Inspection Report Summary
The most recent inspection on November 20, 2025, identified deficiencies related to medication refrigerator temperature monitoring and kitchen compliance with Idaho Food Code standards. Earlier inspections showed recurring issues with fire and life safety documentation, fire suppression system maintenance, and emergency drill requirements, as well as nursing assessment documentation and policy completeness. Inspectors cited main themes including fire safety system documentation, medication management, and nursing care documentation. Complaint investigations were conducted, with one substantiated case involving incomplete nursing assessments and service agreement updates; other complaints were not clearly substantiated. The inspection history shows ongoing challenges with regulatory compliance, particularly in fire safety and medication management, with no clear pattern of overall improvement.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
6.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
14% better than Idaho average
Idaho average: 7.9 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Follow-Up
Deficiencies: 2
Date: Nov 20, 2025
Visit Reason
The inspection was conducted as a follow-up health care licensure visit to verify compliance with prior issues.
Findings
The facility failed to maintain medication refrigerator temperatures within the required range and did not consistently document temperatures. Additionally, the kitchen inspection failed to meet Idaho Food Code standards, requiring a mandatory re-inspection within 10 days.
Deficiencies (2)
Medication refrigerators in buildings #4 and #5 were out of temperature range or not recorded multiple times in September and October 2025.
Kitchen inspection failed to meet Idaho Food Code standards on 11/19/2025, requiring mandatory re-inspection within 10 days.
Report Facts
Out of range or not recorded temperature occurrences: 15
Out of range or not recorded temperature occurrences: 9
Out of range or not recorded temperature occurrences: 8
Response due date: 12/20/2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jodie Katsilometes | Administrator | Named as facility administrator during inspection |
| Bradley Perry | Survey Team Leader | Led the health care licensure and follow-up survey |
Inspection Report
Life Safety
Deficiencies: 4
Date: Sep 11, 2024
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey to assess compliance with fire and life safety standards for the facility.
Findings
The facility had multiple previously cited deficiencies related to fire alarm documentation, maintenance of fire suppression systems, and semi-annual inspection/testing of waterflow alarm devices. Additionally, the facility failed to conduct two required night fire/evacuation drills within the 12-month survey cycle.
Deficiencies (4)
Fire alarm reports did not indicate location of devices tested, contrary to NFPA 72 requirements.
Fire suppression systems in Building #2 and Building #5 only had 4 of the 6 required spare sprinkler heads, not maintained per NFPA 25.
No documentation for semi-annual inspection/testing of waterflow alarm devices for Building #5.
Failed to conduct two night fire/evacuation drills within a 12-month period as required.
Report Facts
Number of buildings: 5
Required fire drills per year: 6
Required night fire drills: 2
Missing spare sprinkler heads: 2
Failed night drills: 2
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jul 10, 2024
Visit Reason
The inspection was conducted as a health care complaint investigation to assess compliance with nursing assessments and service agreement updates.
Complaint Details
The visit was triggered by a health care complaint investigation. Substantiation status is not stated.
Findings
The facility nurse failed to complete initial nursing assessments for all residents and did not update Negotiated Service Agreements to reflect significant changes in a resident's health status.
Deficiencies (2)
The facility nurse did not complete initial nursing assessments for all residents, including Residents #1, 3, and 4.
Negotiated Service Agreements were not updated to reflect significant changes in Resident #3's health status, including use of CPAP, dialysis fistula, central arterial port, and a wound.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jodie Katsilometes | Administrator | Mentioned in relation to nursing assessment deficiencies. |
| Michael Oldfield | Survey Team Leader | Led the health care complaint investigation survey. |
Inspection Report
Life Safety
Deficiencies: 12
Date: Oct 11, 2023
Visit Reason
The inspection was conducted for fire life safety and sanitation licensure at Elegant Residential Living.
Findings
Multiple deficiencies were found related to fire and life safety standards, including missing documentation for fire suppression inspections, incomplete fire alarm reports, lack of attic protection, missing fire suppression spare pendant, failure to document required tests and inspections for fire safety systems, and prohibited electrical installations such as extension cords and multiple plug adapters.
Deficiencies (12)
No documentation for fire suppression inspections of buildings 1-4.
Fire alarm reports did not indicate the location of all devices tested.
Documentation of buildings 1-4 does not demonstrate attics are provided with protection.
Building 2 missing one fire suppression spare pendant.
No documented full trip for building 5 in accordance with NFPA 25.
Building 5 missing full drop test for rolling fire shutter conducted annually.
No documentation of the inspection and testing for the UL 300 fire suppression system at least every 6 months.
