Nursing home
Ironwood Rehabilitation and Care Center
2200 Ironwood Place, Coeur D'Alene, ID 83814 · Map
For profit - Limited Liability company · Part of The Ensign Group (329 facilities) · 80 certified beds
Ironwood Rehabilitation and Care Center is a Medicare-certified nursing home in Coeur D'Alene, Idaho. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 4.03 hours per resident per day, below the Idaho average of 4.07. Its most recent inspection on Sep 26, 2024 cited 12 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Ironwood Rehabilitation and Care Center compares
This facility vs. the Idaho and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Idaho avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.03 | 4.07 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.74 | 0.83 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.31 | 2.47 | 2.34 | below avg |
| Nursing staff turnover | 62.4% | 49.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 12.0 | 8.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Ironwood Rehabilitation and Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 26, 2024 · Full report (PDF) - Potential for harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · Sep 26, 2024 · Full report (PDF) - Potential for harm
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
Environmental Deficiencies · Sep 26, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 26, 2024 · Full report (PDF) - Potential for harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Sep 26, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Sep 26, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Sep 26, 2024 · Full report (PDF) - Potential for harm
Provide appropriate foot care.
Quality of Life and Care Deficiencies · Sep 26, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Sep 26, 2024 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Sep 26, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 26, 2024 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 26, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 2200 Ironwood Place
Coeur D'Alene, ID 83814 - CMS certification #
- 135053
- Ownership
- For profit - Limited Liability company
- Certified beds
- 80
- Avg residents/day
- 62.2
- Provider type
- Medicare and Medicaid
- First certified
- 1973-06-15
- Chain
- The Ensign Group (329 facilities)
- Setting
- Urban
Part of The Ensign Group
The Ensign Group operates 329 nursing facilities across the United States. View all The Ensign Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Ironwood Rehabilitation and Care Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What Ironwood Rehabilitation and Care Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Our Long-Term Care provides a home-like setting combined with 24-hour nursing care.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Kootenai Health, Coeur D'Alene. 6.8 miles away, straight line. CMS overall hospital rating: 4 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Advanced Health Care of Coeur D'Alene, Coeur D'Alene. 0.5 miles away, straight line.
- Nearest home health agency office
- Centerwell Home Health, Coeur D'Alene. 0.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Kootenai Clinic Cancer Services Pharmacy (Specialty Pharmacy). 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 83814 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Kidney Care North Idaho, Coeur D Alene, 0.2 miles away, straight line (CMS rating 3 of 5 stars)
Fmc Hayden Lake, Coeur D Alene, 3.0 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Usrc Hayden Dialysis, Hayden, 3.7 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 7 Medicare hospices tell CMS they serve ZIP code 83814.
Auburn Crest Hospice, office in Coeur D'Alene, 0.1 miles away, straight line (CMS family survey rating 5 of 5 stars)
Gentiva Hospice, office in Coeur D'Alene, 0.2 miles away, straight line
Crest Home Health And Hospice, LLC, office in Coeur D'Alene, 0.2 miles away, straight line - Nearest geriatric medicine practice
- Washington Pac Services PC, Soap Lake. 127.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: inland flooding relatively moderate, wildfire very low, tornado very low, heat wave relatively moderate, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Ironwood Rehabilitation and Care Center a good nursing home?
CMS gives Ironwood Rehabilitation and Care Center an overall rating of 1 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Ironwood Rehabilitation and Care Center staffed?
Ironwood Rehabilitation and Care Center reports 4.03 total nurse hours per resident per day, compared with the Idaho average of 4.07.
Has Ironwood Rehabilitation and Care Center had inspection problems?
Its most recent CMS inspection cited 12 deficiencies.
How many beds does Ironwood Rehabilitation and Care Center have?
Ironwood Rehabilitation and Care Center is certified for 80 beds.