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Sunny Ridge

2609 Sunnybrook Drive, Nampa, ID 83686 · Canyon County · (208) 467-7298

43 certified beds, about 36 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1987

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 135102 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 23, 2026, inspectors cited 10 health deficiencies (the Idaho average is 10.3, the national average 9.2).

Of 34 health citations since February 2024, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.67 hours per resident per day, against 4.04 across Idaho and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.

80.0% of nursing staff left within the year CMS measured (Idaho average 50.3%).

CMS links it to Cascades Healthcare, an affiliated group of 19 nursing homes.

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.

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 34 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
25D
8E
0F
Potential for minimal harm
0A
0B
0C
January 23, 2026Standard inspection, Complaint inspection · 10 citations
  1. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2026
    Inspectors wroteBased on observation, policy review, and staff interview, it was determined the facility failed to ensure medications available for residents were not expired and kept in a temperature-controlled environment; this was true for 2 of 2 medication carts and 1 storage room observed. This failure created the potential for residents to receive medications with decreased efficacy.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2026
    Inspectors wroteBased on observation, the SOM Appendix PP, review of the FDA Food Code, and staff interview it was determined the facility failed to provide a clean and sanitary environment required for food safety, as well as cleaning and sanitizing dishes used by facility residents. This was true for 31 of 32 residents who received food prepared by the facilities kitchen. These deficient practices created the potential for harm by placing residents at risk for potential foodborne illnesses and adverse health outcomes.
  3. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2026
    Inspectors wroteBased on record review and staff interview, it was determined the facility failed to help in developing an advance directive for health care decisions. This was true for 1 of 7 residents (Resident #18) reviewed for advance directives. This deficient practice created the potential for harm if residents' instructions for their healthcare were not followed in the event of a life-threatening outcome.
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2026
    Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure the MDS assessment accurately reflected resident's status. This was true for 2 of 13 residents (#3 and #6) 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.
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2026
    Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure comprehensive resident centered care plan included the care and services for their toenails. This was true for 1 of 13 residents (Resident #32) whose comprehensive care plan was reviewed. This deficient practice created the potential for Resident #32 to receive inadequate or inappropriate care.
  6. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2026
    Inspectors wroteBased on record review, observation, and staff interview, it was determined the facility failed to ensure residents who were dependent on staff for activities of daily living assistance received services for their toenails. This was true for 1 of 1 resident (Resident #32) reviewed for nail care. This placed Resident #32 at risk of embarrassment which could affect her socially due to the appearance of her toenails.
  7. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2026
    Inspectors wroteBased on record review and interviews, it was determined the facility failed to ensure professional standards of practice were followed for 1 of 13 residents (Resident #49) reviewed for standards of practice. Resident #49's psychotropic medication was not clarified for its indication of use. These practices had the potential to adversely affect or harm residents whose care and services were not delivered to accepted standards of clinical practice.
  8. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2026
    Inspectors wroteBased on observation, record review and interviews, it was determined the facility failed to ensure residents were adequately assessed for their dietary needs and provided their nutritional needs as ordered by the physician. This was true for 1 of 4 residents (Resident #32) reviewed for weight loss. Resident #32 had the potential for harm when she experienced a 5% weight loss in 30 days.
  9. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2026
    Inspectors wroteBased on observation, CDC guidance, interview, and record review, it was determined the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment to prevent the transmission of communicable diseases and infections when the facility failed to perform hand hygiene and don gloves during medication administration, and Resident #49's graduated cylinder and syringe were not changed as ordered by the physician. These failures increased the risk of infection and its associated complications.
  10. D
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2026
    Inspectors wroteBased on record review, CDC guidance, and staff interview, it was determined the facility failed to ensure COVID-19 vaccinations were administered to the residents. This was true for 1 of 5 residents (Resident #32) whose COVID-19 vaccination was reviewed. This deficient practice placed residents at risk of severe illness, hospitalization, and death due to SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus - the virus that causes the COVID-19 illness) and had the potential to affect all residents in the facility.
