St Luke’s Mccall
A critical access hospital in McCall, Idaho 83638
1000 State Street, McCall, Idaho 83638. (208) 630-2395.
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The short answer
Record last released by CMS on Oct 20, 2026.
- Not rated CMS’s overall rating
- 5of 5 patient survey rating
- 2 deficiencies cited in the last three years
- 15 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Nov 14, 2024: a complaint inspection.
2 deficiencies cited in the last three years, 2 of them under EMTALA, the law requiring an emergency department to examine and stabilise anyone who comes to it.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Nov 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Nov 14, 2024: complaint inspection2 deficiencies
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Compliance With 489.24
The inspectors’ words, 136 words
“COMPLIANCE WITH 489.24 CFR(s): 489.20(l) [The provider agrees,] in the case of a hospital as defined in §489.24(b), to comply with §489.24. This Standard is not met as evidenced by: 42316 Based on medical record review, policy review, ED log review, CFR review, and staff interview, it was determined the facility failed to ensure emergency services were provided in compliance with 42 CFR Part 489.24: Responsibilities of Medicare Participating Hospitals in Emergency Cases. Refer to A - 2405 as it relates to the hospital’s failure to maintain a central log on all individuals who came to the emergency department seeking emergency medical treatment for 1 of 20 (Patient #11) patients who’s records were reviewed. Noncompliance with 42 CFR Part 489.24 had the ability to negatively affect all patients who presented to the hospital seeking emergency care.”
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Emergency Room Log
The inspectors’ words, 767 words
“EMERGENCY ROOM LOG CFR(s): 489.20(r)(3) [The provider agrees,] in the case of a hospital as defined in §489.24(b) (including both the transferring and receiving hospitals), to maintain a central log on each individual who comes to the emergency department, as defined in §489.24(b), seeking assistance and whether he or she refused treatment, was refused treatment, or whether he or she was transferred, admitted and treated, stabilized and transferred, or discharged. §489.24 The provisions of this regulation apply to all hospitals that participate in Medicare and provide emergency services. This Standard is not met as evidenced by: 42316 Based on medical record review, policy review, ED log review, CFR review, and staff interview, it was determined the facility failed to maintain a central log on all individuals who came to the hospital seeking emergency medical treatment. This resulted in 1 of 20 patients (Patient #11) not being documented on centralized ED log. This had the potential to interfere with the hospital’s ability to track all emergency patients and to assess whether patients received appropriate screenings, stabilizations, and transfers. Findings include: According to 42 CFR § 489.24 Special responsibilities of Medicare hospitals in emergency cases, “Comes to the emergency department means, with respect to an individual who is not a patient (as defined in this section), the individual ... (2) Has presented on hospital property, as defined in this section, other than the dedicated emergency department, and requests examination or treatment for what may be an emergency medical condition, or has such a request made on his or her behalf.” A facility policy titled, “Emergency Medical Treatment and Active Labor Act (EMTALA) and Transfers in to or Out of St. Luke’s Health System Facilities,” revised 5/17/24, was reviewed. The policy stated, “EMTALA applies when an individual comes to the ED. This means that the individual meets any one of the following four conditions: ... Presents On-Campus: The individual presents On-Campus (other than a Dedicated ED), including Labor & Delivery, and requests examination or treatment for what may be an emergency medical condition, or has such a request made on his or her behalf.” The policy also stated, “The following signs shall be posted, and records maintained: ... D. Central Log of Emergency Care: Maintain in the ED and L&D a central log of individuals who come to the ED or L&D seeking treatment and indicate whether these individuals: (1) refused treatment, (2) were denied treatment, or (3) were admitted, transferred or discharged. This central log may be a report from the electronic health record.” This policy was not followed. An example includes: Patient #11 was a 13 year old pregnant female who presented to the Labor & Delivery unit on 8/07/24 with contractions and possible rupture of membranes. She presented to the Labor & Delivery unit to assess for possible labor. Labor was ruled out, and Patient #11 was discharged and told to follow up with obstetrics. Patient #11’s ED visit encounter record was reviewed as part of her electronic medical record. There were no emergency visits documented in