ElderGrade
B

72.8/100

Above average

Discovery Rehabilitation And Living

600 Shanafelt Street, Salmon, ID 83467

CMS 3/5 stars (208) 756-8391
Certified beds
45
Occupancy
67%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 23.3/30 Staffing 15.5/30 Stability 9/15 Outcomes 15/15 Enforcement 10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

23.3/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -6.7 for 36 total citations against a national median of 17

Staffing

15.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.76 total nurse hours per resident per day (national median 3.77)
  • 1.1 RN hours per resident per day
  • Weekend staffing drops 15% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 47% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.30 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.10 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.65 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 46.70%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 36 citations

Last standard health inspection: December 3, 2025 (8 months ago).

F Dec 3, 2025 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

D Dec 3, 2025 F0655

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

No actual harm, potential for more than minimal harm

D Dec 3, 2025 F0695

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

No actual harm, potential for more than minimal harm

D Dec 3, 2025 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

D Dec 3, 2025 F0814

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

No actual harm, potential for more than minimal harm

D Dec 3, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

F Sep 13, 2024 F0812 From a complaint

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

E Sep 13, 2024 F0584 From a complaint

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of THE ENSIGN GROUP, which operates 346 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
ALLEN, DANIEL Individual MANAGING CONTROL - GOVERNING BODY
LISH, STEVE Individual MANAGING CONTROL - GOVERNING BODY
FARNSWORTH, STEPHEN Individual CORPORATE DIRECTOR
BURNAM, SOON Individual CORPORATE OFFICER
HAWKINS, ISAIAH Individual CORPORATE OFFICER
KEETCH, CHAD Individual CORPORATE OFFICER
SATO, AMI Individual CORPORATE OFFICER
JACKSON THERAPY PARTNERS LLC Organization OPERATIONAL/MANAGERIAL CONTROL
ALLEN, DANIEL Individual OPERATIONAL/MANAGERIAL CONTROL
LISH, STEVE Individual OPERATIONAL/MANAGERIAL CONTROL
PORT, BARRY Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
CARETRUST GP LLC Organization ADP OF THE SNF

What families say

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Common questions about Discovery Rehabilitation And Living

What is the ElderGrade for Discovery Rehabilitation And Living? +

Discovery Rehabilitation And Living holds an ElderGrade of B (72.8 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Discovery Rehabilitation And Living? +

Residents receive an average of 4.30 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Discovery Rehabilitation And Living been cited for harming residents? +

No. None of the 36 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Discovery Rehabilitation And Living accept Medicaid? +

Yes, Discovery Rehabilitation And Living is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.