Inspection Reports for The Gables Assisted Living & Memory Care of Caldwell
ID, 83605
Back to Facility ProfileInspection Report Summary
The most recent inspection on November 4, 2025, identified deficiencies related to residents' Negotiated Service Agreements and delegation of wound care responsibilities. Earlier inspections showed a pattern of issues including inadequate fall prevention and notification, incomplete staff background checks and training documentation, and multiple fire and life safety code violations such as prohibited extension cord use and insufficient emergency drills. Complaint investigations substantiated concerns about fall management and notification, as well as wound care delegation, but enforcement actions such as fines or license suspensions were not listed in the available reports. Prior reports noted ongoing challenges with nursing assessments, staff training, and maintaining secure environments for residents at risk of elopement. The facility’s record shows persistent deficiencies over time with no clear trend of improvement or worsening.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
6.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
22% better than Idaho average
Idaho average: 7.9 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Nov 4, 2025
Visit Reason
The inspection was conducted as a health care complaint investigation regarding the adequacy of residents' Negotiated Service Agreements and delegation of wound care responsibilities.
Complaint Details
The visit was triggered by a health care complaint investigation. The administrator confirmed deficiencies related to NSAs and delegation of wound care. Substantiation status is not stated.
Findings
The facility's Negotiated Service Agreements did not clearly reflect residents' needs or describe required services, particularly for residents with pressure injuries. Additionally, the facility nurse failed to delegate wound care responsibilities to unlicensed caregivers as required.
Deficiencies (2)
Residents' Negotiated Service Agreements did not clearly reflect residents' needs nor describe the services to be provided, especially for wound care.
The facility nurse did not delegate unlicensed caregivers on how to care for high level pressure injuries such as stage 3, 4 and unstageable wounds.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paige Portenier | Administrator | Confirmed that NSAs were not specific and that the nurse did not perform delegations. |
| Wendy Cerovski | Survey Team Leader | Led the health care complaint investigation survey. |
Inspection Report
Life Safety
Deficiencies: 4
Date: May 2, 2024
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey at Gables Assisted Living and Memory Care of Caldwell.
Findings
The facility was found to have multiple non-core issues including outdated relocation agreements, prohibited use of extension cords and multi-plug adapters, use of a RPT to supply power to medical devices, and insufficient fire/emergency evacuation drills conducted bi-monthly as required.
Deficiencies (4)
Facility must maintain and update Relocation Agreements on an annual basis; agreements were outdated with two signed in 2021 and four in March 2023.
Use of extension cords and multi-plug adapters is prohibited; observed in Rooms #105 and #115.
Use of a RPT to supply power to medical devices is prohibited; observed in Room #112.
Facility failed to conduct required bi-monthly fire/emergency evacuation drills; only two drills held in 2023 into 2024 with only one at night.
Report Facts
Relocation Agreements: 2
Relocation Agreements: 4
Fire/Evacuation Drills: 6
Fire/Evacuation Drills: 2
Night Drills: 2
Night Drills: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeremy Wilson | Survey Team Leader | Led the fire life safety and sanitation licensure survey |
| Paige Portenier | Administrator | Facility administrator at time of survey |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jan 19, 2024
Visit Reason
The inspection was conducted as a health care complaint investigation regarding the facility's handling of resident falls and notification procedures.
Complaint Details
The investigation was triggered by complaints related to inadequate corrective actions for resident falls and failure to notify the licensing agency timely. The administrator acknowledged awareness of the issues and was working on corrective processes.
Findings
The facility administrator failed to consistently implement adequate corrective actions to prevent resident falls from recurring, and the facility did not notify the Licensing and Certification agency within one business day for multiple resident falls requiring hospital assessment and treatment.
Deficiencies (2)
The facility administrator did not consistently implement corrective actions adequate to prevent residents' falls from recurring.
The facility did not notify Licensing and Certification within one business day of resident falls requiring hospital assessment and treatment.
Report Facts
Resident falls requiring hospital assessment: 4
Sampled residents with inadequate interventions: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paige Portenier | Administrator | Named in findings related to failure to implement corrective actions and failure to notify Licensing and Certification. |
| Megan Rideout | Survey Team Leader | Led the health care complaint investigation survey. |
Inspection Report
Follow-Up
Deficiencies: 4
Date: May 31, 2023
Visit Reason
The inspection was a health care licensure and follow-up survey to assess compliance with previously cited deficiencies and regulatory requirements.
Findings
The facility was found deficient in multiple areas including incomplete criminal history and background checks for employees, failure to implement effective corrective actions to prevent resident falls, inadequate nursing assessments following changes in resident health status, and incomplete documentation of staff training and orientation.
Deficiencies (4)
One of seven employees did not have a Department Criminal History and Background Check completed.
