Madison Carriage Cove Short Stay Rehabilitation
410 West 1st North, Rexburg, ID 83440 · Madison County · 35 certified beds · avg 29 residents/day · certified since Apr 23, 2015
Part of chain: TANABELL HEALTH SERVICES (5 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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 · Jan 23, 2025 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Feb 12, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (21)
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 |
|---|---|---|
| Jan 28, 2026 | E · Potential for harm, repeated | 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. |
| Jan 28, 2026 | 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. |
| Jan 28, 2026 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jan 28, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 28, 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. |
| Jan 28, 2026 | 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. |
| Jan 28, 2026 | 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. |
| Jan 28, 2026 | 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. |
| Jan 23, 2025 | ▲ G · Actual 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. |
| Jan 23, 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. |
| Jan 23, 2025 | 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. |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. |
| Jan 23, 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. |
| Jan 23, 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. |
| Jan 23, 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. |
| Jan 23, 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. |
| Jan 23, 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. |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| May 3, 2024 | 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. |
| May 3, 2024 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 2 | 0 | D |
| 2025 | 11 | 1 | G ▲ |
| 2026 | 8 | 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)
1 fine totaling $11,297.
| Date | Type | Amount / length |
|---|---|---|
| Jan 23, 2025 | Fine | $11,297 |
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) | 3.87 | 4.03 | 3.95 | top 38% in Idaho; top 45% in the U.S. |
| Registered Nurse hours | 0.89 | 0.87 | 0.69 | top 38% in Idaho; top 21% in the U.S. |
| Weekend total nurse staffing | 3.39 | 3.48 | 3.50 | top 35% in Idaho; top 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.64 | 0.56 | 0.48 | top 28% in Idaho; top 20% in the U.S. |
| Total nursing staff turnover (%) | 63.4 | 50.3 | 45.8 | bottom 16% in Idaho; bottom 12% in the U.S. |
| RN turnover (%) | 72.7 | 41.0 | 42.9 | bottom 4% in Idaho; bottom 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 4.25, RN 0.98, weekend 3.73. 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: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bell, Troy | Individual | Direct Ownership Interest | NOT APPLICABLE | 10/01/2017 |
| DJT Rehab Property, LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/01/2017 |
| Madison Co Memorial Hospital | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/01/2017 |
| Tanabell Health Services, INC. | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/01/2017 |
| Thueson, David | Individual | Direct Ownership Interest | NOT APPLICABLE | 10/01/2017 |
| Thueson, Jenelle | Individual | Direct Ownership Interest | NOT APPLICABLE | 10/01/2017 |
| Bell, Jamie | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2017 |
| Bell, Jamie | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2017 |
| Bell, Treyton | Individual | ADP of the SNF | NOT APPLICABLE | 02/10/2020 |
| Bell, Troy | Individual | Corporate Director | NOT APPLICABLE | 10/01/2017 |
| Bell, Troy | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2017 |
| Clark, Jack | Individual | ADP of the SNF | NOT APPLICABLE | 02/10/2020 |
| DJT Rehab Property, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2017 |
| DJT Rehab Property, LLC | Organization | General Partnership Interest | NOT APPLICABLE | 10/01/2017 |
| DJT Rehab Property, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2017 |
| Madison Co Memorial Hospital | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2017 |
| Madison Co Memorial Hospital | Organization | General Partnership Interest | NOT APPLICABLE | 10/01/2017 |
| Madison Co Memorial Hospital | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2017 |
| Tanabell Health Services, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2017 |
| Tanabell Health Services, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 03/19/2025 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "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 |
|---|---|---|---|---|---|
| Temple View Transitional Care Center | 1.2 mi | Rexburg, ID | ★★★☆☆ | 2/5 |
Compare this facility with the 1 closest →
Facility data as of CMS processing date 2026-08-01. CCN 135140.