Madison Carriage Cove Short Stay Rehabilitation
A nursing home in Rexburg, Idaho 83440
410 West 1st North, Rexburg, Idaho 83440. (208) 359-7676.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 4of 5 CMS’s overall rating
- 8 health citations at the latest inspection cycle Idaho average: 10.4
- 4.15 nurse hours per resident per day Idaho average: 3.99
- 1 fine 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?
8 health citations at the latest inspection cycle
The Idaho average is 10.4.
Last standard inspection Jan 28, 2026.
Most serious in three years: actual harm (G), at a standard inspection on Jan 23, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
21 citations in 3 months of the last 36. Last cited Jan 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 21 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.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jan 28, 2026: standard inspection8 citations
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PASARR screening for Mental disorders or Intellectual Disabilities
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Provide safe and appropriate respiratory care for a resident when needed.
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Post nurse staffing information every day.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure that residents are free from significant medication errors.
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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.
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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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Provide and implement an infection prevention and control program.
Jan 23, 2025: standard inspection11 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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Allow residents to self-administer drugs if determined clinically appropriate.
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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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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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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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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 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.
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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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Provide and implement an infection prevention and control program.
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Implement a program that monitors antibiotic use.
May 3, 2024: standard inspection2 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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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.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Apr 23, 2015.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 35 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $11,297 in all.
- No Medicare payment denials in the last three years.
- 0 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jan 23, 2025 | Fine | $11,297 |
Who does the caring?
4.15 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 | 4.15 | 3.99 |
| Of which registered nurses | 1.09 | 0.84 |
| At weekends | 3.57 | 3.39 |
| Nursing staff turnover | 53.6% | 49.5% |
| Registered nurse turnover | 50% | 40.7% |
| Administrators who left | 0 | Not given |
Who owns it?
- Tanabell Health Services, Inc. owns 100% directly since Oct 1, 2017; Djt Rehab Property, LLC owns 50% directly since Oct 1, 2017; Djt Rehab Property, LLC owns 50% directly since Oct 1, 2017; Madison Co Memorial Hospital owns 50% directly since Oct 1, 2017; Madison Co Memorial Hospital owns 50% directly since Oct 1, 2017.
- Tanabell Health Services, Inc. and Djt Rehab Property, LLC and Madison Co Memorial Hospital run it.
- 17 owners or officers are people: Troy V Bell (corporate director, 100%); Troy V Bell (owns a share directly, 25%); David J Thueson (owns 5% or more directly, 25%); David J Thueson (general partner, 25%); David J Thueson (owns a share directly, 25%); Jenelle Thueson (owns 5% or more directly, 25%); Jenelle Thueson (general partner, 25%); Jenelle Thueson (owns a share directly, 25%); Jack O Clark (additional disclosable party (controls, leases property to, or provides services to the home)); Troy V Bell (additional disclosable party (controls, leases property to, or provides services to the home)); David J Thueson (runs it (operational or managerial control)); David J Thueson (additional disclosable party (controls, leases property to, or provides services to the home)); Treyton Bell (additional disclosable party (controls, leases property to, or provides services to the home)); Jamie Bell (corporate officer, 0%); Jamie Bell (additional disclosable party (controls, leases property to, or provides services to the home)); Jenelle Thueson (runs it (operational or managerial control)); Jenelle Thueson (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Tanabell Health Services (5 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 |
|---|---|---|---|
| Tanabell Health Services, Inc. | Owns a share directly | 100% | Oct 1, 2017 |
| Djt Rehab Property, LLC | Owns 5% or more directly | 50% | Oct 1, 2017 |
| Djt Rehab Property, LLC | General partner | 50% | Oct 1, 2017 |
| Djt Rehab Property, LLC | Owns a share directly | 50% | Oct 1, 2017 |
| Madison Co Memorial Hospital | Owns 5% or more directly | 50% | Oct 1, 2017 |
| Madison Co Memorial Hospital | General partner | 50% | Oct 1, 2017 |
| Madison Co Memorial Hospital | Owns a share directly | 50% | Oct 1, 2017 |
| Tanabell Health Services, Inc. | Runs it (operational or managerial control) | Oct 1, 2017 | |
| Tanabell Health Services, Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 19, 2025 | |
| Djt Rehab Property, LLC | Runs it (operational or managerial control) | Oct 1, 2017 | |
| Djt Rehab Property, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2017 | |
| Madison Co Memorial Hospital | Runs it (operational or managerial control) | Oct 1, 2017 | |
| Madison Co Memorial Hospital | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2017 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Idaho average 4.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 4 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 4 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 72.1 miles, this one had the 6th most health citations at the latest inspection cycle (8; the middle value was 8).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Madison Carriage Cove Short Stay Rehabilitation This nursing home | 8 | |
| Temple View Transitional Care Center | 1.2 | 14 |
| Ashton Memorial Living Center | 24.5 | 6 |
| Eagle Rock Health and Rehabilitation of Cascadia | 25.0 | 22 |
| Life Care Center of Idaho Falls | 25.6 | 14 |
| Teton Healthcare of Cascadia | 26.5 | 13 |
| Promontory Point Rehabilitation | 27.9 | 8 |
| Bingham Memorial Skilled Nursing & Rehabilitation | 51.8 | 9 |
| Syringa Chalet Nursing Facility | 51.9 | 8 |
| St John’s Health Sage Living | 57.1 | 2 |
| Monte Vista Hills Healthcare Center | 71.9 | 8 |
| Quinn Meadows Rehabilitation and Care Center | 72.1 | 6 |
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
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Paid listing
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