Idaho State Veterans Home - Boise
320 Collins Road, Boise, ID 83702 · Ada County · 122 certified beds · avg 75 residents/day · certified since Sep 1, 2007
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Nov 9, 2018 · F-0605
The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Why it matters: Using sedating drugs as a 'chemical restraint' can rob residents of alertness and mobility and increases risks of falls and death, especially in people with dementia.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 14, 2019 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 9, 2018 · F-0758
The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Why it matters: Unneeded psychiatric medications can leave residents overly sedated and raise the risk of falls and other serious harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 14, 2019 (Deficient, Provider has date of correction)
All citations in the current public record (27)
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 16, 2025 | F · Potential for harm, facility-wide | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| May 16, 2025 | F · Potential for harm, facility-wide | 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. · from a complaint |
| May 16, 2025 | F · Potential for harm, facility-wide | The facility employed staff who were not licensed, certified, or registered as required by state law. · from a complaint |
| May 16, 2025 | F · Potential for harm, facility-wide | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint |
| May 16, 2025 | F · Potential for harm, facility-wide | 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. · from a complaint |
| May 16, 2025 | F · Potential for harm, facility-wide | The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. · from a complaint |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint |
| May 16, 2025 | 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 16, 2025 | 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. · from a complaint |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · from a complaint |
| Dec 3, 2021 | 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. |
| Dec 3, 2021 | 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. |
| Dec 3, 2021 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Nov 9, 2018 | ▲ G · Actual harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Nov 9, 2018 | ▲ G · Actual harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Nov 9, 2018 | E · Potential for harm, repeated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Nov 9, 2018 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 9, 2018 | 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. |
| Nov 9, 2018 | 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. |
| Nov 9, 2018 | D · Potential for harm, one-off | The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. |
| Nov 9, 2018 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Nov 9, 2018 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Nov 9, 2018 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Nov 9, 2018 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Nov 9, 2018 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 12).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 12 | 2 | G ▲ |
| 2021 | 3 | 0 | D |
| 2025 | 12 | 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)
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) | 5.05 | 4.03 | 3.95 | top 18% in Idaho; top 13% in the U.S. |
| Registered Nurse hours | 1.45 | 0.87 | 0.69 | top 11% in Idaho; top 5% in the U.S. |
| Weekend total nurse staffing | 4.07 | 3.48 | 3.50 | top 20% in Idaho; top 21% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.60 | 0.56 | 0.48 | top 33% in Idaho; top 23% in the U.S. |
| Total nursing staff turnover (%) | 45.3 | 50.3 | 45.8 | top 32% in Idaho; bottom 49% in the U.S. |
| RN turnover (%) | 34.6 | 41.0 | 42.9 | top 36% in Idaho; top 38% 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 4.23, RN 1.22, weekend 3.41. Staffing rating: 5/5.
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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
Government - State
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Division of Veterans Services | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2000 |
| Division of Veterans Services | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2006 |
| Holloway, Ricky | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/09/2016 |
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 percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you verify licenses and certifications for every caregiver before they start, and how often do you recheck them?"
- "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What training do new hires get before working with residents, and what ongoing training do all staff receive?"
- "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 |
|---|---|---|---|---|---|
| Shaw Mountain of Cascadia | 0.5 mi | Boise, ID | ★★★☆☆ | 2/5 | |
| Sunterra Springs Riverview | 1.5 mi | Boise, ID | ★★★★☆ | 3/5 | |
| Life Care Center of Boise | 3.0 mi | Boise, ID | ★★★★★ | 4/5 | |
| Skyline Transitional Care Center | 3.4 mi | Boise, ID | ★★★★☆ | 4/5 | |
| Cascadia of Boise | 3.5 mi | Boise, ID | ★☆☆☆☆ | 2/5 | |
| Timber Springs Transitional Care | 4.0 mi | Boise, ID | ★☆☆☆☆ | 1/5 | abuseSFF |
| Arbor Valley of Cascadia | 4.6 mi | Boise, ID | ★★★☆☆ | 3/5 | |
| Terraces of Boise, the | 4.9 mi | Boise, ID | ★★☆☆☆ | 1/5 | abuse |
| Life Care Center of Treasure Valley | 5.5 mi | Boise, ID | ★★★★☆ | 3/5 | |
| Aspen Transitional Rehabilitation | 8.3 mi | Meridian, ID | ★★★☆☆ | 2/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 135131.