Karcher Post Acute
A nursing home in Nampa, Idaho 83651
1127 Caldwell Blvd, Nampa, Idaho 83651. (208) 465-4935.
- A candidate for CMS’s special focus list
- Cited for abuse (CMS flag)
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 19 health citations at the latest inspection cycle Idaho average: 10.4
- 3.85 nurse hours per resident per day Idaho average: 3.99
- 4 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- 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.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
19 health citations at the latest inspection cycle
The Idaho average is 10.4.
Last standard inspection May 29, 2026.
Most serious in three years: actual harm (G), at a complaint inspection on Nov 7, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
39 citations in 6 months of the last 36. Last cited May 2026. Most serious: actual harm (G). 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.
All 39 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 37 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
May 29, 2026: standard inspection2 citations
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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.
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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.
May 29, 2026: standard and complaint inspection15 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide safe and appropriate respiratory care for a resident when needed.
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Observe each nurse aide’s job performance and give regular training.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Dispose of garbage and refuse properly.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nov 7, 2025: complaint inspection2 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Ensure that residents are free from significant medication errors.
Sep 3, 2025: complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Apr 4, 2025: standard and complaint inspection11 citations
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Ensure each resident receives an accurate assessment.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Ensure that residents are free from significant medication errors.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jul 2, 2024: complaint inspection1 citation
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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.
Jan 26, 2024: standard and complaint inspection6 citations
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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.
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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.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 30, 1990.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 66 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 4 fines in the last three years, $41,603 in all.
- No Medicare payment denials in the last three years.
- 37 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Nov 7, 2025 | Fine | $10,549 |
| Sep 3, 2025 | Fine | $10,546 |
| Apr 4, 2025 | Fine | $11,190 |
| Jul 2, 2024 | Fine | $9,318 |
Who does the caring?
3.85 nurse hours per resident per day
The Idaho average is 3.99.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Idaho average |
|---|---|---|
| Nurse hours per resident per day | 3.85 | 3.99 |
| Of which registered nurses | 0.45 | 0.84 |
| At weekends | 3.40 | 3.39 |
| Nursing staff turnover | 40% | 49.5% |
| Registered nurse turnover | 50% | 40.7% |
| Administrators who left | 2 | Not given |
Who owns it?
- Providence Group NH, LLC owns 100% directly since May 10, 2024.
- 11 owners or officers are people: Jason H Murray (owns a share through other companies, 35.2%); Mark D Hancock (owns 5% or more through other companies, 35.2%); John T Mitchell (corporate officer); John T Mitchell (on the governing body (managing control)); Race Mcbride (runs it (operational or managerial control)); Race Mcbride (additional disclosable party (controls, leases property to, or provides services to the home)); Brye Graves (runs it (operational or managerial control)); Joshua O Jergensen (corporate officer); Joshua O Jergensen (on the governing body (managing control)); Daniel J Allen (runs it (operational or managerial control)); Daniel J Allen (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of PACS Group (277 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Providence Group NH, LLC | Owns 5% or more directly | 100% | May 10, 2024 |
| Pacs Holdings, LLC | Owns 5% or more through other companies | 100% | Sep 1, 2024 |
| Truist Bank | Holds 5% or more security interest | 100% | Sep 1, 2024 |
| Pacs Group, Inc. | Owns 5% or more through other companies | 100% | Sep 1, 2024 |
| Providence Administrative Consulting Services Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2024 | |
| Truist Bank | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 27, 2025 | |
| Nampa 1127 Realty, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2024 | |
| Next Saddle Realty LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2024 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Idaho average 4.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 15.0 miles, this one had the 1st most health citations at the latest inspection cycle (19; the middle value was 12).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Karcher Post Acute This nursing home | 19 | |
| The Orchards of Cascadia | 1.0 | 8 |
| Meadow View Nursing and Rehabilitation | 1.5 | 12 |
| Sunny Ridge | 4.1 | 10 |
| Cascadia of Nampa | 4.5 | 13 |
| Canyon West of Cascadia | 4.7 | 10 |
| Wellspring Health & Rehabilitation of Cascadia | 4.9 | 1 |
| Caldwell Care of Cascadia | 6.9 | 18 |
| Creekside Transitional Care and Rehabilitation | 9.5 | 12 |
| Meridian Meadows Transitional Care | 12.0 | 18 |
| Aspen Transitional Rehabilitation | 12.6 | 6 |
| Life Care Center of Treasure Valley | 15.0 | 13 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 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 home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home 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 home”, and paying will never change a finding, a rating or the order of results.