25Record 135110-20250404-F757
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-29Record 135110-20250404-F760
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 2025-04-25Record 135110-20250404-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 2025-04-25Record 135110-20250404-F812
2024-07-02Complaint survey · 1 deficiencyOfficial report
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity GHarm
Dignity & rights
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-07-18Record 135110-20240702-F622
2024-01-26Standard survey · 6 deficienciesOfficial report
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-20Record 135110-20240126-F622
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-20Record 135110-20240126-F625
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 2024-02-20Record 135110-20240126-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-20Record 135110-20240126-F689
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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-20Record 135110-20240126-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-20Record 135110-20240126-F812

Penalties & enforcement

DateActionAmountSource
2025-11-07Civil money penalty$10,549CMS · Penalties
2025-09-03Civil money penalty$10,546CMS · Penalties
2025-04-04Civil money penalty$11,190CMS · Penalties
2024-07-02Civil money penalty$9,318CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.39
Facility
Idaho
National
Idaho 0.86 · National 0.69
Total nurse hours per resident day3.98
Facility
Idaho
National
Idaho 4.04 · National 3.86
Weekend total nurse hours3.56
Facility
Idaho
National
Idaho 3.49 · National 3.42
Total nursing staff turnover44%
Facility
Idaho
National
Idaho 50% · National 46%
Registered nurse turnover50%
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
5.7%3.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.6%3.0%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
22.4%20.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%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
4.7%15.6%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
0.6%5.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
10.6%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
Allen, Daniel
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Graves, Brye
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mcbride, Race
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Allen, Daniel
Individual
ADP OF THE SNFNOT APPLICABLE
Jergensen, Joshua
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Jergensen, Joshua
Individual
CORPORATE OFFICERNOT APPLICABLE
Mcbride, Race
Individual
ADP OF THE SNFNOT APPLICABLE
Mitchell, John
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Mitchell, John
Individual
CORPORATE OFFICERNOT APPLICABLE
Murray, Jason
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Nampa 1127 Realty, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Next Saddle Realty LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Providence Administrative Consulting Services Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Truist Bank
Organization
ADP OF THE SNFNOT APPLICABLE
Truist Bank
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Part of a chain
Pacs Group274 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 Canyon.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Orchards of Cascadia, The
Nampa
1.0 mi2026-01-08082
Meadow View Nursing and Rehabilitation
Nampa
1.5 mi2025-11-190161
Sunny Ridge
Nampa
4.1 mi2026-01-230331
Wellspring Health & Rehabilitation of Cascadia
Nampa
4.9 mi2025-09-180102
Canyon West of Cascadia
Caldwell
4.7 mi2026-04-160160
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