108 West Owyhee, Homedale, ID 83628 · Owyhee County · (208) 337-3168
58 certified beds, about 52 residents a day · For profit - Corporation · Medicare and Medicaid since 1981
CMS Care Compare ratings, data as of September 1, 2026 · CCN 135087 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 21, 2025, inspectors cited 8 health deficiencies (the Idaho average is 10.3, the national average 9.2).
None of its 13 health citations since June 2019 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 3.98 hours per resident per day, against 4.04 across Idaho and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.
38.8% of nursing staff left within the year CMS measured (Idaho average 50.3%).
CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.
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.
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 13 health citations on file.
Inspectors wroteBased on observation and staff interview, it was determined the facility failed to ensure medications were secure and inaccessible to unauthorized staff and residents and ensure medication were prepared following standards of practice. This was true for 3 of 3 medications carts observed. This failed practice created the potential for harm to a resident if they were to obtain medications which were left unattended and unsecured by staff.
Inspectors wroteBased on observation, staff interview, and record review, and the FDA Food Code, the facility failed to ensure food was maintained at appropriate temperatures, sanitation practices were followed, and expired food was discarded from the dry storage unit. This deficient practice had the potential to affect 55 of 56 residents who consumed food prepared by the facility, creating the potential for adverse outcomes including foodborne illness.
Inspectors wroteBased on observation, glucometer manual review, and staff interview, it was determined the facility failed to ensure infection control prevention practices were maintained to provide a safe and sanitary environment. These failures had the potential to impact all residents in the facility by placing them at risk for cross contamination and infection.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure the Minimum Data Set assessment accurately reflected resident's status. This was true for 3 of 3 residents (Resident #6, #10, and #33) whose MDS assessments were reviewed. This deficient practice had the potential for negative outcomes if the resident was not assessed and/or monitored due to inaccurate assessments.
Inspectors wroteBased on observation, record review, and staff interview, it was determined the facility failed to ensure resident's care plans were revised to reflect current needs and interventions. This was true for 1 of 14 residents (Resident #10) whose care plans were reviewed. This deficient practice created the risk of adverse outcomes if care and services were not provided due to care plans not being revised as resident's needs changed.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure professional standards of practice were followed for 1 of 1 resident (Resident #14) reviewed for bowel and bladder care. This failed practice created the potential for Resident #14 to experience discomfort when her medications were not administered according to the physician's order.
Inspectors wroteBased on observation, record review, and interviews, it was determined the facility failed to provide respiratory services as ordered by the physician. This was true for 1 of 3 residents (Resident #10) whose records were reviewed for respiratory services. This failure created the potential for residents to experience increased fatigue and low oxygen levels.
Inspectors wroteBased on observation, staff interviews, and record review, the facility failed to ensure that the approved menus were followed and updated to reflect actual food served. This failure created the potential to affect the nutritional adequacy and dietary preferences of 55 out of 56 residents who consume meals prepared by the facility.
Inspectors wroteBased on record review, policy review, and resident and staff interview, it was determined the facility failed to ensure a) Residents were provided accurate information regarding Advance Directives upon admission, and if necessary they were assisted to formulate Advance Directives, b) Residents' records included a copy of the Advance Directives, or documentation of their decision not to formulate an Advance Directive, c) Residents' Advance Directives were recognized and honored, and d) The physician's order regarding code status was consistent with the resident's wishes documented in the record. This was true for 4 of 4 residents (#7 #13, #40 and #148) reviewed for Advance Directives. These failures created the potential for harm should residents not have their decisions documented, honored, and respected when they were unable to make or communicate their health care preferences.
Inspectors wroteBased on record review, policy review, and resident, resident representative, and staff interview, it was determined the facility failed to ensure transfer notices were provided in writing to the residents and residents' representatives. This was true for 2 of 2 residents (#13 and #29) reviewed for transfers. This created the potential for harm if residents were not made aware of or able to exercise their rights related to transfers.
Inspectors wroteBased on record review, policy review, and staff interview, it was determined the facility failed to ensure a resident was appropriately assessed by a nurse after it was reported they had a seizure. This was true for 1 of 12 residents (Resident #4) reviewed for quality of care. This failure created the potential for harm should residents experience undetected changes in neurological status related to their disease process.
