Cottonwood Creek Behavioral Hospital
A psychiatric hospital in Meridian, Idaho 83642
2131 S Bonito Way, Meridian, Idaho 83642. (208) 202-4700.
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The short answer
Record last released by CMS on Oct 20, 2026.
- Not rated CMS’s overall rating
- Not rated patient survey rating
- 1 deficiency cited in the last three years
- 92 beds
Each figure’s source sits beside it, in its section below.
What these words mean2
- 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 Jul 8, 2026: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Jul 2026. 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.
Jul 8, 2026: complaint inspection1 deficiency
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Patient Rights: Care In Safe Setting
The inspectors’ words, 523 words
“PATIENT RIGHTS: CARE IN SAFE SETTING CFR(s): 482.13(c)(2) The patient has the right to receive care in a safe setting. This Standard is not met as evidenced by: 39430 Based on policy review, record review and staff interview, the facility failed to ensure care in a safe setting for 1 of 6 patients (Patient #2) whose records were reviewed. The facility failed to ensure required observation levels were implemented or that clinical justification for lowering suicide precautions was documented. This failure had the potential to result in patients being unsafely monitored and placed at risk for harm. Findings include: The facility’s policy titled “Suicide/Homicide Risk Assessment,” dated 7 /01/26, included guidelines for “Suicide Risk Stratification” and “Suicide Intervention.” The policy stated that patients assessed as High Suicide Risk required staff to stay with the patient, initiate 1:1 observation, and notify the provider to obtain an order. The policy also stated that “patients may be placed on a lower level of observation based on the clinical judgment of the medical staff and with documented justifications.” This policy was not followed. An example included: Patient #2 was a 47 year old female admitted on 06/09/26. Patient #2’s medical record included a Admission Nursing Assessment. The admission nursing assessment included the C SSRS Suicide Assessment, and questions 1-6, a determination of suicide risk, were marked “Patient refused - assume High Risk.” This score met the facility’s definition of High Suicide Risk, requiring 1:1 observation unless clinical justification for a lower level of observation was appropriately documented. Patient #2’s medical record did not include documentation of any justification for assigning less than 1:1 monitoring at the time of the assessment. Patient #2’s medical record included a progress note dated 6/10/26, completed by the RN, one day after the C SSRS assessment. The note stated: “This nurse was notified by BHT to assess a patient. Upon assessment the patient was found with a sock tied around her neck. Vital signs were obtained revealing an elevated blood pressure of 162/106, increased from the patient’s morning vital signs. The patient’s face appeared flushed red. The nurse manager was notified and responded to the bedside ... the patient was placed on 1:1 observation for safety.” On 07/07/26, beginning at 2:00 PM the nurse who completed the C SSRS on 06/09/26 stated she did not believe Patient #2 required 1:1 observation because the patient appeared redirectable and did not appear suicidal. The nurse confirmed no documentation was entered into the record to justify lowering the observation level despite the High Suicide Risk score. On 07/08/26, beginning at 9:00 AM, the CEO was interviewed. He confirmed that the documentation required by facility policy was missing from the patient’s medical record. He stated that, in response, the facility held a staff meeting and immediately retrained staff on the referenced policy. The facility failed to ensure care in a safe setting for all patients by not following its Suicide Risk Assessment policy and by not documenting justification for lowering suicide precautions for a patient assessed as high risk. This failure had the potential to result in inadequate supervision and place patients at risk for harm.”
All 4 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 8, 2026 | Complaint inspection | 1 deficiency cited |
| Dec 1, 2025 | Complaint inspection | No deficiencies cited |
| Jun 4, 2025 | Complaint inspection | No deficiencies cited |
| Feb 15, 2024 | Complaint inspection | No 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.: “Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.”
- CMS publishes no patient survey results for it.
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 | Not rated |
Is it certified, and in good standing?
- Medicare-certified psychiatric hospital since Mar 7, 2019.
- Ownership: proprietary.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- 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.
- 1 deficiency cited in the last three years came from an inspection 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.
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Haven Behavioral Services LLC owns 100% directly since Sep 1, 2018.
- 3 owners or officers are people: Kevan Finley (managing employee (on the payroll), 0%); Stuart L Archer (corporate officer); Laura F Tarantino (corporate officer).
- CMS’s Provider of Services file records no change of ownership.
- 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 |
|---|---|---|---|
| Oceans Midco, Inc. | Owns 5% or more through other companies | 100% | Jan 1, 2025 |
| Haven Behavioral Services LLC | Owns 5% or more directly | 100% | Sep 1, 2018 |
| Oceans Topco, Inc. | Owns 5% or more through other companies | 100% | Jan 1, 2025 |
| Oceans Ultimate Holdco, LP | Owns 5% or more through other companies | 100% | Jan 1, 2025 |
| Haven Behavioral Healthcare Inc. | Owns 5% or more through other companies | 100% | Jul 1, 2021 |
| Oceans Acquisition Inc. | Owns 5% or more through other companies | 100% | Jan 1, 2025 |
| Haven Behavioral Services Holdings LLC | Owns 5% or more through other companies | 100% | Sep 1, 2018 |
| Oceans Buyer, Inc. | Owns 5% or more through other companies | 100% | Jan 1, 2025 |
| Webster Equity Partners V, LP | Owns 5% or more through other companies | 49.73% | Jan 1, 2025 |
| Webster Oceans Co-Investment Fund, LP | Owns 5% or more through other companies | 33.14% | Jan 1, 2025 |
| Wasque Partners II Spe, LP | Owns 5% or more through other companies | 9.31% | Jan 1, 2025 |
| Oceans Ultimate Holdco Gp, LLC | Owns 5% or more through other companies | 1% | Jan 1, 2025 |
How does it compare nearby?
- Of the 7 hospitals CMS lists in Ada County, 3 have an overall star rating from CMS: 2 rated 5 of 5, 1 rated 3 of 5.
- CMS gives this hospital no overall star rating to compare.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| St Luke’s Regional Medical Center | 5 |
| Saint Alphonsus Regional Medical Center | 3 |
| Boise VA Medical Center | 5 |
| Treasure Valley Hospital | Not given |
| Intermountain Hospital | Not given |
| Lifeways Hospital | 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.
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.