Advanced Health Care of Coeur D’alene
A nursing home in Coeur d’Alene, Idaho 83814
1578 W Riverstone Drive, Coeur d’Alene, Idaho 83814. (208) 769-0400.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 5of 5 CMS’s overall rating
- 3 health citations at the latest inspection cycle Idaho average: 10.4
- 5.63 nurse hours per resident per day Idaho average: 3.99
- 0 fines in the last three years
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?
3 health citations at the latest inspection cycle
The Idaho average is 10.4.
Last standard inspection May 21, 2026.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
7 citations in 2 months of the last 36. Last cited May 2026. Most serious: no actual harm, potential for more than minimal harm (D). 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 7 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. 2 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
May 21, 2026: standard inspection1 citation
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
May 21, 2026: complaint inspection2 citations
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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.
Mar 20, 2025: standard inspection4 citations
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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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Ensure that residents are free from significant medication errors.
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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 Feb 10, 2017.
- 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.
- 34 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 2 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
5.63 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 | 5.63 | 3.99 |
| Of which registered nurses | 1.28 | 0.84 |
| At weekends | 4.47 | 3.39 |
| Nursing staff turnover | 41.9% | 49.5% |
| Registered nurse turnover | 33.3% | 40.7% |
| Administrators who left | 1 | Not given |
Who owns it?
- New Ahc Holdings, LLC owns 100% directly since Jan 1, 2021.
- 4 owners or officers are people: Curtis Fisher (runs it (operational or managerial control)); Curtis Fisher (additional disclosable party (controls, leases property to, or provides services to the home)); Michael G Meza (additional disclosable party (controls, leases property to, or provides services to the home)); Nathan C Oxnam (corporate officer).
- Part of Advanced Health Care (26 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 |
|---|---|---|---|
| Advanced Health Care - Larry H Miller Corporation | Owns 5% or more through other companies | 100% | Jan 1, 2021 |
| New Ahc Holdings, LLC | Owns 5% or more directly | 100% | Jan 1, 2021 |
| The Gail Miller Gst Trust | Owns 5% or more through other companies | 72.3% | Jan 1, 2024 |
| Karen Gail Miller Irrev Tr Fbo Zane Miller | Owns 5% or more through other companies | 5.1% | Jan 1, 2024 |
| The Karen Gail Miller Irrevocable Trust for the Benefit of Stephen F. | Owns 5% or more through other companies | 5.1% | Jan 1, 2024 |
| The Karen Gail Miller Irrevocable Trust for the Benefit of Roger L. Mi | Owns 5% or more through other companies | 5.1% | Jan 1, 2024 |
| The Karen Gail Miller Irrevocable Trust for the Benefit of Karen R. WI | Owns 5% or more through other companies | 5.1% | Jan 1, 2024 |
| The Bryan Miller Utah Dynasty Trust Dated April 22, 2014 | Owns a share through other companies | 3.8% | Jan 1, 2024 |
| The G&h Miller Utah Trust Dated February 26, 2019 | Owns a share through other companies | 2.5% | Jan 1, 2024 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 12, 2025 | |
| New Ahc Holdings, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 12, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 12, 2025 | |
| Lhmsh LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2024 |
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 | 5 of 5 |
| Health inspections | 5 of 5 |
| Staffing | 5 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 25.8 miles, this one had the 11th most health citations at the latest inspection cycle (3; the middle value was 11.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Advanced Health Care of Coeur D’alene This nursing home | 3 | |
| Ironwood Rehabilitation and Care Center | 0.5 | 14 |
| Lakeside Rehabilitation and Care Center | 1.0 | 2 |
| Coeur D Alene Health of Cascadia | 1.4 | 7 |
| Life Care Center of Coeur D’alene | 3.3 | 19 |
| Life Care Center of Post Falls | 4.8 | 5 |
| Idaho State Veterans Home - Post Falls | 8.8 | 12 |
| Spokane Valley Health and Rehabilitation of Cascad | 16.2 | 12 |
| Sullivan Park Care Center | 18.8 | 11 |
| Aurora Valley Care | 21.1 | 34 |
| Sunshine Health & Rehab | 21.6 | 9 |
| Alderwood Manor | 25.8 | 14 |
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.