KARCHER ESTATES

The information listed below provides an in-depth look into the type and quality of care offered at Karcher Estates. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

KARCHER ESTATES
1127 CALDWELL BOULEVARD
NAMPA, ID 83651
(208) 465-4935

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

89%

Number of Residents and Certified Beds

  • Residents: 59
  • Certified Beds: 66

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • Part of a Continuing Care Retirement Community (CCRC)
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Caldwell | Meridian | Boise

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Karcher Estates. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-106.0%
Total Percent:6.0%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1636.0%
ADL Index Range: 6-1022.4%
ADL Index Range: 0-525.3%
Total Percent:83.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-168.0%
Total Percent:8.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.2%
Total Percent:2.2%
 

Rating Details For Karcher Estates

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours39 Minutes1 Hour and 13 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 2 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 3 Minutes2 Hours and 36 Minutes
Total Licensed Nurse Hours1 Hour and 41 Minutes1 Hour and 55 Minutes
Total Nurse Hours3 Hours and 43 Minutes4 Hours and 31 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Idaho are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityIdaho Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%93%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores5%8%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%9%
Percent of Long-Stay Residents Who Lose Too Much Weight6%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder77%55%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%14%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%7%
Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious15%18%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season88%87%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain57%28%
Percent of Short-Stay Residents Who Have Delirium4%4%
Percent of Short-Stay Residents Who Have Pressure Sores7%11%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 12/16/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 11/24/2008
  • Correction Date: 01/06/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 12/16/2010
  • Correction Date: 01/20/2011

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 11/24/2008
  • Correction Date: 01/06/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/24/2008
  • Correction Date: 01/06/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/24/2008
  • Correction Date: 01/06/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/18/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/18/2009
Keep All Essential Equipment Working Safely.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/18/2009
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/18/2009

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 11/24/2008
  • Correction Date: 01/06/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/24/2008
  • Correction Date: 01/06/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/18/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 11/24/2008
  • Correction Date: 01/06/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/18/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/18/2009

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 11/24/2008
  • Correction Date: 01/06/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 11/24/2008
  • Correction Date: 01/06/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/24/2008
  • Correction Date: 01/06/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 11/24/2008
  • Correction Date: 01/06/2009
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion.
  • Inspection Date: 11/24/2008
  • Correction Date: 01/06/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 11/24/2008
  • Correction Date: 01/06/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 11/24/2008
  • Correction Date: 01/06/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/18/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/18/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/16/2010
  • Correction Date: 01/20/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 12/16/2010
  • Correction Date: 01/20/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 11/24/2008
  • Correction Date: 01/06/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 11/24/2008
  • Correction Date: 01/06/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/18/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 12/16/2010
  • Correction Date: 01/20/2011
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 12/16/2010
  • Correction Date: 01/20/2011

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 11/24/2008
  • Correction Date: 01/06/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/18/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/18/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 12/16/2010
  • Correction Date: 01/20/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Karcher Estates, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/30/2008
  • Correction Date: 06/24/2008

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 03/31/2011
  • Correction Date: 04/27/2011
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 03/31/2011
  • Correction Date: 04/27/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 03/31/2011
  • Correction Date: 04/27/2011

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 11/24/2008
  • Correction Date: 01/06/2009

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Complaint Filed: 05/30/2008
  • Correction Date: 06/24/2008
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
  • Complaint Filed: 11/24/2008
  • Correction Date: 01/06/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Complaint Filed: 03/31/2011
  • Correction Date: 04/27/2011
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Complaint Filed: 03/31/2011
  • Correction Date: 04/27/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 03/09/2011
  • Correction Date: 03/28/2011
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 03/31/2011
  • Correction Date: 04/27/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Karcher Estates had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 01/12/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/01/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/08/2009
  • Correction Date: 01/28/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/01/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 01/08/2009
  • Correction Date: 01/28/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 01/08/2009
  • Correction Date: 01/28/2009

Hazardous Area

Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 01/08/2009
  • Correction Date: 01/28/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/01/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 01/24/2008
  • Correction Date: 02/29/2008
Source: Medicare Nursing Home Compare; Idaho Department of Health and Welfare - Retrieved 2011