Lincoln County Care Center

Name: Lincoln County Care Center
Address: 511 East Fourth Street, Shoshone, ID, 83352, US
Telephone: 2088862228

511 East Fourth Street, Shoshone, ID 83352 · Lincoln County · 36 certified beds · avg 27 residents/day · certified since Jul 1, 1974

Part of chain: CASCADES HEALTHCARE (19 facilities, chain avg rating 1.9★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.15

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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 (30)

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
Apr 15, 2026	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Apr 15, 2026	E · Potential for harm, repeated	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.
Apr 15, 2026	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Apr 15, 2026	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Apr 15, 2026	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Apr 15, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 15, 2026	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.
Apr 15, 2026	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.
Apr 15, 2026	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Apr 15, 2026	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Apr 15, 2026	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Apr 15, 2026	D · Potential for harm, one-off	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.
Apr 15, 2026	D · Potential for harm, one-off	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.
Apr 16, 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. · from a complaint
Apr 16, 2025	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint
Apr 16, 2025	D · Potential for harm, one-off	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. · from a complaint
Apr 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
Apr 16, 2025	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint
Apr 16, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Apr 16, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint
Apr 16, 2025	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. · from a complaint
Apr 16, 2025	D · Potential for harm, one-off	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. · from a complaint
Apr 16, 2025	D · Potential for harm, one-off	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
Feb 21, 2020	E · Potential for harm, repeated	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.
Feb 21, 2020	E · Potential for harm, repeated	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.
Feb 21, 2020	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Feb 21, 2020	D · Potential for harm, one-off	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.
Feb 21, 2020	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.
Feb 21, 2020	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Feb 21, 2020	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (10 → 13).

Year	Citations	Worst severity that year
2020	7	E
2025	10	D
2026	13	E

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)	3.15	4.03	3.95	bottom 14% in Idaho; bottom 19% in the U.S.
Registered Nurse hours	0.85	0.87	0.69	top 42% in Idaho; top 24% in the U.S.
Weekend total nurse staffing	2.70	3.48	3.50	bottom 14% in Idaho; bottom 16% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.67	0.56	0.48	top 24% in Idaho; top 18% in the U.S.
Total nursing staff turnover (%)	42.9	50.3	45.8	top 27% in Idaho; top 44% in the U.S.
RN turnover (%)	16.7	41.0	42.9	top 7% in Idaho; top 9% 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 3.45, RN 0.93, weekend 2.95. Staffing rating: 3/5.

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

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Cascades at Lincoln County, LLC	Organization	5% or Greater Direct Ownership Interest	—	01/01/2023
Lincoln County Ems	Organization	5% or Greater Direct Ownership Interest	—	01/01/2023
Burdick, Anita	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Burdick, Anita	Individual	ADP of the SNF	NOT APPLICABLE	12/16/2025
Cascades at Lincoln County, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Crump, Jason	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
Eelir FLP	Organization	General Partnership Interest	NOT APPLICABLE	01/01/2023
Fullmer, Chad	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
Fullmer, Chad	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Gies, Florian	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Gies, Florian	Individual	ADP of the SNF	NOT APPLICABLE	12/16/2025
Lincoln County Ems	Organization	ADP of the SNF	NOT APPLICABLE	01/01/1985
McSpadden, Darin	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
McSpadden, Darin	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Moore, Thomas	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
Quest FLP	Organization	General Partnership Interest	NOT APPLICABLE	01/01/2023
Ronnmark FLP	Organization	General Partnership Interest	NOT APPLICABLE	01/01/2023
Takayama FLP	Organization	General Partnership Interest	NOT APPLICABLE	01/01/2023
Tower Bridge FLP	Organization	General Partnership Interest	NOT APPLICABLE	01/01/2023
White, Derek	Individual	Corporate Director	NOT APPLICABLE	01/01/2023

Questions to ask on your visit

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

"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How do you explain health changes and treatment options to residents and their families?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"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
Bennett Hills Rehabilitation and Care Center	15.7 mi	Gooding, ID	★☆☆☆☆	1/5

Compare this facility with the 1 closest →

All facilities in Shoshone →

Facility data as of CMS processing date 2026-08-01. CCN 135056.

The Care File

Visit checklist — Lincoln County Care Center

511 East Fourth Street, Shoshone, ID 83352 · 2088862228

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

Questions for the administrator:

☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "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 135056 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)