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
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
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 Services | Resident Conditions | Percent 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: 2-10 | 6.0% |
| 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: 11-16 | 36.0% |
| ADL Index Range: 6-10 | 22.4% |
| ADL Index Range: 0-5 | 25.3% |
| Total Percent: | 83.8% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 8.0% |
| Total Percent: | 8.0% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 2.2% |
| 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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 39 Minutes | 1 Hour and 13 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 2 Minutes | 42 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 3 Minutes | 2 Hours and 36 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 41 Minutes | 1 Hour and 55 Minutes |
| Total Nurse Hours | 3 Hours and 43 Minutes | 4 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 Facility | Idaho Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 93% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 92% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 5% | 5% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 6% | 11% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 5% | 8% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 12% | 9% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 6% | 8% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 77% | 55% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 10% | 14% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 7% | 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 Chair | 2% | 4% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 15% | 18% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 88% | 87% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 88% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 57% | 28% |
| Percent of Short-Stay Residents Who Have Delirium | 4% | 4% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 7% | 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 Inspectors | Degree of Harm | Residents Affected |
Administration
Keep Accurate and Appropriate Medical Records.
|  |  |
Keep Accurate and Appropriate Medical Records.
| |  |
Environmental
Provide Needed Housekeeping and Maintenance.
|  | |
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Have a Program to Keep Infection from Spreading.
| | |
Provide Needed Housekeeping and Maintenance.
| | |
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Keep All Essential Equipment Working Safely.
| | |
Put Firmly Secured Handrails on Each Side of Hallways.
| | |
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.
| | |
Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
| |  |
Store, Cook, and Give out Food in a Safe and Clean Way.
| | |
Pharmacy Service
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
| | |
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
| | |
Properly Mark Drugs and Other Similar Products.
| | |
Quality Care
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
| | |
Give Professional Services That Meet a Professional Standard of Quality.
| | |
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| | |
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
| | |
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion.
| | |
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
| | |
Develop/Implement Required Procedures for the Administration of Immunizations.
| | |
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
|  | |
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
| | |
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| | |
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
| | |
Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
| | |
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.
| | |
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
| | |
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.
| | |
Make Sure That Doctors Visit Residents Regularly, As Required.
| | |
Resident Rights
Provide Services to Meet the Needs and Preferences of Each Resident.
| | |
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.
| | |
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
| | |
Provide Services to Meet the Needs and Preferences of Each Resident.
| | |
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 Complaints | Degree of Harm | Residents Affected |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Mistreatment
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
|  | |
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.
| | |
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
| | |
Quality Care
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
| | |
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.
| | |
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.
| | |
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
| | |
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.
| | |
Resident Rights
Keep Each Resident's Personal and Medical Records Private and Confidential.
| | |
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.
| | |
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 Inspectors | Degree of Harm | Residents Affected |
Building Service Equipment
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
| | |
Electrical
Weekly Inspections and Monthly Testing of Generators.
| | |
Properly Installed Electrical Wiring and Equipment.
| | |
Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
| | |
Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
| | |
Hazardous Area
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
| | |
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
| | |
Illumination and Emergency Power
Emergency Lighting That Can Last at Least 1 1/2 Hours.
| | |
Source: Medicare Nursing Home Compare; Idaho Department of Health and Welfare - Retrieved 2011