August 29, 2025Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on record review and staff interviews, it was determined the facility failed to ensure that physician-ordered medications were administered as prescribed for 2 of 3 residents (Resident #1 and Resident #2) reviewed for medication administration. This failure resulted in missed doses of essential medications and created the potential for adverse outcomes, including ineffective treatment and exacerbation of medical conditions.
January 10, 2025Standard inspection, Complaint inspection · 13 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review and staff interview, it was determined the facility failed to provide adequate supervision and functioning devices to prevent resident's fall. This was true for 1 of 3 residents (Resident #143) reviewed for accidents and falls. Resident #143 was harmed when he was being transported to the restorative dining room, and sustained a laceration on his head when he fell.
  2. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 18, 2025
    Inspectors wroteBased on observation, residents and staff interviews, it was determined the facility failed to maintain or enhance residents' dignity during dining when residents seated at the same table were served their meals at different times. This was true for 2 of 14 residents (#94 and #96) observed in the main dining room and 1 of 7 (Resident #30) observed in the assisted dining room. This failure had the potential to cause a decrease in residents' sense of self-worth and psycho-social well-being.
  3. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 18, 2025
    Inspectors wroteBased on record review, review of the Incidents and Accidents (I&As) report, residents and residents' representatives interview, staff interviews, and residents' group interviews, it was determined the facility failed to ensure there were sufficient numbers of staff available at all times to provide nursing and related services to meet the residents' needs. This was true for 3 of 41 residents (#19, #30, and #36) reviewed for staffing concerns and had the potential to affect all residents in the facility. This deficient practice created the potential for physical and psychosocial harm if residents did not receive appropriate care or received delay of care.
  4. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review, review of facility policies and procedure, review of Incidents and Accidents (I&As), and staff interview, it was determined the facility failed to ensure residents were free from significant medication errors. This was true for 3 of 3 residents (#4, #16, and #145) reviewed for medication administration. This failure created the potential for harm if the resident's medications were not administered according to the physician's order.
  5. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 18, 2025
    Inspectors wroteBased on observation, policy review, Food Code review, and staff interview, it was determined the facility failed to ensure the kitchen equipment and environment was maintained, clean, and food was stored in a safe and sanitary manner. These deficiencies had the potential to affect the 41 residents who consumed food prepared by the facility. This placed residents at risk for potential food contamination and adverse health outcomes, including food-borne illnesses.
  6. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 18, 2025
    Inspectors wroteBased on record review, policy review, and staff interview, it was determined the facility failed to ensure informed consent was obtained prior to initiation of medications for 1 of 5 residents (Resident #144) reviewed for unnecessary medications. This deficient practice placed residents at risk of receiving medications without knowledge of the reason why medication was prescribed, the expected benefits, and the risks associated with the medications.
  7. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 18, 2025
    Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure transfer notices were provided to the ombudsman. This was true for 1 of 2 residents (Resident #6) reviewed for transfers to the hospital. This deficient practice had the potential for harm if residents were not aware of or able to exercise their rights related to transfers.
  8. D
    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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 18, 2025
    Inspectors wroteBased on record review, policy review, and staff interview, it was determined the facility failed to ensure a bed hold notice was provided to the residents or their representatives upon transfer to the hospital. This was true for 2 of 2 residents (#6 and #40) reviewed for transfer. This deficient practice created the potential for harm if residents were not informed of their rights to return to their former bed/room at the facility within a specified time.
  9. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 18, 2025
    Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure residents' Minimum Data Set (MDS) had correct assessment information. This was true for 1 of 12 residents (Resident #16) whose records were reviewed for accuracy. This deficient practice had the potential for negative outcomes if residents were not assessed and/or monitored due to inaccurate assessments.
  10. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 18, 2025
    Inspectors wroteBased on observation, record review and interview, it was determined the facility failed to ensure residents' medications were administered according to professional standards. This was true for 1 of 5 residents (Resident #17) observed during medication administration. This failed practice created the potential for Resident #17 to experience low or high blood sugar if she receives an incorrect amount of insulin.
  11. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 18, 2025
    Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure pharmacist recommendations were followed or addressed by the attending physician. This was true for 1 of 5 residents (Resident #31) whose pharmacist recommendation was reviewed. This deficient practice created the potential for Resident #31 to use unnecessary medications.
