Discovery Rehabilitation and Living

Salmon, ID • CMS Certification: 135129

  • Date Updated: May 01, 2026
  • Overall Rating: 3 Stars
  • Address: 600 Shanafelt Street, Salmon ID 83467
  • Phone: 2087568391

About Discovery Rehabilitation and Living

Discovery Rehabilitation And Living, located in Salmon, ID, is a for-profit organization that accepts Medicare and Medicaid.

Why Families Choose Discovery Rehabilitation and Living

Key Performance Indicators

  • CMS Overall Rating 3 Stars
  • Nursing Hours 3.77 hrs
  • Safety Record Clean

Chain Affiliations & Network

This facility is part of the THE ENSIGN GROUP network. This chain operates 338 facilities.

Chain Performance Overview

Inspection
2.9
Staffing
2.4
Quality
4.4

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Nursing Staff Analysis

Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).

Below Average Staffing

Discovery Rehabilitation and Living provides less care hours than the state average and less than the national average.

Registered Nurses (RN)

0.96 hrs/day
State: 0.84 US: 0.68
Case Mix Adj: 0.77
Quality Adj: 0.84

Licensed Practical Nurses

1.50 hrs/day
State: 1.61 US: 1.54
Case Mix Adj: 0.98
Quality Adj: 0.47

Certified Assistants

2.27 hrs/day
State: 2.47 US: 2.33
Case Mix Adj: 2.65
Quality Adj: 1.99

CMS Quality Ratings

Category Rating Stars
Overall Rating 3
Health Inspection 2
Quality Measures 5
Staffing 3

Health Inspection History

Inspection Cycle Score Date
Cycle 1 (Most Recent) 36 Dec 03, 2025
Weighted Average 69 Combined Score
Lower scores are better. Scores are based on health inspections and complaint investigations.

Detailed Quality Measures

Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.

Medicare claims-based measures

Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.

Measure Rate
Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) 0.0%
Percentage of short-stay residents who had an outpatient emergency depar... (QM522) 4.7%
Number of hospitalizations per 1000 long-stay resident days (QM551) 0.4%
Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) 1.2%

MDS-based measures

Resident assessment data; often used for long-stay care quality.

Measure Rate
Percentage of long-stay residents whose need for help with daily activit... (QM401) 11.1%
Percentage of long-stay residents who lose too much weight (QM404) 9.6%
Percentage of long-stay residents with a catheter inserted and left in t... (QM406) 0.0%
Percentage of long-stay residents with a urinary tract infection (QM407) 0.0%
Percentage of long-stay residents who have depressive symptoms (QM408) 34.4%
Percentage of long-stay residents who were physically restrained (QM409) 0.0%
Percentage of long-stay residents experiencing one or more falls with ma... (QM410) 0.0%
Percentage of long-stay residents assessed and appropriately given the p... (QM415) 100.0%
Percentage of short-stay residents assessed and appropriately given the... (QM430) 100.0%
Percentage of short-stay residents who newly received an antipsychotic m... (QM434) 3.8%
Percentage of long-stay residents whose ability to walk independently wo... (QM451) 14.1%
Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) 18.3%
Percentage of long-stay residents assessed and appropriately given the s... (QM454) 100.0%
Percentage of short-stay residents who were assessed and appropriately g... (QM472) 84.0%
Percentage of long-stay residents with pressure ulcers (QM479) 4.9%
Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) 33.4%
Percentage of long-stay residents who received an antipsychotic medicati... (QM481) 7.6%

Complaints & Deficiencies

Complaint History by Year

This chart shows the number of complaints filed each year.

Summary:

  • 2023: 17 complaints
  • 2024: 13 complaints
  • Total: 30 complaints on record

Recent Complaints (Since Jan 2023)

Date Description
Oct 18, 2024 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Oct 18, 2024 Notify 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.
Oct 18, 2024 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Oct 18, 2024 Honor 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.
Oct 18, 2024 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Oct 18, 2024 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Oct 18, 2024 Provide safe and appropriate respiratory care for a resident when needed.
Oct 18, 2024 Ensure 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.
Oct 18, 2024 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Oct 18, 2024 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Oct 18, 2024 Provide and implement an infection prevention and control program.
Oct 18, 2024 Make sure that a working call system is available in each resident's bathroom and bathing area.
Oct 18, 2024 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Sep 28, 2023 Assess the resident when there is a significant change in condition
Sep 28, 2023 Provide and implement an infection prevention and control program.
Sep 28, 2023 Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Sep 28, 2023 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Sep 28, 2023 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Sep 28, 2023 Ensure medication error rates are not 5 percent or greater.
Sep 28, 2023 Ensure each resident?s drug regimen must be free from unnecessary drugs.
Sep 28, 2023 Post nurse staffing information every day.
Sep 28, 2023 Provide safe and appropriate respiratory care for a resident when needed.
Sep 28, 2023 Ensure 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.
Sep 28, 2023 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 28, 2023 Provide care and assistance to perform activities of daily living for any resident who is unable.
Sep 28, 2023 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Sep 28, 2023 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Sep 28, 2023 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Sep 28, 2023 Honor 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.
Sep 28, 2023 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Note: Table shows only complaints filed since Jan 1, 2023. See chart for historical trends.

Nearby Hospitals

Owner & Operator Information

Business Entity

SAWTOOTH HEALTHCARE INC

Ownership Structure

Management & Direction

Associated Doctors

No associated doctor information available.

Local Comparison

Facility Distance Rating
Discovery Rehabilitation and Living N/A 3

Related Analysis

Best Nursing Homes in Salmon, ID

Compare Discovery Rehabilitation and Living to the top-rated facilities in the area.

Ownership Details

Complete list of registered owners, including direct and indirect ownership.

Noted Deficiencies

Detailed history of deficiencies with descriptions and correction dates.

Nursing Hours Analysis

Detailed breakdown of staffing hours per resident by role.

Frequently Asked Questions

Discovery Rehabilitation and Living has a 3-star CMS overall rating out of 5, which indicates good quality care meeting industry standards. The nursing staff spends 3.77 hours per resident daily, compared to the national average of 3.87 hours.

Discovery Rehabilitation and Living is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:
  • Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
  • Long-term Residential Care: Assistance with daily living activities for extended stays
  • Short-term Rehabilitation: Recovery services after hospital stays or surgeries
  • Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
The facility has 45 certified beds.

Discovery Rehabilitation and Living accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:
  • Level of care needed (skilled nursing vs. long-term care)
  • Room type (private vs. semi-private)
  • Insurance coverage (Medicare, Medicaid, private insurance)
  • Length of stay and specific services required

For current rates and to discuss payment options, contact Discovery Rehabilitation and Living directly at 2087568391. Their admissions team can help determine coverage and out-of-pocket expenses.

When visiting Discovery Rehabilitation and Living, pay attention to these important factors:

Environment & Cleanliness

  • Overall cleanliness and odors
  • Resident room conditions
  • Common area maintenance
  • Safety features and accessibility

Staff & Care Quality

  • Staff-to-resident ratios
  • How staff interact with residents
  • Response time to resident needs
  • Staff knowledge and professionalism

Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.

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