All states › Idaho › Bonners Ferry › Boundary County Nursing Home
6640 Kaniksu Street Bonners Ferry, ID 83805 · Boundary County
CMS certification number 135004 · See this home on Medicare Care Compare
Is Boundary County Nursing Home a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Boundary County Nursing Home as of October 2026.
CMS rates it 5 out of 5 stars overall, above the Idaho average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 5.21 hours per resident per day at Boundary County Nursing Home, above the Idaho median of 3.76 (US median: 3.72). About 1.92 of those hours are from registered nurses. On weekends it falls to 4.35 hours, 17% below its all-week average. Ask how weekends are staffed. 42.4% of nursing staff left within a year (Idaho median 50.5%).
About this nursing home
Paying for care at Boundary County Nursing Home: Medicare and Medicaid
Boundary County Nursing Home is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Idaho's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on May 1, 2026 and found 14 deficiencies. In total, inspectors issued 26 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 26 citations at Boundary County Nursing Home across 3 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 26 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (5) and nutrition and dietary (4). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, September 13, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
May 1, 2026 · 14 citations
EProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
EProvide care or services that was trauma informed and/or culturally competent.
EEnsure medication error rates are not 5 percent or greater.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave a plan that describes the process for conducting QAPI and QAA activities.
DHonor 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.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DPost nurse staffing information every day.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DImplement a program that monitors antibiotic use.
DEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
September 13, 2024 · 2 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
July 28, 2023 · 10 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DHonor 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.
DProvide safe, appropriate pain management for a resident who requires such services.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DImplement 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.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Questions to ask on a tour of Boundary County Nursing Home
- CMS cited the home under its abuse and neglect rules on September 13, 2024. How are staff trained, and how are concerns reported?
- Weekend staffing is 17% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 3/5 | 5/5 | 5/5 |
| August 2026 | 4/5 | 3/5 | 5/5 | 4/5 |
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Location
Hospitals near Boundary County Nursing Home
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.1 mi
Boundary Community Hospital Bonners FerryEmergency roomMedian ER visit 1h 42m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare Boundary County Nursing Home with the 3 closest homes side by side ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.