Karcher Post Acute
1127 Caldwell Blvd · Nampa, ID · 83651 · 2084654935
66 certified beds For profit - Corporation Chain: Prestige Care
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $21,548 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.05 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.45 | 0.55–0.75 |
| Weekend hours / resident-day | 3.56 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 3 · $30,866 |
Inspection citations (44 in the current record)
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Actual harm · G November 7, 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 November 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 7, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 30, 2025 · Pharmacy Service
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Actual harm · G September 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 5, 2025 · Quality of Life and Care
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Potential for harm · D September 3, 2025 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected September 5, 2025 · Resident Rights
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Actual harm · G April 4, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 25, 2025 · Resident Rights
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Potential for harm · D April 4, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 4, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 4, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected April 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 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 April 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · D April 4, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 25, 2025 · Pharmacy Service
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Potential for harm · D April 4, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 29, 2025 · Pharmacy Service
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Potential for harm · D April 4, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 25, 2025 · Nutrition and Dietary
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Potential for harm · D April 4, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 25, 2025 · Nutrition and Dietary
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Actual harm · G July 2, 2024 · found via complaint
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.
Corrected July 18, 2024 · Resident Rights
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Potential for harm · E January 26, 2024 · found via complaint
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.
Corrected February 20, 2024 · Resident Rights
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Potential for harm · E January 26, 2024 · found via complaint
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.
Corrected February 20, 2024 · Resident Rights
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Potential for harm · D January 26, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 26, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 20, 2024 · Quality of Life and Care
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Potential for harm · D January 26, 2024 · found via complaint
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 February 20, 2024 · Pharmacy Service
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Potential for harm · E January 26, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 20, 2024 · Nutrition and Dietary
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Actual harm · G January 13, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 28, 2023 · Quality of Life and Care
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Potential for harm · D January 13, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 28, 2023 · Resident Rights
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Potential for harm · D January 13, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 28, 2023 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 7, 2025 | Fine | $10,358 |
| April 4, 2025 | Fine | $11,190 |
| July 2, 2024 | Fine | $9,318 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 135110 · certified since January 30, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.