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BEAR LAKE MEMORIAL SKILLED NURSING FACILITY

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BEAR LAKE MEMORIAL SKILLED NURSING FACILITY is a government - city/county facility in MONTPELIER, ID with 36 certified beds and a 5-star overall CMS rating. The facility has 25 deficiency records on file.

164 SOUTH FIFTH STREET, MONTPELIER, ID 83254

Phone: 2088474441

Overall Rating

5/5

Health Inspection

5/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
135070
Ownership
Government - City/county
Provider Type
Medicare and Medicaid
Beds
36
Residents
28
In Hospital
Yes
County
Bear Lake
Last Inspection
Oct 3, 2024

Staffing Data

RN Hours
1.03 (nat'l avg: 0.68)
LPN Hours
0.72
CNA Hours
2.46
Total Nursing Hours
4.21 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
37.5%
RN Turnover
20.0%

What the CMS Record Reveals About BEAR LAKE MEMORIAL SKILLED NURSING FACILITY

BEAR LAKE MEMORIAL SKILLED NURSING FACILITY operates 36 certified beds in MONTPELIER, ID with approximately 28 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (4★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 25 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.21 total nursing hours per resident day (national average 3.89), with RN coverage at 1.03 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Government - City/county" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, BEAR LAKE MEMORIAL SKILLED NURSING FACILITY falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 37.5%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (25 most recent)

D — Isolated - Minimal harm Oct 3, 2024 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Oct 23, 2024

D — Isolated - Minimal harm Oct 3, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Oct 23, 2024

E — Pattern - Minimal harm Jun 20, 2019 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 31, 2019

G — Isolated - Actual harm Jun 20, 2019 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 31, 2019

E — Pattern - Minimal harm Jun 20, 2019 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 31, 2019

D — Isolated - Minimal harm Jun 20, 2019 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 31, 2019

D — Isolated - Minimal harm Jun 20, 2019 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 31, 2019

D — Isolated - Minimal harm Jun 20, 2019 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Jul 31, 2019

D — Isolated - Minimal harm Jun 20, 2019 Tag: 0568

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Category: Resident Rights Deficiencies

Corrected: Jul 31, 2019

E — Pattern - Minimal harm Jan 26, 2018 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Mar 21, 2018

F — Widespread - Minimal harm Jan 26, 2018 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Mar 21, 2018

F — Widespread - Minimal harm Jan 26, 2018 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 21, 2018

F — Widespread - Minimal harm Jan 26, 2018 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: Mar 21, 2018

E — Pattern - Minimal harm Jan 26, 2018 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 21, 2018

D — Isolated - Minimal harm Jan 26, 2018 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 21, 2018

D — Isolated - Minimal harm Jan 26, 2018 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 21, 2018

D — Isolated - Minimal harm Jan 26, 2018 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Mar 21, 2018

D — Isolated - Minimal harm Jan 26, 2018 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Mar 21, 2018

D — Isolated - Minimal harm Jan 26, 2018 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 21, 2018

D — Isolated - Minimal harm Jan 26, 2018 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 21, 2018

G — Isolated - Actual harm Jan 26, 2018 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 21, 2018

D — Isolated - Minimal harm Jan 26, 2018 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 21, 2018

D — Isolated - Minimal harm Jan 26, 2018 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 21, 2018

D — Isolated - Minimal harm Jan 26, 2018 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 21, 2018

G — Isolated - Actual harm Jan 26, 2018 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 21, 2018

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 13.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 5.4% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 2.2% No
Percentage of long-stay residents who were physically restrained Long Stay 2.2% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.2% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 96.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 56.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 17.2% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 21.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 0.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 29.2% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 29.7% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for BEAR LAKE MEMORIAL SKILLED NURSING FACILITY?
BEAR LAKE MEMORIAL SKILLED NURSING FACILITY has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (4★), and quality measures (5★).
What are the staffing levels at BEAR LAKE MEMORIAL SKILLED NURSING FACILITY?
BEAR LAKE MEMORIAL SKILLED NURSING FACILITY reports 4.21 total nursing hours per resident day (national average: 3.89). RN hours are 1.03 per resident day (national average: 0.68). Nursing staff turnover is 37.5%.
How many beds does BEAR LAKE MEMORIAL SKILLED NURSING FACILITY have?
BEAR LAKE MEMORIAL SKILLED NURSING FACILITY has 36 certified beds with approximately 28 residents. The facility is located at 164 SOUTH FIFTH STREET, MONTPELIER, ID 83254.
Does BEAR LAKE MEMORIAL SKILLED NURSING FACILITY have any deficiencies on record?
Yes, BEAR LAKE MEMORIAL SKILLED NURSING FACILITY has 25 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has BEAR LAKE MEMORIAL SKILLED NURSING FACILITY received any fines or penalties?
No, BEAR LAKE MEMORIAL SKILLED NURSING FACILITY has no fines or penalties on record.
Who owns BEAR LAKE MEMORIAL SKILLED NURSING FACILITY?
BEAR LAKE MEMORIAL SKILLED NURSING FACILITY is classified as "Government - City/county" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was BEAR LAKE MEMORIAL SKILLED NURSING FACILITY last inspected?
The most recent health inspection for BEAR LAKE MEMORIAL SKILLED NURSING FACILITY was on Oct 3, 2024. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for BEAR LAKE MEMORIAL SKILLED NURSING FACILITY?
BEAR LAKE MEMORIAL SKILLED NURSING FACILITY is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial