All states › Idaho › Salmon › Discovery Rehabilitation and Living
600 Shanafelt Street Salmon, ID 83467 · Lemhi County
CMS certification number 135129 · See this home on Medicare Care Compare
Is Discovery Rehabilitation and Living 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 Discovery Rehabilitation and Living as of October 2026.
CMS rates it 4 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 3.75 hours per resident per day at Discovery Rehabilitation and Living, about the same as the Idaho median of 3.76 (US median: 3.72). About 0.79 of those hours are from registered nurses. On weekends it falls to 3.32 hours, 11% below its all-week average. 56.8% of nursing staff left within a year (Idaho median 50.5%).
About this nursing home
Paying for care at Discovery Rehabilitation and Living: Medicare and Medicaid
Discovery Rehabilitation and Living 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 December 3, 2025 and found 6 deficiencies. In total, inspectors issued 36 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 36 citations at Discovery Rehabilitation and Living across 3 inspection dates, 13 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 36 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 (7) and nutrition and dietary (6). 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, December 3, 2025).
December 3, 2025 · 6 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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.
DDispose of garbage and refuse properly.
DProvide and implement an infection prevention and control program.
September 13, 2024 · 13 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor 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.
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProvide and implement an infection prevention and control program.
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
DNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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.
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.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
August 24, 2023 · 17 citations
FProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
EHonor 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.
EEnsure medication error rates are not 5 percent or greater.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DAssess the resident when there is a significant change in condition
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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.
DEnsure 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.
DProvide safe and appropriate respiratory care for a resident when needed.
DPost nurse staffing information every day.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Discovery Rehabilitation and Living
- What do families most often ask you about before moving in?
- 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 | 4/5 | 3/5 | 4/5 | 5/5 |
| August 2026 | 3/5 | 2/5 | 4/5 | 5/5 |
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Location
Hospitals near Discovery Rehabilitation and Living
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.2 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 Discovery Rehabilitation and Living › All nursing homes in Salmon ›
Compare Discovery Rehabilitation and Living with the 3 closest homes side by side ›
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.