Advanced Health Care of Coeur D'alene

Name: Advanced Health Care of Coeur D'alene
Address: 1578 W Riverstone Drive, Coeur D'alene, ID, 83814, US
Telephone: 2087690400

1578 W Riverstone Drive, Coeur D'alene, ID 83814 · Kootenai County · 34 certified beds · avg 30 residents/day · certified since Feb 10, 2017

Part of chain: ADVANCED HEALTH CARE (26 facilities, chain avg rating 4.8★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.34

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (18)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 21, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 21, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
May 21, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Mar 20, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 20, 2025	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Mar 20, 2025	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Mar 20, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Aug 23, 2021	F · Potential for harm, facility-wide	The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials.
Aug 23, 2021	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Aug 23, 2021	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 23, 2021	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Aug 23, 2021	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 23, 2021	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Aug 23, 2021	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Aug 23, 2021	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Aug 23, 2021	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Aug 23, 2021	D · Potential for harm, one-off	The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD).
Aug 23, 2021	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 1).

Year	Citations	Worst severity that year
2021	11	F
2025	4	F
2026	3	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Idaho avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.34	4.03	3.95	top 24% in Idaho; top 28% in the U.S.
Registered Nurse hours	0.98	0.87	0.69	top 29% in Idaho; top 16% in the U.S.
Weekend total nurse staffing	3.55	3.48	3.50	top 25% in Idaho; top 40% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.65	0.56	0.48	top 27% in Idaho; top 19% in the U.S.
Total nursing staff turnover (%)	45.2	50.3	45.8	top 31% in Idaho; bottom 49% in the U.S.
RN turnover (%)	60.0	41.0	42.9	bottom 19% in Idaho; bottom 22% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.49, RN 1.24, weekend 4.50. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
New Ahc Holdings, LLC	Organization	5% or Greater Direct Ownership Interest	100%	01/01/2021
The Bryan Miller Utah Dynasty Trust Dated April 22, 2014	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2024
The G&H Miller Utah Trust Dated February 26, 2019	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2024
The Gail Miller GST Trust	Organization	5% or Greater Indirect Ownership Interest	72%	01/01/2024
Fisher, Curtis	Individual	Operational/Managerial Control	NOT APPLICABLE	05/12/2025
Fisher, Curtis	Individual	ADP of the SNF	NOT APPLICABLE	05/28/2025
LHMSH LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2024
Meza, Michael	Individual	ADP of the SNF	NOT APPLICABLE	04/12/2025
New Ahc Holdings, LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/12/2025
Oxnam, Nathan	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Who runs your activities program, what are their qualifications, and can I see this week's activity calendar?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Ironwood Rehabilitation and Care Center	0.5 mi	Coeur D'alene, ID	★★☆☆☆	2/5
Lakeside Rehabilitation and Care Center	1.0 mi	Coeur D'alene, ID	★☆☆☆☆	1/5
Coeur D Alene Health of Cascadia	1.4 mi	Coeur D'alene, ID	★☆☆☆☆	2/5
Life Care Center of Coeur D'alene	3.3 mi	Coeur D'alene, ID	★☆☆☆☆	1/5
Life Care Center of Post Falls	4.8 mi	Post Falls, ID	★★★★★	5/5
Idaho State Veterans Home - Post Falls	8.8 mi	Post Falls, ID	★☆☆☆☆	1/5	abuse
Spokane Valley Health and Rehabilitation of Cascad	16.2 mi	Spokane Valley, WA	★☆☆☆☆	3/5
Sullivan Park Care Center	18.8 mi	Spokane, WA	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Coeur D'alene →

Facility data as of CMS processing date 2026-08-01. CCN 135142.

The Care File

Visit checklist — Advanced Health Care of Coeur D'alene

1578 W Riverstone Drive, Coeur D'alene, ID 83814 · 2087690400

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Who runs your activities program, what are their qualifications, and can I see this week's activity calendar?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 135142 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)