Inspection Reports for Country Living Retirement Homes
1200 E 6th S St, Mountain Home, ID 83647, United States, ID, 83647
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 21, 2024, found deficiencies related to the facility’s failure to maintain UL listed hood ventilation systems according to NFPA 96 standards, with gaps allowing grease vapors to bypass filtration. Earlier inspections showed similar issues with fire and life safety compliance, including missing documentation for fire suppression and sprinkler system tests, malfunctioning self-closing doors, and incomplete emergency drills. Prior complaint investigations noted deficiencies in discharge notice procedures and facility cleanliness. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility’s inspection history shows recurring maintenance and documentation issues without a clear pattern of improvement or worsening.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
62% better than Idaho average
Idaho average: 7.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Life Safety
Deficiencies: 1
Date: Oct 21, 2024
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey of the facility.
Findings
The facility failed to maintain UL listed hood ventilation systems in accordance with NFPA 96, with observed gaps between the filter panels and the hood assembly allowing grease laden vapors to bypass filtration.
Deficiencies (1)
Facility failed to maintain UL listed hood ventilation systems in accordance with NFPA 96, with gaps of two inches on the left side and four inches on the right side between filter panels and hood assembly allowing grease laden vapors to bypass filtration.
Report Facts
Gap size: 2
Gap size: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeremy Wilson | Survey Team Leader | Named as Survey Team Leader for the fire life safety and sanitation licensure survey |
| Tami Nichols | Administrator | Named as Administrator of the facility |
Inspection Report
Life Safety
Deficiencies: 6
Date: Oct 19, 2022
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey to assess compliance with fire and life safety standards and emergency action requirements.
Findings
The facility failed to maintain compliance with the 2018 edition of NFPA 101 Life Safety Code, including missing documentation for fire suppression system tests and sprinkler inspections, and several self-closing doors not functioning properly. Additionally, the facility did not perform the required bimonthly emergency egress and relocation drills, having only conducted five drills over the past year.
Deficiencies (6)
Facility could not produce documentation for a 3-year full-trip test of the dry suppression system.
Documentation for a second quarter sprinkler inspection could not be produced at the time of survey.
Clean linen storage room door was not self-closing as required.
Double smoke compartment doors between corridors 4 and 5 would not self-close due to door catching on the floor.
Laundry room self-closing door did not close and latch when released from magnetic hold open device.
Facility failed to perform emergency egress and relocation drills bimonthly as required, with only five drills performed in the past year.
Report Facts
Number of emergency drills performed: 5
Required number of emergency drills: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tami Nichols | Administrator | Named as facility administrator |
| Linda Chaney | Survey Team Leader | Named as survey team leader conducting the inspection |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: May 28, 2021
Visit Reason
The inspection was conducted as a health care licensure and follow-up visit combined with a complaint investigation.
Complaint Details
The visit was complaint-related and included follow-up; substantiation status is not stated.
Findings
The facility failed to provide proper written notice of discharge for Resident #8, lacking required appeal and resource information. Additionally, the facility was not maintained in a clean, safe, and orderly manner, with multiple rooms and common areas showing cleanliness and maintenance deficiencies.
Deficiencies (2)
The facility's written notice of discharge for Resident #8 did not include required information such as the right to appeal and contact details for the ombudsman and Disability Rights Idaho.
The facility was not maintained in a clean, safe and orderly manner, including garbage overflow, spills, dust, debris, stains, dead flies, and stained carpets.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tami Nichols | Administrator | Named as facility administrator in the report header. |
| Mina Ramirez | Survey Team Leader | Named as survey team leader conducting the inspection. |
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