Boundary County Nursing Home
6640 Kaniksu Street, Bonners Ferry, ID 83805 · Boundary County · (208) 267-3141
20 certified beds, about 18 residents a day · For profit - Individual · Medicare and Medicaid since 1967
Inside a hospital Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 135004 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 1, 2026, inspectors cited 14 health deficiencies (the Idaho average is 10.3, the national average 9.2).
None of its 26 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.74 hours per resident per day, against 4.04 across Idaho and 3.86 nationally. Registered nurses accounted for 2.25 of those hours.
41.4% of nursing staff left within the year CMS measured (Idaho average 50.3%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1007/23
209/24
1405/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 26 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
16D
8E
2F
Potential for minimal harm
0A
0B
0C
May 1, 2026Standard inspection · 14 citations
- E 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.
Inspectors wroteBased on record review, policy review, and staff interview, it was determined the facility failed to ensure residents received restorative services as ordered. This was true for 2 of 3 residents (#17 and #18) reviewed for limited range of motion who did not receive restorative services as ordered. It was also determined the facility failed to assess the need for restorative services for 1 of 3 residents (Resident #19) whose records were reviewed for limited range of motion. These failures created the potential for decline in residents' range of motion.
- E Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure residents were comprehensively assessed for a history of trauma, including identification of trauma related triggers. This was true for 3 of 3 residents (#7, 17, and 18) whose records were reviewed for trauma informed care. This failure created the potential for psychosocial harm related to re traumatization.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on record review, observation, facility policy, and staff interview, it was determined the facility failed to ensure residents were free from medication error rates greater than 5%. This failure had the potential to affect all residents who receive medications in the facility by increasing the risk of adverse health outcomes.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, it was determined the facility failed to ensure a food service employee wore a properly positioned hair restraint while preparing and handling resident food, as required by FDA Food Code SS2 501.11 and 2 402.11. This failure had the potential to result in hair contamination of residents' meals who consume food provided by the facility.
- E Have a plan that describes the process for conducting QAPI and QAA activities.
Inspectors wroteBased on record review, policy review, and staff interview, it was determined the facility failed to ensure the Quality Assurance and Performance Improvement (QAPI) Committee effectively identified, monitored, and corrected ongoing systemic issues related to the Restorative Nursing Program. This failure resulted in continued inability to meet the facility's established benchmark for restorative service (RA) completion and documentation across multiple consecutive quarters from 2024 through 2026. These findings demonstrate the QAPI Committee did not ensure the implementation of effective corrective actions or sustained performance improvement as required.
- D 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.
Inspectors wroteBased on the State Operations Manual (SOM), record review, and staff interview, it was determined the facility failed to ensure a copy of a resident's advance directive was maintained in the medical record. This was true for 1 of 2 residents (Resident #12) whose records were reviewed for advance directives. This failure created the potential for an adverse outcome if Resident #12 became unable to communicate treatment preferences and those preferences were not available to guide care.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to notify the Ombudsman of a resident's discharge. This was true for 1 of 1 residents (Resident # 23) whose record was reviewed for discharge documentation. This failure created the potential for adverse outcomes including the need for an advocate when the Ombudsman was not notified of Resident #23's discharge.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure the comprehensive, person centered care plan was revised to reflect accurate and current information for 1 of 8 residents (Resident #7) whose record was reviewed for care planning. This failure created the potential for inaccurate care planning and inconsistent implementation of care.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on Observation, record review, policy review, and staff interview, it was determined the facility failed to store the nebulizer mouthpiece appropriately and failed to change CPAP tubing. This was true for 1 of 1 residents (Resident #2) whose CPAP and nebulizer supplies were observed. This failure placed Resident #2 at risk of respiratory infection due to growth of pathogens (Organism that cause illnesses) in the respiratory equipment.
- D 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.
Inspectors wroteBased on record review, policy review, and staff interview, it was determined the facility failed to ensure staff with the appropriate competencies directed the care and oversight of the Restorative Nursing Program. This was true for 1 of 1 Restorative Nurse whose personnel record was reviewed for required competencies. This failure placed residents at risk for unmet or undetected restorative needs due to the absence of qualified assessments and oversight.
- D Post nurse staffing information every day.