  12. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 18, 2025
    Inspectors wroteBased on record review, observation, and staff interview, it was determined the facility failed to ensure infection control prevention were maintained to provide a safe and sanitary environment. This was true for 1 of 1 resident (Resident #144) observed for infection control. This failure created had the potential to impact all residents in the facility by placing them at risk of infection.
  13. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 18, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure influenza vaccine was administered to a resident who consented to receive the vaccine. This was true for 1 of 5 residents (Resident #39) reviewed for immunizations. This deficient practice created the potential for harm should Resident #39 acquire, transmit, or experience complications from influenza. The facility's Infection Prevention and Control Program (IPCP) policy, revised 2018, documented an IPCP was established and maintained to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. The policy stated immunization was a form of primary prevention and widespread of use of influenza vaccine in the nursing facility was strongly encouraged. [...]
February 23, 2024Standard inspection, Complaint inspection · 10 citations
  1. E
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 2, 2024
    Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure residents were monitored appropriately and offered non-pharmacological interventions while receiving opioid pain medications. This was true for 4 of 8 residents (# 3, #14, #17, and # 32) reviewed for pain management. This failure created the potential for residents to experience adverse reactions due to lack of appropriate monitoring or increased pain due to not offering non-pharmacological interventions.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 2, 2024
    Inspectors wroteBased on observation and staff interview, it was determined the facility failed to ensure infection control and prevention practices were maintained when hand hygiene was not performed for 2 of 2 residents (#10 and #14) observed for infection control. This failure created the potential for cross-contamination and infection.
  3. D
    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.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 2, 2024
    Inspectors wroteBased on policy review, record review, and staff interview, it was determined the facility failed to ensure all pertinent information was provided to the receiving facility when a resident was transferred to another health care facility. This was true for 1 of 1 resident (Resident #15) reviewed for resident transfer. This deficient practice had the potential to result in adverse outcomes if residents' specific needs were not treated appropriately and in a timely manner due to lack of information provided upon transfer.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 2, 2024
    Inspectors wroteBased on record review, policy review, and staff interview, it was determined the facility failed to develop and implement comprehensive resident-centered care plans. This was true for 2 of 12 residents (#23 and #33) whose care plans were reviewed. These failures placed residents at risk of negative outcomes if services were not provided or provided incorrectly due to lack of information in their care plan.
  5. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 2, 2024
    Inspectors wroteBased on I&A review, record review, and staff interview, it was determined the facility failed to ensure residents' care plans were reviewed and revised. This was true for 1 of 12 residents (Resident #10) whose care plans were reviewed. This created the potential for harm when Resident #10's care plan was not reviewed and revised to reflect his care needs.
  6. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 2, 2024
    Inspectors wroteBased on policy review, I&A review, record review, and staff interview, it was determined the facility failed to ensure adequate supervision for residents to prevent falls. This was true for 1 of 1 resident, (Resident #10), whose record was reviewed for falls. This resulted in harm to Resident #10 when he was left unsupervised to eat in his room.
  7. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 2, 2024
    Inspectors wroteBased on policy review, record review, and staff interview, it was determined the facility failed to ensure residents were free of significant medication errors. This was true for 1 of 1 resident (Resident #32) whose medications were reviewed. This failure created the potential for harm to Resident #32 when she did not receive ordered medication.
  8. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 2, 2024
    Inspectors wroteBased on policy review, observation, and resident and staff interview, it was determined the facility failed to ensure two residents' (#27 and #23) food preference requests were honored. This failure put residents at risk if they experienced hunger or weight loss from not having meals provided according to their needs or preferences.
  9. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 2, 2024
    Inspectors wroteBased on observation, policy review, and staff interview, it was determined the facility failed to ensure food items were dated and labeled and hygiene practices followed. This failure had the potential to affect 32 of 32 residents residing in the facility who consumed food prepared by the facility, and placed them at risk of adverse outcomes including food-born illnesses.
  10. D
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 2, 2024
    Inspectors wroteBased on observation, policy review, and staff interview, it was determined the facility failed to ensure waste was properly contained with lids or otherwise covered. This was true for 1 of 2 outside dumpsters. This created the potential for insect and pest infestation of the facilities premises.

