Idaho State Veterans Home - Boise

320 Collins Road · Boise, ID · 83702 · 2087801600

122 certified beds Government - State

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 43
Serious harm & abuse 20% 88
Staffing 20% 85
Federal penalties 15% 100
Trend 10% 18
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.203.48 min · 4.1 strong
RN hours / resident-day1.270.55–0.75
Weekend hours / resident-day3.43≈ weekday level
Nursing turnover / year39%median 45%
Fines (3-yr window)none

Inspection citations (27 in the current record)

  • Potential for harm · D May 16, 2025 · found via complaint

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

    Corrected February 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F May 16, 2025 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected June 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 16, 2025 · found via complaint

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected June 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 16, 2025 · found via complaint

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

    Corrected June 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 16, 2025 · found via complaint

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

    Corrected June 20, 2025 · Quality of Life and Care

  • Potential for harm · D May 16, 2025 · found via complaint

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

    Corrected June 20, 2025 · Quality of Life and Care

  • Potential for harm · F May 16, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected June 20, 2025 · Pharmacy Service

  • Potential for harm · F May 16, 2025 · found via complaint

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    Corrected June 20, 2025 · Administration

  • Potential for harm · F May 16, 2025 · found via complaint

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected June 20, 2025 · Administration

  • Potential for harm · F May 16, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected June 20, 2025 · Infection Control

  • Potential for harm · D May 16, 2025 · found via complaint

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

    Corrected June 20, 2025 · Infection Control

  • Potential for harm · F May 16, 2025 · found via complaint

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Corrected June 20, 2025 · Administration

  • Potential for harm · D December 3, 2021

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

    Corrected January 7, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D December 3, 2021

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 7, 2022 · Quality of Life and Care

  • Potential for harm · D December 3, 2021

    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.

    Corrected January 7, 2022 · Pharmacy Service

  • Actual harm · G November 9, 2018

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected January 14, 2019 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G November 9, 2018

    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.

    Corrected January 14, 2019 · Pharmacy Service

  • Potential for harm · E November 9, 2018

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected January 14, 2019 · Resident Rights

  • Potential for harm · D November 9, 2018

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Corrected January 14, 2019 · Resident Rights

  • Potential for harm · D November 9, 2018

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected January 14, 2019 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 9, 2018

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected January 14, 2019 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 9, 2018

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected January 14, 2019 · Resident Assessment and Care Planning

  • Potential for harm · E November 9, 2018

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

    Corrected January 14, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D November 9, 2018

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected January 14, 2019 · Quality of Life and Care

  • Potential for harm · D November 9, 2018

    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.

    Corrected January 14, 2019 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 135131 · certified since September 1, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.