Inspectors wroteBased on observation, SOM, and staff interview, it was determined the facility failed to ensure the required daily staffing information was posted in a manner that informed residents, visitors, and resident representatives of the staff available to meet resident needs. This failure had the potential to affect all residents who receive services in the facility by limiting access to accurate staffing information.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on review of the SOM, record review, and staff interview, it was determined the facility failed to ensure residents were free from duplicate medication orders. This was true for 2 of 5 residents (#10 and #12) whose records were reviewed for unnecessary medications. This failure placed Resident #10 and Resident #12 at risk for psychosocial harm if they did not receive the least invasive treatment first.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on review of McGeer's Criteria Surveillance for Infection, record review, and staff interviews, it was determined the facility failed to ensure antibiotic stewardship was implemented and residents had appropriate clinical indications for the use of antibiotics. This was true for 1 of 1 resident (Resident #10) whose record was reviewed for antibiotic use. This deficient practice created the potential for Resident #10 to receive unnecessary treatment for a suspected urinary tract infection and/or develop multi-drug-resistant organism.
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure Certified Nursing Assistants (CNAs) received a minimum of twelve (12) hours of annual in service training as required. This was true for 1 of 3 CNAs (CNA #1) reviewed for annual competency requirements. This deficient practice had the potential to affect all residents receiving care from CNAs, as inadequate training places residents at risk for harm due to staff not being fully prepared to safely provide required services.
September 13, 2024Standard inspection, Complaint inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, policy review, review of the Idaho Food Code, and staff interview, it was determined the facility failed to appropriately store, prepare, distribute, and serve food in accordance with professional standards for food service safety. This deficient practice had the potential to affect 18 of 18 residents who received meals prepared in the facility's kitchen and placed residents at risk for potential contamination, use of spoiled foods, and adverse health outcomes including contracting food-borne illnesses.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review, review of the State Survey Agency's Long-Term Care Reporting Portal, and staff interview, it was determined the facility failed to ensure residents were safe from abuse. This was true for 1 of 18 residents (Resident #15) whose records were reviewed for abuse. This failure placed all residents at risk of abuse and physical and psychosocial harm.
July 28, 2023Standard inspection · 10 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, policy review, and staff interview, it was determined the facility failed to provide safe and sanitary food handling and distribution of food for the residents who received dietary services from the facility's kitchen and had the potential to affect all 19 residents currently in the facility. This failed practice had the potential to expose residents to food borne illness.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review, policy review, and staff interview, it was determined the facility failed to ensure residents' care plans were revised and updated as needed. This was true for 5 of 9 residents (#6, #8, #12, #13, and #18) whose care plans were reviewed. This created the potential for harm if care and/or services were not provided appropriately due to inaccurate information in the care plan.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, policy review, and staff interview, it was determined the facility failed to ensure resident care was provided in accordance with professional standards of care when neurological checks were not completed, and skin treatment was not provided as ordered. This was true for 2 of 9 residents (#8 and #13) reviewed for quality of care. These failures also placed residents at risk for worsening of their condition and status.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review, policy review, and staff interview, it was determined the facility failed to ensure residents were offered the pneumococcal vaccine PCV20 and honored the opportunity to share decision-making with their physician. This was true for 5 of 5 residents (#1, #6. #7, #8, and #18) reviewed for immunizations. This failure placed residents at risk of severe illness or death should they contract pneumococcal (bacterial) pneumonia.
- D 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.
Inspectors wroteBased on record review, review of facility policy, and staff interview, it was determined the facility failed to ensure residents exercised their right to formulate an Advance Directive. This was true for 1 of 12 residents (Resident #12) whose records were reviewed. This failed practice created the potential for an adverse outcome if the resident's wishes were not followed.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on record review, resident interview, and staff interview, it was determined the facility failed to ensure a resident's pain was effectively managed. This was true for 1 of 3 residents (Resident #18) reviewed for pain management. This failure placed the resident at risk of ADL decline related to unrelieved pain, and not being offered effective pain management.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure residents were monitored for potential adverse side effects, response to treatment, and offered non-pharmacological interventions while receiving opioid pain medications. This was true for 2 of 9 residents (#4 and #6) reviewed for unnecessary medications. This failure created the potential for residents to experience adverse reactions and increased pain.
- D 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.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure potential side effects of psychotropic medications were routinely monitored for 4 of 9 residents (#1, #4, #6, and #16) reviewed for unnecessary medications. This created the potential for residents to experience adverse reactions from unnecessary psychotropic medications.
