ST LUKE'S ELMORE LONG TERM CARE
895 NORTH 6TH EAST
MOUNTAIN HOME, ID, 83647
2085870360
CCN: 135006
5
Overall4
Health5
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
MEMORIAL MEDICAL CENTER
1128b8
Excluded 2002-05-20
Ownership
| Name | Role | % |
|---|---|---|
| MCGEORGE, LAURA | CORPORATE DIRECTOR | NOT APPLICABLE |
| YSTUETA JR, WILLIAM | CORPORATE DIRECTOR | NOT APPLICABLE |
| WHITACRE, WILLIAM | CORPORATE DIRECTOR | NOT APPLICABLE |
| TWEDT, JILL | CORPORATE DIRECTOR | NOT APPLICABLE |
| SCOGGIN, ANDREW | CORPORATE DIRECTOR | NOT APPLICABLE |
| REID, JACOB | CORPORATE DIRECTOR | NOT APPLICABLE |
| RAIMONDI, RICHARD | CORPORATE DIRECTOR | NOT APPLICABLE |
| BAKER, EMILY | CORPORATE DIRECTOR | NOT APPLICABLE |
| CORRICK, THOMAS | CORPORATE DIRECTOR | NOT APPLICABLE |
| DAVILA, ROSA | CORPORATE DIRECTOR | NOT APPLICABLE |
| GILBERT, WILLIAM | CORPORATE DIRECTOR | NOT APPLICABLE |
| GROW, LISA | CORPORATE DIRECTOR | NOT APPLICABLE |
| KRAHN, DANIEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| LOKKEN, ROBERT | CORPORATE DIRECTOR | NOT APPLICABLE |
| ROTH, CHRISTOPHER | CORPORATE OFFICER | NOT APPLICABLE |
| FOWLER, KATHRYN | CORPORATE OFFICER | NOT APPLICABLE |
| GRANT, JARED | CORPORATE OFFICER | NOT APPLICABLE |
| REID, JACOB | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MELCHIORRE, LISA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GRANT, JARED | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FOWLER, KATHRYN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ST LUKES HEALTH SYSTEM LTD | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SANDMANN, MEGAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ROTH, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (8)
2026-01-23 · Health
F
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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
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
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
2025-01-24 · Health
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
6.00
RN Hrs/Resident/Day0.54
1.47
LPN Hrs/Resident/Day0.81
0.85
CNA Hrs/Resident/Day2.33
3.68
PT Hrs/Resident/Day0.12
0.17
Data as of 2026-03-01