the visit encounter record for Patient #11 in 2024. ED logs were requested upon entrance of the survey on 11/12/24 at 11:00 AM. The ED logs were reviewed, but Patient #11’s 8/07/24 visit was not documented in the ED logs originally provided. Patient #11’s medical record for the 8/07/24 visit was reviewed with the Quality Manager and Inpatient Nurse Manager on 11/13/24 at 1:39 PM. The Quality Manager confirmed the 8/07/24 visit was an unscheduled ED visit. The surveyor reviewed that the 8/07/24 visit was not on any of the central logs previously provided. The Quality Manager stated the central log previously provided included all obstetric visits for the hospital. When asked about a walk in log for patients presenting to Labor & Delivery seeking emergency treatment, The Inpatient Nurse Manager said she was not sure about a log for those patients. It was unclear why the central log did not include Patient #11’s Labor & Delivery walk in visit. After reviewing Patient #11’s 8/07/24 visit with the Quality Manager, a log was provided which showed the 8/07/24 visit. This log was provided the afternoon of 11/13/24, after the unscheduled visit was reviewed with the Quality Manager and noted that Patient #11’s 8/07/24 visit was not on the central logs previously provided. The log was originally requested on 11/12/24 at 11:00 AM. It was unclear why Patient #11’s 8/07/24 visit was not on any of the central logs originally provided. The hospital failed to maintain a central log on all individuals who came to the hospital seeking emergency medical treatment.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Nov 14, 2024 | Complaint inspection | 2 deficiencies cited |
How do patients fare?
- CMS gives no overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “There are too few measures or measure groups reported to calculate a star rating or measure group score.”
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 2; readmission, 0 better and 0 worse of 4.
- Patients rate it 5 of 5 in CMS’s patient survey (104 surveys completed, Oct 1, 2024 to Sep 30, 2025): 87% rated it 9 or 10 out of 10, and 84% would definitely recommend it.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): pneumonia 17%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 145 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 0% left before being seen.
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | Not rated |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 5 of 5 |
Is it certified, and in good standing?
- Medicare-certified critical access hospital since Oct 1, 2000.
- Ownership: proprietary.
- It is not accredited by a private organisation, so the state carries out its routine inspections for Medicare.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Proprietary.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- CMS’s HAC Reduction Program file has no result for it: the program covers general acute care hospitals Medicare pays under its inpatient prospective payment system.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 5 of 5.
- 85% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- St Lukes Health System Ltd owns 100% directly since Oct 1, 2010.
- St Lukes Health System Ltd runs it.
- 27 owners or officers are people: Durmot Mark Durcan (corporate director, 0%); Lisa Grow (corporate director, 0%); Allan Korn (corporate director, 0%); Robert Lokken (corporate director, 0%); Andrew Scoggin (corporate director, 0%); Richard Raimondi (corporate director, 0%); Lucie A Dimaggio (corporate director, 0%); Daniel Krahn (corporate director, 0%); Jon Miller (corporate director, 0%); Jared Grant (corporate officer, 0%); Jared Grant (managing employee (on the payroll), 0%); Karen Vauk (corporate director, 0%); Jacob Reid (corporate officer, 0%); Jacob Reid (managing employee (on the payroll), 0%); Kathryn Fowler (corporate officer); Kathryn Fowler (corporate director); Kathryn Fowler (managing employee (on the payroll)); Rosa Davila (corporate director); William Whitacre (corporate director, 0%); Christopher Roth (corporate officer); Christopher Roth (corporate director); Christopher Roth (managing employee (on the payroll)); Robert Mueller (corporate officer); Robert Mueller (corporate director); Robert Mueller (managing employee (on the payroll)); Thomas K Corrick (corporate director, 0%); Brigette Bilyeu (corporate director, 0%).
- CMS’s Provider of Services file records 1 change of ownership, the latest on Oct 1, 2010.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| St Lukes Health System Ltd | Owns 5% or more directly | 100% | Oct 1, 2010 |
| St Lukes Health System Ltd | Runs it (operational or managerial control) | Oct 1, 2010 |
How does it compare nearby?
- Of the 2 hospitals CMS lists in Valley County, none has an overall star rating from CMS.
- CMS gives this hospital no overall star rating to compare.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Cascade Medical Center | Not given |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.