nursing home in Coeur D'alene, ID
Ironwood Rehabilitation and Care Center
2200 Ironwood Place, Coeur D'alene, ID 83814 · (208) 667-6486
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Ironwood Rehabilitation and Care Center at a glance
Ironwood Rehabilitation and Care Center is a 80-bed for-profit nursing home in Coeur D'alene, Idaho (Kootenai County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Idaho average of 3.2.
Residents receive about 3.7 hours of nursing care per day (0.8 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (May 1, 2026) found 14 health citations. The Idaho average is 10.3.
It has not received a federal fine in the past three years.
Nursing staff turnover is 62.2% per year (state average 50.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 80
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- June 15, 1973
- Resident/family council
- Resident
- County
- Kootenai County
- CMS Certification Number
- 135053
Ratings
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 4.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 4.1 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.71 hrs | 4.04 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.79 hrs | 0.86 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.14 hrs | 2.44 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.24 hrs | 3.49 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 62.2% | 50.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 62.5% | 41% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 3 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 14 | 10 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 11 | 6 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 71 | 63.1 | 80.6 | Better |
Penalties
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $13,374 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 80 | 76 | 107 | |
| Average residents per day | 67 | 57 | 86 | |
| Occupancy | 83.9% | 76.3% | 80.9% |
Long-stay residents
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.9% | 3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.5% | 3.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 23.2% | 20.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.5% | 2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 1.2% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 15.5% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 17.6% | 16.1% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.2% | 5.2% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 20.7% | 15.1% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 18.6% | 16.3% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 18.3% | 22.1% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 96.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.5% | 97.3% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.9% | 1.8% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 82.4% | 86.5% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 90.8% | 91.2% | 82% | Better |
Inspection citations
State inspectors cited this home for 37 health deficiencies and 21 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 1, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected May 11, 2026 |
| May 1, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected May 11, 2026 |
| May 1, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected May 11, 2026 |
| May 1, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected May 11, 2026 |
| May 1, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected May 11, 2026 |
| May 1, 2026 Fire safety | Meet other general requirements. Construction Deficiencies · Tag K0100 | D Potential harm, isolated | Corrected May 11, 2026 |
| May 1, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected May 11, 2026 |
| May 1, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected June 4, 2026 |
| May 1, 2026 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected June 4, 2026 |
| May 1, 2026 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected June 4, 2026 |
| May 1, 2026 Complaint | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected June 4, 2026 |
| May 1, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 4, 2026 |
| May 1, 2026 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 4, 2026 |
| May 1, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected June 4, 2026 |
| May 1, 2026 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected June 4, 2026 |
| May 1, 2026 Complaint | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected June 4, 2026 |
| May 1, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 4, 2026 |
| May 1, 2026 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected June 4, 2026 |
| May 1, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 4, 2026 |
| May 1, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 4, 2026 |
| May 1, 2026 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected June 4, 2026 |
| September 26, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected April 30, 2024 |
| September 26, 2024 Complaint | 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. Nutrition and Dietary Deficiencies · Tag F0801 | F Potential harm, widespread | Corrected October 31, 2024 |
| September 26, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected October 31, 2024 |
| September 26, 2024 Complaint | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802 | E Potential harm, pattern | Corrected October 31, 2024 |
| September 26, 2024 Complaint | Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Environmental Deficiencies · Tag F0920 | E Potential harm, pattern | Corrected October 31, 2024 |
| September 26, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected October 31, 2024 |
| September 26, 2024 Complaint | Provide appropriate foot care. Quality of Life and Care Deficiencies · Tag F0687 | D Potential harm, isolated | Corrected October 31, 2024 |
| September 26, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected October 31, 2024 |
| September 26, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected October 31, 2024 |
| September 26, 2024 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected October 31, 2024 |
| September 26, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected October 31, 2024 |
| September 26, 2024 Complaint | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected October 31, 2024 |
| October 22, 2021 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected August 16, 2021 |
| October 22, 2021 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Corrected August 16, 2021 |
| October 22, 2021 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected August 16, 2021 |
| October 22, 2021 Fire safety | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Tag K0232 | F Potential harm, widespread | Corrected August 16, 2021 |
| October 22, 2021 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected August 16, 2021 |
| October 22, 2021 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 16, 2021 |
| October 22, 2021 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 16, 2021 |
| October 22, 2021 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected August 16, 2021 |
| October 22, 2021 Fire safety | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Tag K0754 | F Potential harm, widespread | Corrected August 16, 2021 |
| October 22, 2021 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 16, 2021 |
| October 22, 2021 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected August 16, 2021 |
| October 22, 2021 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected August 16, 2021 |
| October 22, 2021 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected August 16, 2021 |
| October 22, 2021 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected August 16, 2021 |
| October 22, 2021 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected January 17, 2022 |
| October 22, 2021 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected January 17, 2022 |
| October 22, 2021 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected January 17, 2022 |
| October 22, 2021 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected January 17, 2022 |
| October 22, 2021 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected January 17, 2022 |
| October 22, 2021 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected January 17, 2022 |
| October 22, 2021 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected January 17, 2022 |
| October 22, 2021 Standard | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected January 17, 2022 |
| October 22, 2021 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected January 17, 2022 |
| October 22, 2021 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected January 17, 2022 |
| October 22, 2021 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected January 17, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BODILY, BRANDON Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| BRAR, PUSHAPDEEP Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 06/01/2025 |
| FARNSWORTH, STEPHEN Individual | corporate director | NOT APPLICABLE | 09/20/2024 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 09/20/2024 |
| FARNSWORTH, STEPHEN Individual | corporate officer | NOT APPLICABLE | 09/20/2024 |
| HAWKINS, ISAIAH Individual | corporate officer | NOT APPLICABLE | 09/20/2024 |
| PORT, BARRY Individual | corporate officer | NOT APPLICABLE | 07/26/2018 |
| SATO, AMI Individual | corporate officer | NOT APPLICABLE | 09/20/2024 |
| BODILY, BRANDON Individual | managing control - governing body | NOT APPLICABLE | 06/01/2025 |
| BRAR, PUSHAPDEEP Individual | managing control - governing body | NOT APPLICABLE | 06/01/2025 |
| BODILY, BRANDON Individual | operational/managerial control | NOT APPLICABLE | 06/01/2025 |
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★★★★★1Much below averageCoeur D Alene Health of Cascadia
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Frequently asked questions
What is Ironwood Rehabilitation and Care Center's rating?
Ironwood Rehabilitation and Care Center has 2 out of 5 stars on the CMS overall star rating. The average for Idaho nursing homes is 3.2 stars.
How many inspection citations did Ironwood Rehabilitation and Care Center receive?
Its most recent standard health inspection found 14 citations, compared with a Idaho average of 10.3. Every citation is listed on this page with its severity.
Does Ironwood Rehabilitation and Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Ironwood Rehabilitation and Care Center?
It is for profit - corporation and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Ironwood Rehabilitation and Care Center and how do I contact it?
Ironwood Rehabilitation and Care Center is at 2200 Ironwood Place, Coeur D'alene, ID 83814. Phone: (208) 667-6486.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.