nursing home in Salmon, ID
Discovery Rehabilitation and Living
600 Shanafelt Street, Salmon, ID 83467 · (208) 756-8391
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Discovery Rehabilitation and Living at a glance
Discovery Rehabilitation and Living is a 45-bed for-profit nursing home in Salmon, Idaho (Lemhi County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Idaho average of 3.2.
Residents receive about 4.3 hours of nursing care per day (1.1 of them from registered nurses), better than the state average of 4 hours.
Its most recent standard health inspection (December 3, 2025) found 6 health citations. The Idaho average is 10.3.
It has not received a federal fine in the past three years.
Nursing staff turnover is 46.7% per year (state average 50.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 45
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- December 4, 1997
- Resident/family council
- Resident
- County
- Lemhi County
- CMS Certification Number
- 135129
Ratings
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4.1 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 4.1 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.30 hrs | 4.04 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.10 hrs | 0.86 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.75 hrs | 2.44 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.65 hrs | 3.49 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 46.7% | 50.3% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 41% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 10 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 6 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 47 | 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 | 45 | 76 | 107 | |
| Average residents per day | 30 | 57 | 86 | |
| Occupancy | 66.9% | 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) | 0% | 3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.3% | 3.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 8.1% | 20.1% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.2% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 7.1% | 15.6% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 17.1% | 16.1% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 11.1% | 5.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 40.2% | 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) | 15.7% | 16.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 36.2% | 22.1% | 19% | Worse |
| 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) | 100% | 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) | 1.9% | 1.8% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 84% | 86.5% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 91.2% | 82% | Better |
Inspection citations
State inspectors cited this home for 36 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 3, 2025 Standard | 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 | F Potential harm, widespread | Corrected December 19, 2025 |
| December 3, 2025 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | D Potential harm, isolated | Corrected December 19, 2025 |
| December 3, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 19, 2025 |
| December 3, 2025 Standard | 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 December 19, 2025 |
| December 3, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected December 19, 2025 |
| December 3, 2025 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected December 19, 2025 |
| September 13, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected January 5, 2024 |
| September 13, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | E Potential harm, pattern | Corrected January 5, 2024 |
| September 13, 2024 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | D Potential harm, isolated | Corrected January 5, 2024 |
| September 13, 2024 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | D Potential harm, isolated | Corrected January 5, 2024 |
| September 13, 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 | F Potential harm, widespread | Corrected October 18, 2024 |
| September 13, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected October 18, 2024 |
| September 13, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected October 18, 2024 |
| September 13, 2024 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected October 18, 2024 |
| September 13, 2024 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected October 18, 2024 |
| September 13, 2024 Complaint | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 13, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 13, 2024 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 October 18, 2024 |
| September 13, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 13, 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 18, 2024 |
| September 13, 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 18, 2024 |
| September 13, 2024 Complaint | 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 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 13, 2024 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected October 18, 2024 |
| August 24, 2023 Standard | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802 | F Potential harm, widespread | Corrected September 28, 2023 |
| August 24, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected September 28, 2023 |
| August 24, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected September 28, 2023 |
| August 24, 2023 Standard | 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. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected September 28, 2023 |
| August 24, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 28, 2023 |
| August 24, 2023 Standard | 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 | D Potential harm, isolated | Corrected September 28, 2023 |
| August 24, 2023 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 September 28, 2023 |
| August 24, 2023 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 September 28, 2023 |
| August 24, 2023 Standard | 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 September 28, 2023 |
| August 24, 2023 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected September 28, 2023 |
| August 24, 2023 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected September 28, 2023 |
| August 24, 2023 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 September 28, 2023 |
| August 24, 2023 Standard | 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 September 28, 2023 |
| August 24, 2023 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected September 28, 2023 |
| August 24, 2023 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | D Potential harm, isolated | Corrected September 28, 2023 |
| August 24, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected September 28, 2023 |
| August 24, 2023 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected September 28, 2023 |
| November 30, 2018 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected November 16, 2018 |
| November 30, 2018 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected November 16, 2018 |
| November 30, 2018 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | D Potential harm, isolated | Corrected November 16, 2018 |
| November 30, 2018 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | D Potential harm, isolated | Corrected November 16, 2018 |
| November 30, 2018 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected November 16, 2018 |
| November 30, 2018 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | D Potential harm, isolated | Corrected November 16, 2018 |
| November 30, 2018 Fire safety | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Tag E0007 | D Potential harm, isolated | Corrected November 16, 2018 |
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 |
|---|---|---|---|
| ALLEN, DANIEL Individual | adp of the snf | NOT APPLICABLE | 07/14/2025 |
| CARETRUST GP LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2012 |
| CARETRUST REIT INC Organization | adp of the snf | NOT APPLICABLE | 08/01/2012 |
| CTR PARTNERSHIP LP Organization | adp of the snf | NOT APPLICABLE | 08/01/2012 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 08/01/2012 |
| LISH, STEVE Individual | adp of the snf | NOT APPLICABLE | 07/14/2025 |
| SALMON RIVER HEALTH HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2012 |
| FARNSWORTH, STEPHEN Individual | corporate director | NOT APPLICABLE | 09/09/2024 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 08/10/2012 |
| HAWKINS, ISAIAH Individual | corporate officer | NOT APPLICABLE | 01/01/2025 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| SATO, AMI Individual | corporate officer | NOT APPLICABLE | 09/09/2024 |
| PORT, BARRY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 07/14/2025 |
| ALLEN, DANIEL Individual | managing control - governing body | NOT APPLICABLE | 10/01/2024 |
| LISH, STEVE Individual | managing control - governing body | NOT APPLICABLE | 08/01/2012 |
| ALLEN, DANIEL Individual | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
| JACKSON THERAPY PARTNERS LLC Organization | operational/managerial control | NOT APPLICABLE | 08/01/2012 |
| LISH, STEVE Individual | operational/managerial control | NOT APPLICABLE | 08/01/2012 |
Frequently asked questions
What is Discovery Rehabilitation and Living's rating?
Discovery Rehabilitation and Living has 4 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 Discovery Rehabilitation and Living receive?
Its most recent standard health inspection found 6 citations, compared with a Idaho average of 10.3. Every citation is listed on this page with its severity.
Does Discovery Rehabilitation and Living 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 Discovery Rehabilitation and Living?
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 Discovery Rehabilitation and Living and how do I contact it?
Discovery Rehabilitation and Living is at 600 Shanafelt Street, Salmon, ID 83467. Phone: (208) 756-8391.
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.