Boundary County Nursing Home
6640 Kaniksu Street, Bonners Ferry, ID 83805
Boundary County Nursing Home, a 20-bed for profit - individual nursing facility in Bonners Ferry, ID, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #20 of 79 rated homes in ID on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 2082673141
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #20 of 79
- In-state rank among rated ID homes
- 5.74
- Well above average · nurse hrs/day · nat'l 3.86
- 26
- Inspection findings
The verdict
Boundary County Nursing Home, a 20-bed for profit - individual nursing facility in Bonners Ferry, ID, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #20 of 79 rated homes in ID on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
- 4 / 5
- CMS overall · national 3.0
- #20 of 79
- In-state rank among rated ID homes
- 5.74
- Nurse hrs/resident-day · national 3.86
- 26
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 80 ID nursing homes split by ownership sector
This facility is recorded as For profit - Individual. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 135004
- Ownership
- For profit - Individual
- Provider Type
- Medicare and Medicaid
- Beds
- 20
- Residents
- 18
- In Hospital
- Yes
- County
- Boundary
- Last Inspection
- May 1, 2026
Staffing Data
How the 5.74 total nursing hours per resident-day are staffed:
- RN Hours
- 2.25 (nat'l avg: 0.69)
- LPN Hours
- 0.52
- CNA Hours
- 2.98
- Total Nursing Hours
- 5.74 (nat'l avg: 3.86)
- PT Hours
- 0.00
- Nursing Turnover
- 41.4%
- RN Turnover
- 22.2%
What the CMS Record Reveals About Boundary County Nursing Home
According to CMS Nursing Home Compare, Boundary County Nursing Home ranks #20 of 79 rated nursing homes in ID on overall stars (tie-broken by health+staffing+quality, then fewer fines). Boundary County Nursing Home operates 20 certified beds in Bonners Ferry, ID with approximately 18 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 5★ · quality 4★).
The inspection file contains 26 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Staffing is reported at 5.74 total nursing hours per resident day (national average 3.86), with RN coverage at 2.25 per resident day.
Classified as "For profit - Individual" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, Boundary County Nursing Home falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 41.4% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.
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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (26 most recent)
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Category: Nursing and Physician Services Deficiencies
Corrected: Jun 12, 2026
Implement a program that monitors antibiotic use.
Category: Infection Control Deficiencies
Corrected: Jun 12, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Jun 12, 2026
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Jun 12, 2026
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Category: Nursing and Physician Services Deficiencies
Corrected: Jun 12, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 12, 2026
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: Jun 12, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Category: Resident Rights Deficiencies
Corrected: Jun 12, 2026
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.
Category: Resident Rights Deficiencies
Corrected: Jun 12, 2026
Have a plan that describes the process for conducting QAPI and QAA activities.
Category: Administration Deficiencies
Corrected: Jun 12, 2026
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: Jun 12, 2026
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Jun 12, 2026
Provide care or services that was trauma informed and/or culturally competent.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 12, 2026
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: Jun 12, 2026
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: Oct 7, 2024
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: Oct 7, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Category: Administration Deficiencies
Corrected: Aug 30, 2023
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: Aug 30, 2023
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: Aug 30, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Aug 30, 2023
Provide safe, appropriate pain management for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 30, 2023
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.
Category: Resident Rights Deficiencies
Corrected: Aug 30, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Aug 30, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 30, 2023
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: Aug 30, 2023
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: Aug 30, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.4% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 10.9% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.6% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.1% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.3% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.9% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 7.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 29.6% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 98.6% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 15.5% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | N/A | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 25.2% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | N/A | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Boundary County Nursing Home, both outside ID so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside ID (20 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside ID (7.16 here).
Nearby Nursing Homes in ID
79 other nursing homes are on record in ID; 6 are shown here.
Advanced Health Care of Coeur d'Alene
Coeur d'Alene, ID
Arbor Valley of Cascadia
Boise, ID
Ashton Memorial Living Center
Ashton, ID
Aspen Park of Cascadia
Moscow, ID
Aspen Transitional Rehabilitation
Meridian, ID
Bear Lake Memorial Skilled Nursing Facility
Montpelier, ID
Understanding Nursing Home Data
What the CMS records show for Boundary County Nursing Home
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The ID registry aggregates state averages and the highest-rated homes in this cohort. View ID registry
- Peer homes near 20 beds show how CMS stars vary at a similar scale in ID. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Boundary County Nursing Home?
Where does Boundary County Nursing Home rank among nursing homes in ID?
What are the staffing levels at Boundary County Nursing Home?
How many beds does Boundary County Nursing Home have?
Does Boundary County Nursing Home have any deficiencies on record?
Has Boundary County Nursing Home received any fines or penalties?
Who owns Boundary County Nursing Home?
When was Boundary County Nursing Home last inspected?
What quality measures are tracked for Boundary County Nursing Home?
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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
