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Nursing homeFAID #2838

Lincoln County Care Center

511 EAST FOURTH STREET, SHOSHONE, ID, 83352
(208) 886-2228
36 licensed beds

CMS rates Lincoln County Care Center 3 out of 5 overall. Federal inspectors issued 46 citations across 7 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall3/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
36
CMS facility ID
135056
Care type
Nursing home
County
Lincoln
Facility name
Lincoln County Care Center
Street address
511 EAST FOURTH STREET
City / state / ZIP
Shoshone, ID 83352
Phone
(208) 886-2228

Lincoln County Care Center is a Medicare/Medicaid-certified skilled nursing facility in Shoshone, Idaho. It is licensed for 36 beds — below the median for skilled nursing facilities in Idaho (70 beds).

It is one of 1 senior care facility in Shoshone and 80 skilled nursing facilities across Idaho. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Cascades Healthcare, a group of 19 facilities on this site.

Federal inspectors have cited Lincoln County Care Center 46 times across 7 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Cascades Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Burdick, Anita
Operational control · Additional disclosable party — since 2023
Cascades At Lincoln County, Llc
Direct owner · Operational control — since 2023
Crump, Jason
Director — since 2023
Eelir Flp
Partner — since 2023
Fullmer, Chad
Director · Operational control — since 2023
Gies, Florian
Operational control · Additional disclosable party — since 2023
Lincoln County Ems
Direct owner · Additional disclosable party — since 1985
Mcspadden, Darin
Director · Operational control — since 2023
Moore, Thomas
Director — since 2023
Quest Flp
Partner — since 2023
Ronnmark Flp
Partner — since 2023
Takayama Flp
Partner — since 2023
Tower Bridge Flp
Partner — since 2023
White, Derek
Director — since 2023

Regulatory standing

Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1974-07-01
CMS overall rating
3 of 5 stars
Health deficiencies
13 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-04-15
Nurse staffing
3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$272 per day (≈ $8,270/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
79% Medicaid · 5% Medicare · 16% private/other
Occupancy
73% (fiscal year 2023)
Vs. state median
40% below the ID median of $452/day — full state cost breakdown

Services & coverage

Licensed beds
36
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-04-15Health inspection13 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-05-19
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2026-05-19
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-05-19
F-0584
E · No harm found
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.
Corrected 2026-05-19
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-05-19
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2026-05-19
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2026-05-19
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2026-05-19
F-0732
D · No harm found
Post nurse staffing information every day.
Corrected 2026-05-19
F-0761
E · No harm found
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.
Corrected 2026-05-19
F-0804
D · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-05-19
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-05-19
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-05-19
2025-04-16Health inspectionComplaint-triggered10 citations
F-0655
D · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-05-20
F-0661
D · No harm foundFrom a complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2025-05-20
F-0680
D · No harm foundFrom a complaint
Ensure the activities program is directed by a qualified professional.
Corrected 2025-05-20
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-20
F-0732
D · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2025-05-20
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-20
F-0757
D · No harm foundFrom a complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-05-20
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2025-05-20
F-0812
D · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-20
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-05-20
3 earlier / fire-safety inspections (23 citations)
2020-02-21Health inspection7 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2020-03-16
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-03-16
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-03-16
F-0693
D · No harm found
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.
Corrected 2020-03-16
F-0758
E · No harm found
Implement 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.
Corrected 2020-03-16
F-0761
E · No harm found
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.
Corrected 2020-03-16
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2020-03-16
2026-04-15Fire-safety inspection8 citations
E-0036
F · No harm found
Establish emergency prep training and testing.
Corrected 2025-09-24
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2025-09-24
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2025-09-24
K-0100
F · No harm found
Meet other general requirements.
Corrected 2025-09-24
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-09-24
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2025-09-24
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-24
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-24
2020-02-21Fire-safety inspection8 citations
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-05-30
K-0222
F · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2019-05-30
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-05-30
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2019-05-30
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2019-05-30
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2019-05-30
K-0761
E · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-05-30
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-05-30
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 135056.
How it compares in Idaho.
Inspection citations, 3 years
46
More than 74% of nursing homes in the state
State median: 38
Federal fines, 3 years
$0
No federal fines on record
State median: $0
Nurse staffing, hours per resident per day
3.4
Higher than 14% of nursing homes in the state
State median: 3.8
Nursing staff turnover, annual
41%
Higher than 23% of nursing homes in the state
State median: 51%

Resident outcomes

On 18 federal quality measures, this facility does better than the Idaho average on 5 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased20.0%15.4%13.5%Worse than state
Lose too much weight0.0%5.1%5.1%Better than state
With a catheter inserted and left in their bladder1.1%1.0%0.7%Near state average
With a urinary tract infection0.0%2.0%1.5%Better than state
Have depressive symptoms14.4%15.7%13.5%Near state average
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury8.2%3.1%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine95.9%97.8%93.7%Near state average
Ability to walk independently worsened27.2%15.8%12.7%Worse than state
Received an antianxiety or hypnotic medication16.8%16.4%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine88.9%96.2%95.3%Near state average
With pressure ulcers3.8%3.4%4.5%Worse than state
With new or worsened bowel or bladder incontinence20.5%21.2%18.3%Near state average
Received an antipsychotic medication20.9%20.3%15.4%Near state average
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine80.9%91.8%82.3%Worse than state
Newly received an antipsychotic medication0.0%1.7%1.5%Better than state
Were rehospitalized after a nursing home admission18.6%17.3%23.4%Near state average
Had an outpatient emergency department visit8.6%11.9%11.8%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0761 3 inspections. 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.
  • F-0880 3 inspections. Provide and implement an infection prevention and control program.
  • F-0552 2 inspections. Ensure that residents are fully informed and understand their health status, care and treatments.
  • F-0655 2 inspections. Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  • F-0732 2 inspections. Post nurse staffing information every day.
  • F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Where to check, and what's nearby.

Who to contact in Idaho

  • Licensing: Idaho Department of Health and Welfare, Residential Assisted Living Facilities Program (Licensing and Certification)
  • File a complaint: 208-364-1962 · Online
  • Long-Term Care Ombudsman: 877-471-2777. A free advocate for residents and families.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • St Luke's Jerome, about 16 miles.
  • St Lukes Magic Valley Medical Center, about 24 miles. CMS rating 4 of 5.
  • Cassia Regional Hospital, about 42 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 46 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered