All states › Idaho › Coeur d'Alene › Ironwood Rehabilitation and Care Center
2200 Ironwood Place Coeur d'Alene, ID 83814 · Kootenai County
All 5 nursing homes in Coeur d'Alene, ID (5 take Medicaid)
CMS certification number 135053 · See this home on Medicare Care Compare
Is Ironwood Rehabilitation and Care Center 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 Ironwood Rehabilitation and Care Center as of October 2026.
CMS rates it 2 out of 5 stars overall, below 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 3.64 hours per resident per day at Ironwood Rehabilitation and Care Center, below the Idaho median of 3.76 (US median: 3.72). About 0.81 of those hours are from registered nurses. On weekends it falls to 3.08 hours, 15% below its all-week average. Ask how weekends are staffed. 59.8% of nursing staff left within a year (Idaho median 50.5%). 3 administrators left in the past year.
About this nursing home
Paying for care at Ironwood Rehabilitation and Care Center: Medicare and Medicaid
Ironwood Rehabilitation and Care Center 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.
Health inspections
The most recent standard inspection was on May 1, 2026 and found 3 deficiencies, plus 11 from complaint inspections in the same period. In total, inspectors issued 37 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 37 citations at Ironwood Rehabilitation and Care Center across 3 inspection dates, 22 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on September 26, 2024. The most common areas cited were quality of life and care (11) and freedom from abuse, neglect, and exploitation (6). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level G, September 26, 2024). 6 citations were under CMS's abuse, neglect and exploitation rules.
May 1, 2026 · 14 citations · includes complaint inspection
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DAllow residents to self-administer drugs if determined clinically appropriate.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
September 26, 2024 · 12 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate foot care.
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.
October 22, 2021 · 11 citations
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide and implement an infection prevention and control program.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DTry 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.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
Questions to ask on a tour of Ironwood Rehabilitation and Care Center
- Inspectors cited the home at the actual-harm level on September 26, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on September 26, 2024. How are staff trained, and how are concerns reported?
- Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
- Several administrators left in the past year. What has changed for residents since then?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- 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 | 2/5 | 2/5 | 3/5 | 2/5 |
| August 2026 | 2/5 | 2/5 | 3/5 | 2/5 |
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Location
Hospitals near Ironwood Rehabilitation and Care Center
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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0.3 mi
Kootenai Medical Center Coeur D'aleneEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 58m for patients treated and sent home
- 5.9 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Ironwood Rehabilitation and Care Center › All nursing homes in Coeur d'Alene ›
Compare Ironwood Rehabilitation and Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Advanced Health Care of Coeur d'Alene · Coeur d'Alene · 5 stars · 0.5 mi
- Life Care Center of Post Falls · Post Falls · 5 stars · 5.2 mi
Other The Ensign Group nursing homes in Idaho
- Parke View Rehabilitation & Care Center · Burley · 5 stars
- Owyhee Health & Rehabilitation Center · Homedale · 5 stars
- Monte Vista Hills Healthcare Center · Pocatello · 5 stars
- McCall Rehabilitation and Care Center · McCall · 5 stars
- Skyline Transitional Care Center · Boise · 4 stars
- Meadow View Nursing and Rehabilitation · Nampa · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group nursing homes ›
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.