SNF

Valley Vista Care Center of Sandpoint

CCN: 135055 · SANDPOINT, ID 83864 · Bonner County

Overview

Address
220 SOUTH DIVISION AVE, SANDPOINT, ID 83864
Phone
2082654514
Certified beds
73
Avg daily residents
58 (80% of beds filled)
Ownership
Non-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1973-07-01
Setting
Rural
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 2/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 2/5
Short-Stay Quality Measures ★★★★★ 1/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 4.24 3.64 4.50 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.64 0.64 0.68 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.87 0.81 0.92 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.74 2.20 2.91 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.50 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.11 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.74
hrs / resident / day
RN (weekend)
0.46
hrs / resident / day
Total nurse (adjusted, weekend)
3.96
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
62.8%
annual
RN turnover
25.0%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.29
higher acuity than avg
Case-Mix Index Ratio
0.94
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-06-27 14 14 14 72 1 72
Cycle 2/3 (prior) 2024-05-06 15 14 14 159 1 159
Total weighted health score
93.8
lower is better
Infection-control citations
1
last cycle

Deficiencies (30)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

28 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-06-27 2025-07-31
0578 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. D 2025-06-27 2025-07-31
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. D 2025-06-27 2025-07-31
0627 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. D 2025-06-27 2025-07-31
0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. D 2025-06-27 2025-07-31
0641 Ensure each resident receives an accurate assessment. E 2025-06-27 2025-07-31
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2025-06-27 2025-07-31
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-06-27 2025-07-31
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2025-06-27 2025-07-31
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2025-06-27 2025-07-31
0809 Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. E 2025-06-27 2025-07-31
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-06-27 2025-07-31
0839 Employ staff that are licensed, certified, or registered in accordance with state laws. D 2025-06-27 2025-07-31
0880 Provide and implement an infection prevention and control program. E 2025-06-27 2025-07-31
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-05-06 2024-06-21
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2024-05-06 2024-06-21
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-05-06 2024-06-21
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2024-05-06 2024-06-21
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2024-05-06 2024-06-21
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-05-06 2024-06-21
0610 Respond appropriately to all alleged violations. D 2024-05-06 2024-06-21
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2024-05-06 2024-06-21
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-05-06 2024-06-21
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-05-06 2024-06-21
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-05-06 2024-06-21
0758 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. D 2024-05-06 2024-06-21
0868 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly E 2024-05-06 2024-06-21
0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. E 2024-05-06 2024-06-21
0886 Perform COVID19 testing on residents and staff. E 2023-03-14 2023-04-11
0761 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. E 2019-01-31 2019-03-07

Penalties (1)

Fines issued
1
last 3 years
Total fines
$40,918
Date Type Fine amount
2024-05-06 Fine $40,918

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 3.5% Medicaid 72.0% Other 24.5%

Operating performance

Operating Margin
-9.9%
Total Margin
-9.0%
Occupancy Rate
81.5%
Cost per Resident Day
$53

Revenue & costs

Net Patient Revenue
$8.9M
Total Costs
$1.2M
Net Income
-$801K

Balance sheet

Total Assets
$5.0M
Total Liabilities
$4.3M
Fund Balance
$710K
Current Ratio
0.29

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Owner / manager organizations (1)

Organization Role Association
VALLEY VISTA CARE CORPORATION OPERATIONAL/MANAGERIAL CONTROL since 12/30/1999

Owner / manager individuals (12)

Name Role Association
LAMBERT, MICHAEL OPERATIONAL/MANAGERIAL CONTROL since 06/01/2022
MEZA, MICHAEL OPERATIONAL/MANAGERIAL CONTROL since 01/01/2018
COWIN, WILLIAM CORPORATE DIRECTOR since 08/03/2016
GOODALL, TOM CORPORATE DIRECTOR since 06/30/2021
HAYES, DONNA CORPORATE DIRECTOR since 06/30/2021
MCGREAL, HEIDI CORPORATE DIRECTOR since 10/26/1998
POWELL, SABRINA CORPORATE DIRECTOR since 06/30/2024
RYAN, DOUG CORPORATE DIRECTOR since 06/30/2020
SPOONER, CLAUDIA CORPORATE DIRECTOR since 06/30/2013
WILKS, KASEY CORPORATE DIRECTOR since 03/15/1999
WOODIN, CHERI CORPORATE DIRECTOR since 06/30/2019
LLOYD, CHARLES CORPORATE OFFICER since 06/17/2019

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $53 metrics.cost_per_resident_day
Cost Report Current Ratio 0.29 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 72.0% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 3.5% metrics.medicare_day_share
Cost Report Net Income ($) $-801,301 metrics.net_income
Cost Report Net Patient Revenue ($) $8,865,838 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 81.5% metrics.occupancy_rate
Cost Report Operating Margin (%) -9.9% metrics.operating_margin
Cost Report Total Assets ($) $5,037,683 metrics.total_assets
Cost Report Total Costs ($) $1,153,240 metrics.total_costs
Cost Report Total Fund Balances ($) $710,415 metrics.fund_balance
Cost Report Total Liabilities ($) $4,327,268 metrics.total_liabilities
Cost Report Total Margin (%) -9.0% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.91798 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.90690 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.67579 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.50067 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.96219 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 58.1 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.80779 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.19540 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.63672 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.63991 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.20820 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating — Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating — Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating — Chain Average QM Rating
Provider Information Chain Average Staffing Rating — Chain Average Staffing Rating
Provider Information Chain ID — Chain ID
Provider Information Chain Name — Chain Name
Provider Information City/Town SANDPOINT City/Town
Provider Information CMS Certification Number (CCN) 135055 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Bonner County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1973-07-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 48.2718 Latitude
Provider Information Legal Business Name VALLEY VISTA CARE CORPORATION Legal Business Name
Provider Information Location 220 SOUTH DIVISION AVE,SANDPOINT,ID,83864 Location
Provider Information Long-Stay QM Rating 2 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -116.57 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 73 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 1 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain — Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.28946 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.93599 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type Non profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 220 SOUTH DIVISION AVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Valley Vista Care Center of Sandpoint Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 080 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 2 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 72 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 14 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 14 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-06-27 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 72 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 14 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 14 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-05-06 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 159 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 14 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 159 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 15 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.45718 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 25.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.50253 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.86543 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.74050 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.10526 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.63710 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.24303 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State ID State
Provider Information Telephone Number 2082654514 Telephone Number
Provider Information Total Amount of Fines in Dollars 40918.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.73538 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 62.8 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 93.750 Total Weighted Health Survey Score
Provider Information Urban N Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 83864 ZIP Code