Oneida County Hospital & Long Term Care Facility

Name: Oneida County Hospital & Long Term Care Facility
Address: 150 North 200 West, Malad, ID, 83252, US
Telephone: 2087662231

150 North 200 West, Malad, ID 83252 · Oneida County · 33 certified beds · avg 20 residents/day · certified since Aug 1, 1975

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

7.12

Nurse hours/resident/day (adjusted)

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

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

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 (13)

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 13, 2026	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.
May 13, 2026	D · Potential for harm, one-off	The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely.
May 13, 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.
May 13, 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.
May 13, 2026	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
May 13, 2026	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
May 13, 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.
May 13, 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.
Nov 7, 2024	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.
Feb 7, 2020	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.
Feb 7, 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 7, 2020	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.
Feb 7, 2020	D · Potential for 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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 8).

Year	Citations	Worst severity that year
2020	4	E
2024	1	D
2026	8	D

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)	7.12	4.03	3.95	top 5% in Idaho; top 1% in the U.S.
Registered Nurse hours	1.55	0.87	0.69	top 9% in Idaho; top 4% in the U.S.
Weekend total nurse staffing	6.44	3.48	3.50	top 3% in Idaho; top 1% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.76	0.56	0.48	top 20% in Idaho; top 13% in the U.S.
Total nursing staff turnover (%)	26.8	50.3	45.8	top 1% in Idaho; top 9% in the U.S.
RN turnover (%)	0.0	41.0	42.9	top 1% in Idaho; top 1% 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 5.85, RN 1.28, weekend 5.29. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

Government - County

Owner / manager	Type	Role	Stake	Since
County of Oneida	Organization	5% or Greater Direct Ownership Interest	100%	07/01/1999
Bastian, Dan	Individual	Operational/Managerial Control	NOT APPLICABLE	03/20/2024
Bean, Von	Individual	Operational/Managerial Control	NOT APPLICABLE	12/04/2024
Blaisdell, Sharee	Individual	Operational/Managerial Control	NOT APPLICABLE	10/26/2022
County of Oneida	Organization	ADP of the SNF	NOT APPLICABLE	07/01/1999
Daniels, Shellee	Individual	Operational/Managerial Control	NOT APPLICABLE	01/17/2019
Edwards, Karren	Individual	Operational/Managerial Control	NOT APPLICABLE	03/15/2023
Edwards, Karren	Individual	ADP of the SNF	NOT APPLICABLE	03/15/2023
Hannah, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	06/28/2023
Howard, Cindy	Individual	Operational/Managerial Control	NOT APPLICABLE	06/02/1992
Howard, Cindy	Individual	ADP of the SNF	NOT APPLICABLE	06/01/1992
Karn, Krista	Individual	Operational/Managerial Control	NOT APPLICABLE	09/24/2019
Oneida County Hospital	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/1999
Oneida County Hospital	Organization	ADP of the SNF	NOT APPLICABLE	07/10/2025
Pickett, James	Individual	Operational/Managerial Control	NOT APPLICABLE	01/26/2015
Pickett, James	Individual	ADP of the SNF	NOT APPLICABLE	01/26/2015
Williams, John	Individual	Operational/Managerial Control	NOT APPLICABLE	03/22/2013
Williams, John	Individual	ADP of the SNF	NOT APPLICABLE	03/22/2013

Questions to ask on your visit

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

"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"How often do you evaluate your nurse aides and what ongoing training do they receive?"
"Where do you post your daily staffing numbers, and can I see today's?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Franklin County Transitional Care	20.5 mi	Preston, ID	★★★★★	4/5
Maple Springs Senior Living	36.3 mi	North Logan, UT	★★★☆☆	3/5
Rocky Mountain Care - Logan	37.0 mi	Logan, UT	★★★☆☆	2/5
Logan Regional Hospital Transitional Care Unit	37.1 mi	Logan, UT	★★★★★	5/5
Sunshine Terrace Skilled Nursing	37.7 mi	Logan, UT	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Malad →

Facility data as of CMS processing date 2026-08-01. CCN 135062.

The Care File

Visit checklist — Oneida County Hospital & Long Term Care Facility

150 North 200 West, Malad, ID 83252 · 2087662231

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

Questions for the administrator:

☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "How often do you evaluate your nurse aides and what ongoing training do they receive?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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 135062 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)