Facility administrator did not implement corrective action to prevent Resident #2 from falling 13 times between 3/16/23 and 5/10/23.
Facility nurse did not conduct nursing assessments when residents experienced changes in physical or mental health status, including failure to assess Resident #1 before and after a bedside x-ray and failure to assess Resident #5 after multiple health incidents.
Two of seven staff files lacked documentation of 16 hours of orientation training; one staff file lacked documentation of dementia training and job-related continued training.
Report Facts
Number of employees reviewed: 7
Number of falls: 13
Dates of health incidents: Resident #1 x-ray on 2/7/23; Resident #5 rash on 3/3/23, hospital return on 4/9/23, skin tear on 5/25/23
Inspection Report
Life Safety
Deficiencies: 7
Date: Aug 16, 2022
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey to assess compliance with fire and life safety codes and related regulations.
Findings
The facility was found non-compliant with several fire and life safety standards including failure to maintain self-closing doors on kitchen and laundry areas, damaged kitchen hood filters, missing specialized wrench for sprinkler maintenance, missed annual fire extinguisher inspections, exposed electrical panel components, prohibited use of extension cords, and failure to conduct required emergency fire drills bimonthly including night drills.
Deficiencies (7)
Failure to review relocation agreements annually; last documented review was July 30, 2021.
Non-compliance with NFPA 101 Life Safety Code: kitchen, laundry, and maintenance doors lacked self-closing devices; damaged kitchen hood filter allowing grease vapors to pass.
Lack of specialized wrench for removal and installation of sprinkler pendants.
Fire extinguishers in maintenance shop/storage and FACP room missed annual inspection; monthly visual inspections not completed from March 2022 through June 2022.
Electrical panels in maintenance shop and housekeeping storage missing blanks, exposing internal components.
Use of prohibited extension cord running through pantry door to power freezer.
Failure to perform required emergency egress and relocation drills bimonthly and at night; no documentation for drills in October, November, or December 2021.
Report Facts
Number of fire extinguishers missed annual inspection: 2
Number of doors without self-closing devices: 3
Number of emergency drills required per year: 6
Number of emergency drills required at night: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Derek Westover | Administrator | Named as facility administrator in report header. |
| Linda Chaney | Survey Team Leader | Named as survey team leader conducting the inspection. |
| Maintenance Director | Current Maintenance Director stated he began documenting monthly fire extinguisher inspections in July 2022. |
Inspection Report
Original Licensing
Deficiencies: 12
Date: Dec 1, 2021
Visit Reason
The inspection was conducted as an initial licensure survey combined with a complaint investigation at Gables Assisted Living and Memory Care of Caldwell.
Complaint Details
The inspection included a complaint investigation component, as indicated by the survey type. Specific complaints involved failure to conduct timely investigations, failure to notify licensing agency of incidents, and inadequate care and supervision leading to resident falls and elopements.
Findings
The facility was found to have multiple deficiencies including failure to complete criminal background checks, expired administrator license, inadequate investigation and corrective actions for resident falls, failure to notify licensing agency of incidents, lack of secure environment for residents at risk of elopement, insufficient nursing assessments, incomplete behavior documentation and plans, inadequate staff training documentation, failure to follow CDC COVID-19 infection control recommendations, and medication technicians administering medications without proper certification.
Deficiencies (12)
One of seven employees did not have a Department Criminal history and background check completed.
Administrator Derek Westover had an expired license as of 10/7/21.
Facility utilized an outside agency caregiver for Resident #6 without arranging services or payment.
Administrator did not conduct investigations within 30 days after multiple resident falls.
Administrator failed to implement corrective actions to prevent recurrence of falls for Residents #5 and #6.
Facility did not notify Licensing and Certification after Resident #2 eloped and after incidents requiring outside treatment.
Facility did not provide a secure environment for residents at risk of elopement, retaining Residents #1 and #2 too long.
Facility nurse did not conduct nursing assessments after changes in residents' health status.
Facility did not evaluate or develop behavior plans for Resident #7's problematic behaviors.
Staff files lacked documentation of orientation and infection control training.
Facility did not follow CDC COVID-19 recommendations; staff improperly wore masks and visitors were not screened.
One of four medication technicians was not certified to administer medications.
Report Facts
Number of employees reviewed for criminal background check: 7
Medication technicians: 4
Mini-mental assessment score: 5
Dates of resident falls and incidents: Multiple dates listed for resident falls and incidents requiring investigation and notification.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Derek Westover | Administrator | Named as the facility's current administrator with an expired license and involved in findings related to investigations and corrective actions. |
| Veronica LeMaster | Survey Team Leader | Named as the survey team leader conducting the inspection. |
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