Inspectors wroteBased on observation, record review, policy review, and staff interview, it was determined the facility failed to ensure fall prevention interventions were consistently implemented following resident falls. This was true for 2 of 2 residents (#4 and #45) reviewed for falls. This failure created the potential for harm should residents experience injuries from falling.
Inspectors wroteBased on observation, policy review, and staff interview, it was determined the facility failed to ensure staff performed appropriate hand hygiene during medication administration. This was true for 1 of 12 residents (Resident #32) reviewed for infection control. This failure placed residents at risk of infection from cross-contamination.
3 fire safety citations on file: 1 on August 21, 2025, 2 on June 7, 2019.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.98 | 4.04 | 3.86 |
| Registered nurses | 0.79 | 0.86 | 0.69 |
| All nursing staff on weekends | 3.21 | 3.49 | 3.42 |
| Nurse aides | 2.45 | ||
| Licensed practical nurses | 0.74 | ||
| Nursing staff turnover (share who left in a year) | 38.8% | 50.3% | 45.8% |
| Registered nurse turnover | 36.4% | 40.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.49 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.30 on weekdays and 3.21 on weekends, 25% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.91 in April to June 2025 to 3.98 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 | 3.98 | 0.79 | 4.30 | 3.21 | 0.0% | 0 of 90 | 52 |
| Oct to Dec 2025 | 3.90 | 0.80 | 4.17 | 3.22 | 0.0% | 0 of 92 | 52 |
| Jul to Sep 2025 | 3.85 | 0.83 | 4.14 | 3.11 | 0.0% | 0 of 92 | 54 |
| Apr to Jun 2025 | 3.91 | 0.82 | 4.23 | 3.12 | 0.0% | 0 of 91 | 52 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Idaho, all employers | |||
| CNAs (nursing assistants) | $18.58 | $17.45 to $22.23 | 7,910 |
| LPNs and LVNs | $30.67 | $28.04 to $35.60 | 1,880 |
| Registered nurses | $44.45 | $38.90 to $49.19 | 16,880 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 11.0 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.6 | 2.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.4 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.2 | 16.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.6 | 3.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.5 | 20.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 12.1 | 17.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.8 | 12.3 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Owyhee Health & Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (55.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
55.1% this home
No different from the national rate
US median of homes 51.5% · Idaho: 18 better, 3 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 88 eligible stays.
11.6% this home
No different from the national rate
US median of homes 10.7% · Idaho: 3 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 93 eligible stays.
8.3% this home
No different from the national rate
US median of homes 7.1% · Idaho: 1 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 58 eligible stays.
48.1% this home
Median of homes: Idaho62.2% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 54 residents counted.
0.0% this home
Median of homes: Idaho0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 65 residents counted.
0.0% this home
Median of homes: Idaho1.1% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 65 residents counted.
100.0% this home
Median of homes: Idaho98.1% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 26 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: HOMEDALE HEALTHCARE INC. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Allen, Daniel | Managing control - governing body | Individual | 02/26/2022 | |
| Condra, Melissa | Managing control - governing body | Individual | 05/01/2017 | |
| Farnsworth, Stephen | Corporate director | Individual | 09/09/2024 | |
| Burnam, Soon | Corporate officer | Individual | 08/01/2012 | |
| Hawkins, Isaiah | Corporate officer | Individual | 01/01/2025 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Sato, Ami | Corporate officer | Individual | 09/09/2024 | |
| Allen, Daniel | Operational/managerial control | Individual | 02/26/2022 | |
| Condra, Melissa | Operational/managerial control | Individual | 05/01/2017 | |
| Port, Barry | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/10/2025 | |
| Caretrust Gp LLC | Adp of the SNF | Organization | 08/01/2012 | |
| Caretrust Reit Inc | Adp of the SNF | Organization | 08/01/2012 | |
| Ctr Partnership LP | Adp of the SNF | Organization | 08/01/2012 | |
| Ensign Services Inc | Adp of the SNF | Organization | 08/01/2012 | |
| Lowell Lake Health Holdings LLC | Adp of the SNF | Organization | 08/01/2012 | |
| Allen, Daniel | Adp of the SNF | Individual | 07/10/2025 | |
| Burnam, Soon | Adp of the SNF | Individual | 07/10/2025 | |
| Condra, Melissa | Adp of the SNF | Individual | 05/01/2017 |
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.
Chosen from this home's own inspection record.
These are the official offices in Idaho. NursingHomeClear cannot take or act on complaints.