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Advanced Health Care of Coeur D'alene
1578 W Riverstone Drive, Coeur D'alene, ID 83814 (opens Google Maps) · Kootenai County · (208) 769-0400· 34 certified beds · avg 30 residents/day · certified since Feb 10, 2017 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: ADVANCED HEALTH CARE (26 facilities, chain avg rating 4.8★)
5/5
Health inspection rating (on-site)
inspected May 21, 2026
0
Serious findings on record
$0
Fines, last 3 years
4.34
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 18 inspection findings. Open the full record below to read every finding.
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. F-0812
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 F-0657
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 F-0689
View all 18 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 21, 2026 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0657 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Mar 20, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0625 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0655 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0760 |
| Aug 23, 2021 | F · Potential for more than minimal harm, widespread | 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. · F-0680 |
| Aug 23, 2021 | E · Potential for more than minimal harm, pattern | 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. · F-0550 |
| Aug 23, 2021 | E · Potential for more than minimal harm, pattern | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Aug 23, 2021 | E · Potential for more than minimal harm, pattern | 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. · F-0725 |
| Aug 23, 2021 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Aug 23, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0655 |
| Aug 23, 2021 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Aug 23, 2021 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Aug 23, 2021 | D · Potential for more than minimal harm, isolated | The facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730 |
| Aug 23, 2021 | D · Potential for more than minimal harm, isolated | 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). · F-0742 |
| Aug 23, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0760 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 1).
All citationsSerious citations (G–L)
2021
All citations: 11
Serious citations (G–L): 0
2025
All citations: 4
Serious citations (G–L): 0
2026
All citations: 3
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 11 | 0 | F |
| 2025 | 4 | 0 | F |
| 2026 | 3 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIdaho averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.34
Idaho average: 4.03
U.S. average: 3.95
Registered Nurse hours
This facility: 0.98
Idaho average: 0.87
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.55
Idaho average: 3.48
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (5.49 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Advanced Health Care of Coeur D'alene. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 10 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Advanced Health Care — 26 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Aspen Transitional Rehabilitation — Meridian, ID · overall 3/5abuse
- Advanced Health Care of Overland Park — Overland Park, KS · overall 5/5
- Advanced Health Care of Albuquerque — Albuquerque, NM · overall 5/5
- Advanced Health Care of Henderson — Las Vegas, NV · overall 5/5
- Advanced Health Care of Las Vegas — Las Vegas, NV · overall 5/5
- Advanced Health Care of Paradise — Las Vegas, NV · overall 5/5
- Advanced Health Care of Reno — Reno, NV · overall 5/5
- Advanced Health Care of Summerlin — Las Vegas, NV · overall 4/5
Listed by state, then facility name — not a ranking. Showing 8 of the 25 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 45% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 |
Facility data as of CMS processing date 2026-08-01. CCN 135142.