Both smoke barrier door systems of Building 5 would not fully close; North side, one full leaf would not close; South side, gap of 12 inches.
No documentation of semi-annual waterflow alarm testing for Building 5's full 13 system.
Extension cords and multiple plug adapters are prohibited: Bldg 2 had a plug adapter for refrigerator in room 14; Building 3 using 3-1 multiple plug adapter in room 10.
Building 4, room 6 using Relocatable Power Tap (RPT) to supply power to the lift bed.
RPT's are prohibited with the use of appliances: Bldg 1 using RPT to supply power to a coffee maker; Bldg 3 room 10 using RPT to supply power to a coffee maker.
Inspection Report
Follow-Up
Deficiencies: 2
Date: Mar 29, 2023
Visit Reason
The inspection was conducted as a health care licensure and follow-up survey to verify compliance with regulatory requirements.
Findings
The facility's abuse/neglect/exploitation policy was found to be incomplete, missing required elements such as definitions and procedures. Additionally, toxic chemicals were stored in an unlocked area accessible to cognitively impaired residents on multiple occasions.
Deficiencies (2)
The facility's abuse/neglect/exploitation policy did not include all required elements such as specific definitions, education procedures, emergency contact information, documentation processes, and privacy measures.
Toxic chemicals were stored in an unlocked area accessible to cognitively impaired residents, including Clorox cleaner, Easy-off, Comet cleanser, Lysol spray, Raid bug spray, and Clorox spray under kitchen sinks.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jodie Katsilometes | Administrator | Named as facility administrator in relation to policy deficiencies. |
| Teresa McClenathan | Survey Team Leader | Led the health care licensure and follow-up survey. |
Inspection Report
Life Safety
Deficiencies: 2
Date: Jul 26, 2022
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey for Elegant Residential Living.
Findings
The facility did not maintain compliance with the 2018 edition of NFPA 101 Life Safety Code, specifically regarding smoke detector sensitivity testing and the lack of safety barriers on natural gas fireplaces in buildings #1 through #4.
Deficiencies (2)
One smoke detector in building two was replaced on May 22, 2021, but the facility could not produce documentation showing sensitivity testing was performed one year after installation.
Each building (#1 - #4) had a natural gas fireplace in the living area without a safety barrier.
Inspection Report
Life Safety
Deficiencies: 8
Date: Apr 5, 2021
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey for Elegant Residential Living facility.
Findings
Multiple deficiencies were found including lack of documentation for sprinkler system inspections, missing inservice training for residents and staff on emergency plans, non-single operational locks on doors leading to egress paths, blocked access to risers, prohibited use of relocatable power taps for oxygen concentrators and appliances, and unsecured oxygen cylinders in storage areas.
Deficiencies (8)
No documentation for monthly and weekly control valve and wet system riser inspections for Buildings 1 through 4.
No documented inservice training for residents on emergency plan roles and responsibilities.
No documented bi-monthly or annual staff training and review of the emergency plan.
Non-single operational locks on doors from closets and ancillary spaces leading to means of egress.
Riser in Building 2 blocked from access by four wheelchairs.
Oxygen concentrator plugged into relocatable power tap in Building 2, room 8 (corrected on site).
Mini-fridge and microwave plugged into relocatable power tap in Building 2, room 2 (corrected on site).
Unsecured oxygen cylinders in wheelchair storage in Building 1 and furnace room in Building 4 (repeat).
Report Facts
Number of wheelchairs blocking riser access: 4
Number of unsecured oxygen cylinders: 3
Number of unsecured oxygen cylinders: 3
Inspection Report
Original Licensing
Deficiencies: 2
Date: Mar 10, 2021
Visit Reason
The inspection was conducted as an initial licensure survey combined with a complaint investigation.
Complaint Details
The visit included a complaint investigation component as indicated by the survey type.
Findings
Two deficiencies were identified: one staff member required a criminal history background check but had a pending check and was working unsupervised, and surveyors and outside agency personnel were not screened according to CDC COVID-19 guidelines upon entering facility buildings on multiple occasions.
Deficiencies (2)
One of ten staff who required criminal history background check had a pending background check and was observed working unsupervised throughout the survey.
Surveyors and outside agency were not screened according to CDC guidelines for signs and symptoms of COVID-19 virus upon entering facility buildings on multiple dates.
Report Facts
Staff requiring background check: 10
Pending background check: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jodie Katsilometes | Administrator | Named as facility administrator |
| Melvin Lu | Survey Team Leader | Named as survey team leader conducting the inspection |
Viewing
Loading inspection reports...
