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Lincoln County Care Center
511 East Fourth Street, Shoshone, ID 83352 (opens Google Maps) · Lincoln County · (208) 886-2228· 36 certified beds · avg 27 residents/day · certified since Jul 1, 1974 · 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: CASCADES HEALTHCARE (19 facilities, chain avg rating 1.9★)
3/5
Health inspection rating (on-site)
inspected Apr 15, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.15
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: ★★★☆☆3/5 · CMS overall rating: 3/5 · 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 30 inspection findings. Open the full record below to read every finding.
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584
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. F-0761
The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. F-0552
View all 30 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 |
|---|---|---|
| Apr 15, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Apr 15, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Apr 15, 2026 | D · Potential for more than minimal harm, isolated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552 |
| Apr 15, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0554 |
| Apr 15, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0558 |
| Apr 15, 2026 | D · Potential for more than minimal harm, isolated | 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 |
| Apr 15, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0644 |
| Apr 15, 2026 | 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 |
| Apr 15, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Apr 15, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0732 |
| Apr 15, 2026 | D · Potential for more than minimal harm, isolated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Apr 15, 2026 | D · Potential for more than minimal harm, isolated | 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 |
| Apr 15, 2026 | D · Potential for more than minimal harm, isolated | 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 |
| Apr 16, 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. · from a complaint · F-0655 |
| Apr 16, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0661 |
| Apr 16, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0680 |
| Apr 16, 2025 | 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. · from a complaint · F-0684 |
| Apr 16, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0732 |
| Apr 16, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0755 |
| Apr 16, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0757 |
| Apr 16, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0761 |
| Apr 16, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0812 |
| Apr 16, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
| Feb 21, 2020 | E · Potential for more than minimal harm, pattern | 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. · F-0758 |
| Feb 21, 2020 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Feb 21, 2020 | D · Potential for more than minimal harm, isolated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552 |
| Feb 21, 2020 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Feb 21, 2020 | 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 |
| Feb 21, 2020 | D · Potential for more than minimal harm, isolated | 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. · F-0693 |
| Feb 21, 2020 | D · Potential for more than minimal harm, isolated | 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 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (10 → 13).
All citationsSerious citations (G–L)
2020
All citations: 7
Serious citations (G–L): 0
2025
All citations: 10
Serious citations (G–L): 0
2026
All citations: 13
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 |
|---|---|---|---|
| 2020 | 7 | 0 | E |
| 2025 | 10 | 0 | D |
| 2026 | 13 | 0 | 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)
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: 3.15
Idaho average: 4.03
U.S. average: 3.95
Registered Nurse hours
This facility: 0.85
Idaho average: 0.87
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.70
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) | 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 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 3.45, RN 0.93, weekend 2.95.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.45 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Lincoln County Care Center. 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 |
|---|---|---|---|---|
| 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 |
All 20 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 Cascades Healthcare — 19 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.
- Mini-Cassia Care Center — Burley, ID · overall 2/5
- Oak Creek Rehabilitation Center of Kimberly — Kimberly, ID · overall 1/5abuse
- Sunny Ridge — Nampa, ID · overall 3/5
- Galveston Nursing and Rehabilitation Center — Galveston, TX · overall 1/5SFF
- Port Arthur Nursing and Rehabilitation Center — Port Arthur, TX · overall 2/5abuse
- Sabine Heights Nursing and Rehabilitation Center — Port Arthur, TX · overall 1/5abuse
- Cascades at Orchard Park — Orem, UT · overall 4/5
- Cascades at Riverwalk — Midvale, UT · overall 4/5
Listed by state, then facility name — not a ranking. Showing 8 of the 18 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.
- "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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Idaho midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 43% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 20 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Bennett Hills Rehabilitation and Care Center | 15.7 mi | Gooding, ID | ★☆☆☆☆ | 1/5 |
Facility data as of CMS processing date 2026-08-01. CCN 135056.
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