Fire safety inspections

10 fire safety citations on file: 2 on January 23, 2026, 2 on January 10, 2025, 6 on February 23, 2024.

Every fire safety citation10 citations
  1. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 23, 2026 · Corrected (the home has a date of correction)
  2. D
    Provide properly protected cooking facilities.
    K 324 · January 23, 2026 · Corrected (the home has a date of correction)
  3. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 10, 2025 · Corrected (the home has a date of correction)
  4. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · January 10, 2025 · Corrected (the home has a date of correction)
  5. F
    Establish staff and initial training requirements.
    E 37 · February 23, 2024 · Corrected (the home has a date of correction)
  6. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · February 23, 2024 · Corrected (the home has a date of correction)
  7. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · February 23, 2024 · Corrected (the home has a date of correction)
  8. D
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · February 23, 2024 · Corrected (the home has a date of correction)
  9. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 23, 2024 · Corrected (the home has a date of correction)
  10. D
    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
    K 927 · February 23, 2024 · Corrected (the home has a date of correction)

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.

MeasureThis homeIdahoUnited States
All nursing staff (RN, LPN and aides)3.674.043.86
Registered nurses0.640.860.69
All nursing staff on weekends3.093.493.42
Nurse aides2.10
Licensed practical nurses0.93
Nursing staff turnover (share who left in a year)80.0%50.3%45.8%
Registered nurse turnovernot reported40.9%42.9%
Administrators who left1

CMS expects 3.78 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 3.90 on weekdays and 3.09 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.62 in April to June 2025 to 3.67 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.670.643.903.09 0.5%0 of 9036
Oct to Dec 20255.190.455.424.59 2.6%2 of 9238
Jul to Sep 20253.350.583.492.97 23.4%2 of 9235
Apr to Jun 20255.620.655.924.88 8.6%0 of 9140
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Idaho, Jan to Mar 20263.900.804.113.374.9%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.

MeasureThis homeIdahoUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
19.615.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.62.01.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.93.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
5.01.81.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
23.916.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.03.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.020.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
11.017.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
3.412.312.0

Owners and operators

Legal business name: CASCADES AT SUNNY RIDGE LLC. CMS links this home to Cascades Healthcare, a group of 19 nursing homes averaging 2 stars overall.

NameRoleTypeShareSince
Eelir Flp5% or greater direct ownership interestOrganization23%10/18/2021
Quest Flp5% or greater direct ownership interestOrganization10%10/18/2021
Ronnmark Flp5% or greater direct ownership interestOrganization23%10/18/2021
Takayama Flp5% or greater direct ownership interestOrganization23%10/18/2021
Tower Bridge Flp5% or greater direct ownership interestOrganization23%10/18/2021
McSpadden, DarinOperational/managerial controlIndividual09/23/2021

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on January 23, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on January 23, 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."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on January 23, 2026: "Ensure each resident receives an accurate assessment."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on January 23, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.09 hours per resident per day, below the Idaho average of 3.49.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Sunny Ridge's Medicare star rating?
CMS rates Sunny Ridge 3 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Sunny Ridge get at its last inspection?
10 health deficiencies at the standard inspection on January 23, 2026. The Idaho average is 10.3.
Has Sunny Ridge been fined?
CMS lists no fines in the last three years.
Does Sunny Ridge 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 Sunny Ridge?
CMS lists 6 owners and managers, and links the home to Cascades Healthcare. Legal business name: CASCADES AT SUNNY RIDGE LLC.

Sources

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