Kootenai County, Idaho · Nursing home
Ironwood Rehabilitation and Care Center
2 of 5 overall from CMS
2200 Ironwood Place, Coeur d'Alene, ID 83814
At a glance
- Overall rating 2 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.71 hours Below the state average of 4.04
- Nursing staff who left in a year 62.2% Above the state average of 50.3%
- Health citations, last 3 inspection cycles 37 1 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 83.9% of 80 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Ironwood Rehabilitation and Care Center is a 80-bed nursing home in Coeur d'Alene, Idaho (Kootenai County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.71 nurse staffing hours per resident per day, below the Idaho average of 4.04. CMS lists no fines in the past three years.
- Certified beds
- 80
- Residents per day (average)
- 67.1
- Certified since
- 1973 (53 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of The Ensign Group (344 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Ironwood Rehabilitation and Care Center
Chosen from this home's public data.
- CMS counts 14 health deficiencies in the latest inspection cycle (the standard inspection on May 1, 2026 plus complaint and infection-control inspections); the Idaho average is 10.3. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 62.2%, above the Idaho average of 50.3%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.24 hours per resident on weekends against 3.71 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Idaho average 3.2
- Health inspections 2 of 5 Idaho average 2.7
- Staffing 3 of 5 Idaho average 3.1
- Quality measures 2 of 5 Idaho average 4.1
The vertical line marks the Idaho average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.71 h Idaho average 4.04
- Nurse aides 2.14 h Idaho average 2.44
- Licensed practical nurses 0.78 h Idaho average 0.74
- Registered nurses 0.79 h Idaho average 0.86
- All staff, weekends 3.24 h Idaho average 3.49
How much nurse staffing is enough? All bars share one scale, 0 to 7 hours. The vertical line marks the Idaho average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover62.2%
- Idaho average50.3%
- Registered nurse turnover62.5%
- Idaho average40.9%
- Administrators who left3
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Idaho and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Idaho | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 15.5% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.2% | 5.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% | 1.2% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.5% | 2.0% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 20.7% | 15.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% | 3.0% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% | 97.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 17.6% | 16.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.6% | 16.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 96.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.5% | 3.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.3% | 22.1% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 23.2% | 20.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.99 | 1.17 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.54 | 1.66 | 1.78 |
Short-stay residents
| Measure | This home | Idaho | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.8% | 91.2% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 3.9% | 1.8% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.4% | 86.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 34.0% | 17.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 17.9% | 12.3% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 37 health deficiencies in the three most recent inspection cycles. Of these, 1 involved actual harm; the rest were graded as no actual harm. 22 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Sep 26, 2024: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 1, 2026 | 14 | 7 |
| Sep 26, 2024 | 12 | 0 |
| Oct 22, 2021 | 11 | 14 |
Idaho homes averaged 10.3 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (37)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 4, 2026)
-
EPotential for more than minimal harm, pattern
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 4, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Jun 4, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Jun 4, 2026)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Apr 30, 2024)
-
FPotential for more than minimal harm, widespread
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Oct 31, 2024)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 31, 2024)
-
EPotential for more than minimal harm, pattern
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Oct 31, 2024)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Oct 31, 2024)
-
EPotential for more than minimal harm, pattern
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Oct 31, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 31, 2024)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 31, 2024)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 31, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 31, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate foot care.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 31, 2024)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Oct 31, 2024)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Jan 17, 2022)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jan 17, 2022)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Jan 17, 2022)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 17, 2022)
Showing the 30 most recent of 37.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Idaho homes averaged 0.5 fines and $13,374 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Idaho
- Size33 of 80 by certified beds
- Idaho average residents per day56.9
- ChainThe Ensign Group
- Chain average overall rating3.2 of 5
- Resident or family councilResident
- Homes in Coeur d'Alene5
- Homes in Kootenai County7
Common questions
What is the CMS star rating for Ironwood Rehabilitation and Care Center?
Ironwood Rehabilitation and Care Center has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 3 and quality measures is 2.
How many beds does Ironwood Rehabilitation and Care Center have?
Ironwood Rehabilitation and Care Center has 80 certified beds. It averages 67.1 residents per day, about 83.9% of its certified beds.
How much nursing care do residents get at Ironwood Rehabilitation and Care Center?
The home reports 3.71 hours of nurse staffing per resident per day, including 0.79 hours from registered nurses. The Idaho average is 4.04 hours and 0.86 hours from registered nurses.
Has Ironwood Rehabilitation and Care Center been fined?
CMS lists no fines for this home in the past three years.
Does Ironwood Rehabilitation and Care Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Advanced Health Care of Coeur d'Alene 34beds 87.9%in use 5.49nurse hours a day
- 1 of 5 Lakeside Rehabilitation and Care Center 100beds 83.3%in use 3.81nurse hours a day
- 1 of 5 Coeur d Alene Health of Cascadia 117beds 63.2%in use 3.61nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Kootenai County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 135053. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.