Nursing Home Alerts

Discovery Rehabilitation and Living

600 Shanafelt Street, Salmon, ID 83467

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Discovery Rehabilitation and Living is a nursing home in Salmon, Idaho. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(208) 756-8391
Last standard health inspection
December 3, 2025 (11 months ago)
Certified beds
45
Residents per day, on average
29.1
Ownership type
For profit - Corporation
Legal business name
Sawtooth Healthcare INC
Chain
The Ensign Group
Takes part in
Medicare and Medicaid

More health citations than the Idaho average (36 vs 27).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Staffing

      Total nurse staffing reported to CMS went from 4.3 to 3.7 hours per resident per day.

  2. CMS update of October 8, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5.

  3. CMS update of July 29, 2026

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 4 of 5.

  4. CMS update of April 29, 2026

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 3 of 5.

  5. CMS update of January 14, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5.

  6. 6 citations

    Health inspection on December 3, 2025

    CMS lists this as a standard inspection.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on December 19, 2025.

      CMS has cited this home for F0812 2 times since 2024.

    • Citation F0655. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      CMS lists it as corrected on December 19, 2025.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on December 19, 2025.

      CMS has cited this home for F0695 3 times since 2023.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on December 19, 2025.

      CMS has cited this home for F0761 2 times since 2024.

    • Citation F0814. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Dispose of garbage and refuse properly.

      CMS lists it as corrected on December 19, 2025.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on December 19, 2025.

      CMS has cited this home for F0880 3 times since 2023.

    See this home on CMS Care Compare

  7. 2 citations

    Fire safety inspection on December 3, 2025

    CMS lists this as a standard inspection.

    • Citation K0291. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install emergency lighting that can last at least 1 1/2 hours.

      CMS lists it as corrected on September 18, 2026.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on September 18, 2026.

    See this home on CMS Care Compare

  8. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

  9. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.

  10. CMS update of October 30, 2024

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 4 of 5.

  11. 13 citations

    Health inspection on September 13, 2024

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on October 18, 2024.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on October 18, 2024.

    • Citation F0695. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on October 18, 2024.

    • Citation F0804. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on October 18, 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on October 18, 2024.

    • Citation F0622. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

      CMS lists it as corrected on October 18, 2024.

    • Citation F0625. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

      CMS lists it as corrected on October 18, 2024.

    • Citation F0636. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

      CMS lists it as corrected on October 18, 2024.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on October 18, 2024.

      CMS has cited this home for F0657 2 times since 2023.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on October 18, 2024.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on October 18, 2024.

    • Citation F0919. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that a working call system is available in each resident's bathroom and bathing area.

      CMS lists it as corrected on October 18, 2024.

    • Citation F0921. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

      CMS lists it as corrected on October 18, 2024.

    See this home on CMS Care Compare

  12. 4 citations

    Fire safety inspection on September 13, 2024

    CMS lists this as a standard inspection.

    • Citation E0039. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on January 5, 2024.

    • Citation K0345. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on January 5, 2024.

    • Citation E0030. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: List the names and contact information of those in the facility.

      CMS lists it as corrected on January 5, 2024.

    • Citation E0031. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide emergency officials' contact information.

      CMS lists it as corrected on January 5, 2024.

    See this home on CMS Care Compare

  13. CMS update of July 31, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  14. CMS update of April 25, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  15. CMS update of December 21, 2023

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 2 of 5.

  16. 17 citations

    Health inspection on August 24, 2023

    CMS lists this as a standard inspection.

    • Citation F0802. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

      CMS lists it as corrected on September 28, 2023.

    • Citation F0578. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

      CMS lists it as corrected on September 28, 2023.

    • Citation F0759. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on September 28, 2023.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on September 28, 2023.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on September 28, 2023.

    • Citation F0637. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assess the resident when there is a significant change in condition

      CMS lists it as corrected on September 28, 2023.

    • Citation F0644. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      CMS lists it as corrected on September 28, 2023.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on September 28, 2023.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on September 28, 2023.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on September 28, 2023.

    • Citation F0693. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

      CMS lists it as corrected on September 28, 2023.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on September 28, 2023.

    • Citation F0732. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Post nurse staffing information every day.

      CMS lists it as corrected on September 28, 2023.

    • Citation F0757. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.

      CMS lists it as corrected on September 28, 2023.

    • Citation F0801. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

      CMS lists it as corrected on September 28, 2023.

    • Citation F0849. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

      CMS lists it as corrected on September 28, 2023.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on September 28, 2023.

    See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Discovery Rehabilitation and Living last inspected?

CMS lists December 3, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Discovery Rehabilitation and Living have?

CMS lists 36 health citations since August 24, 2023. CMS also calls these deficiencies.

Has Discovery Rehabilitation and Living been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Discovery Rehabilitation and Living?

Its CMS overall star rating is 4 of 5.

Is Discovery Rehabilitation and Living a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.