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Ironwood Rehabilitation And Care Center

2200 Ironwood Place, Coeur D'Alene, ID 838142086676486Ownership: For profit - CorporationCertified beds: 80Avg. daily residents: 67Chain: The Ensign Group (342 facilities)County: Kootenai

The complete public record on Ironwood Rehabilitation And Care Center, a Medicare & Medicaid–certified nursing home in Coeur D'Alene, Idaho, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★☆☆☆
CMS’s composite of the three ratings below. Idaho average: 3.1 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Ironwood Rehabilitation And Care Center holds a 2-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 62% is well above the Idaho average of 50%; high turnover is one of the strongest predictors of inconsistent care. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.71 total nurse staff hours per resident per day
below the state average (4.04)
0.79 RN hours per resident per day
below the state average (0.86)
3.24 weekend nurse staff hours per resident per day
62.2% total nursing staff turnover
above the state average (50.3)
62.5% RN turnover
3 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

May 1, 2026 most recent standard health inspection
14 health deficiencies cited in the most recent inspection cycle
above the state average (10.2)
12 health deficiencies in the two prior cycles combined
$0 in federal fines across 0 penalties (last 3 years)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

37 citations on record across recent inspections, 1 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
May 1, 20260684Provide appropriate treatment and care according to orders, resident’s preferences and goals. ComplaintE · Potential for more than minimal harm
May 1, 20260921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E · Potential for more than minimal harm
May 1, 20260550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. ComplaintD · Potential for more than minimal harm
May 1, 20260554Allow residents to self-administer drugs if determined clinically appropriate.D · Potential for more than minimal harm
May 1, 20260628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. ComplaintD · Potential for more than minimal harm
May 1, 20260656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. ComplaintD · Potential for more than minimal harm
May 1, 20260658Ensure services provided by the nursing facility meet professional standards of quality. ComplaintD · Potential for more than minimal harm
May 1, 20260677Provide care and assistance to perform activities of daily living for any resident who is unable. ComplaintD · Potential for more than minimal harm
May 1, 20260689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintD · Potential for more than minimal harm
May 1, 20260695Provide safe and appropriate respiratory care for a resident when needed. ComplaintD · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.