Nursing homeActive
Advanced Health Care of Coeur d'Alene
1578 W Riverstone Drive, Coeur d'Alene, ID 83814208769040034 certified beds · 30 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2021
Deficiencies
18
● 0● 18● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-05-21
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 4
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Idaho Bureau of Facility Standards · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-21 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2025-03-20 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2021-08-23 | Standard | 0110 | CMS-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.
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 2026-06-15Record 135142-20260521-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 2026-06-15Record 135142-20260521-F689
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-15Record 135142-20260521-F812
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 DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-17Record 135142-20250320-F625
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 2025-04-17Record 135142-20250320-F655
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 135142-20250320-F760
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-17Record 135142-20250320-F812
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-10-22Record 135142-20210823-F550
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-10-22Record 135142-20210823-F641
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 2021-10-22Record 135142-20210823-F655
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-10-22Record 135142-20210823-F679
F680Ensure the activities program is directed by a qualified professional.Scope/severity FStandard
Care planning
Widespread; no actual harm, potential for more than minimal harm.Corrected 2021-10-22Record 135142-20210823-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 2021-10-22Record 135142-20210823-F684
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-10-22Record 135142-20210823-F725
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 2021-10-22Record 135142-20210823-F730
F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-10-22Record 135142-20210823-F742
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-10-22Record 135142-20210823-F760
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-10-22Record 135142-20210823-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.24
Facility
Idaho
National
Idaho 0.86 · National 0.69
Total nurse hours per resident day5.49
Facility
Idaho
National
Idaho 4.04 · National 3.86
Weekend total nurse hours4.50
Facility
Idaho
National
Idaho 3.49 · National 3.42
Total nursing staff turnover45%
Facility
Idaho
National
Idaho 50% · National 46%
Registered nurse turnover60%
Facility
Idaho
National
Idaho 41% · National 43%
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| New Ahc Holdings, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| The Gail Miller Gst Trust Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 72% | — | — |
| Fisher, Curtis Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fisher, Curtis Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lhmsh LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Meza, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| New Ahc Holdings, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Oxnam, Nathan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| The Bryan Miller Utah Dynasty Trust Dated April 22, 2014 Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| The G&H Miller Utah Trust Dated February 26, 2019 Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Advanced Health Care — 26 facilities
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 Kootenai.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Ironwood Rehabilitation and Care Center Coeur d'Alene | 0.5 mi | 2026-05-01 | 0251 |
| Lakeside Rehabilitation and Care Center Coeur d'Alene | 1.0 mi | 2025-08-28 | 1402 |
| Coeur d Alene Health of Cascadia Coeur d'Alene | 1.4 mi | 2026-05-07 | 0181 |
| Life Care Center of Coeur d'Alene Coeur d'Alene | 3.3 mi | 2026-03-20 | 0261 |
| Life Care Center of Post Falls Post Falls | 4.8 mi | 2025-08-14 | 060 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |