PROMONTORY POINT REHABILITATION

3909 SOUTH 25TH EAST
AMMON, ID, 83406
2085284000
CCN: 135137
5
Overall
4
Health
4
Staffing
5
Quality
ChainPROMONTORY HEALTHCARE
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
BV OPERATIONS LLC.5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
MVH SNF HOLDING LLC5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
TCU MANAGEMENT COMPANY LLC.5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
ADAMSON, JAMES5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
HAYNES, ANNACORPORATE OFFICERNOT APPLICABLE
TCU MANAGEMENT COMPANY LLC.GENERAL PARTNERSHIP INTERESTNOT APPLICABLE
MVH SNF HOLDING LLCGENERAL PARTNERSHIP INTERESTNOT APPLICABLE
BV OPERATIONS LLC.GENERAL PARTNERSHIP INTERESTNOT APPLICABLE
HAYNES, ANNAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
TCU MANAGEMENT COMPANY LLC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PROMONTORY HEALTHCARE MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ADAMSON, JAMESOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (30)
2025-02-12 · Health
D
F761 · 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 drugs.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
2024-03-08 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F693 · Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
E
F655 · 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
D
F622 · Resident Rights Deficiencies
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.
E
F578 · Resident Rights Deficiencies
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.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
2019-03-15 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F790 · Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
E
F758 · Pharmacy Service Deficiencies
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.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
C
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F700 · Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
G
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
E
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F655 · 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
E
F578 · Resident Rights Deficiencies
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.
C
F577 · Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
5.51
3.68
RN Hrs/Resident/Day
1.32
0.54
LPN Hrs/Resident/Day
0.89
0.81
CNA Hrs/Resident/Day
3.30
2.33
PT Hrs/Resident/Day
0.54
0.12
Data as of 2026-03-01