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on policy review, record review, and resident and staff interview, it was determined the facility failed to honor one resident's food preference request. This was true for 1 of 1 resident (Resident #8) reviewed for food preferences. This failure put Resident #18 at risk if she experienced hunger or weight changes related to not having meals provided according to her needs or preference.
- D Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on record review, staff interview, and Centers for Medicare and Medicaid (CMS) policy manual review, it was determined the facility failed to accurately submit direct care staffing information based on the payroll data to CMS.
Fire safety inspections
4 fire safety citations on file: 1 on May 1, 2026, 3 on July 28, 2023.
Every fire safety citation4 citations
- F Have simulated fire drills held at unexpected times.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Have properly installed electrical wiring and gas equipment.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Idaho | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.74 | 4.04 | 3.86 |
| Registered nurses | 2.25 | 0.86 | 0.69 |
| All nursing staff on weekends | 4.85 | 3.49 | 3.42 |
| Nurse aides | 2.98 | ||
| Licensed practical nurses | 0.52 | ||
| Nursing staff turnover (share who left in a year) | 41.4% | 50.3% | 45.8% |
| Registered nurse turnover | 22.2% | 40.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.08 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 6.10 on weekdays and 4.85 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.76 in April to June 2025 to 5.74 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.74 | 2.25 | 6.10 | 4.85 | 11.2% | 0 of 90 | 18 |
| Oct to Dec 2025 | 5.75 | 2.24 | 6.06 | 4.97 | 11.5% | 0 of 92 | 18 |
| Jul to Sep 2025 | 5.87 | 1.74 | 6.22 | 4.98 | 12.3% | 0 of 92 | 17 |
| Apr to Jun 2025 | 5.76 | 1.70 | 6.07 | 4.96 | 9.7% | 0 of 91 | 17 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Idaho, Jan to Mar 2026 | 3.90 | 0.80 | 4.11 | 3.37 | 4.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Idaho | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.4 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 10.9 | 1.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.6 | 3.0 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.1 | 16.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.3 | 3.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.9 | 20.1 | 15.4 |
Owners and operators
Legal business name: BOUNDARY COMMUNITY HOSPITAL.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Boundary County | 5% or greater direct ownership interest | Organization | 100% | 01/01/1966 |
| Botkin, Gregory | Indirect ownership interest | Individual | 01/01/2001 | |
| Corsi, Tami | Corporate director | Individual | 07/30/2015 | |
| Bennett, April | Corporate officer | Individual | 06/06/2022 | |
| Smithson, Melinda | Corporate officer | Individual | 02/21/2022 | |
| Boundary Community Hospital | Operational/managerial control | Organization | 01/01/1966 | |
| Botkin, Gregory | Operational/managerial control | Individual | 01/01/2001 | |
| Boundary Community Hospital | Trustee of the SNF | Organization | 01/01/1966 | |
| Hazdovac, Paul | Trustee of the SNF | Individual | 01/01/2010 | |
| Koon, Elden | Trustee of the SNF | Individual | 01/01/2001 | |
| Boundary Community Hospital | Adp of the SNF | Organization | 12/04/2024 | |
| Boundary County | Adp of the SNF | Organization | 12/04/2024 | |
| Bennett, April | Adp of the SNF | Individual | 06/06/2022 | |
| Botkin, Gregory | Adp of the SNF | Individual | 01/01/2001 | |
| Corsi, Tami | Adp of the SNF | Individual | 07/30/2015 | |
| Smithson, Melinda | Adp of the SNF | Individual | 02/21/2022 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on May 1, 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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on May 1, 2026: "Ensure medication error rates are not 5 percent or greater."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on May 1, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on May 1, 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."
Idaho contacts for a concern about a nursing home
These are the official offices in Idaho. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Idaho Department of Health and Welfare, Bureau of Facility Standards, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Idaho Long-Term Care Ombudsman Program, Idaho Commission on Aging, (877) 471-2777. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Boundary County Nursing Home's Medicare star rating?
- CMS rates Boundary County Nursing Home 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Boundary County Nursing Home get at its last inspection?
- 14 health deficiencies at the standard inspection on May 1, 2026. The Idaho average is 10.3.
- Has Boundary County Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Boundary County Nursing Home accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Boundary County Nursing Home?
- CMS lists 16 owners and managers. Legal business name: BOUNDARY COMMUNITY HOSPITAL.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.