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Nursing HomeMedicaid Investigative

Karcher Post Acute

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

1127 Caldwell Boulevard, Nampa, ID 8365166 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 26 Google reviews

5
4
3
2
1

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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (14 vs median 8.0)
  • High RN turnover (90%)

Below average in ID · Below recommended RN staffing · Above recommended total nurse staffing · Worst in PRESTIGE CARE chain · $36,443 in fines

Source: Medicare data

What this means for your family

Karcher Post Acute is highly regarded for its physical therapy outcomes and clean environment, making it a strong candidate for short-term rehab. However, families should be aware of potential communication gaps and responsiveness issues; we recommend scheduling a tour and asking specifically how the facility ensures timely updates and assistance for residents.

Google Reviews

Google Reviews

26 reviews on Google
Karcher Post Acute receives generally positive feedback for its therapy department and clean, well-maintained environment. While many families praise the attentive staff and successful rehabilitation outcomes, some reviewers report significant concerns regarding communication, slow response times to call lights, and inconsistent hygiene care.

Quality Themes

Tap a score for details
Food8.0Staff7.0Clean9.0Activities7.0MedsN/AMemoryN/AComms4.0Value3.0

Strengths

  • Effective rehabilitation therapy team
  • Clean and well-maintained facility
  • Friendly and empathetic nursing staff
  • Supportive management approach

Concerns

  • Slow response times to call lights and assistance requests (mentioned by 2 reviewers)
  • Poor communication and lack of follow-up from staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.02019(1)1.02020(1)4.62022(12)5.02023(1)3.02024(2)4.62025(10)5.02026(2)

Distribution · 29 analyzed

5
22
4
3
3
0
2
1
1
3

How They Respond to Reviews

77%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that your management team is very active in responding to online feedback; how does that proactive communication style translate to keeping families updated on their loved one's daily progress?
  • 2Given that some families have mentioned challenges with response times for assistance, what is your current process for monitoring call lights to ensure residents get help promptly?
  • 3With your rehabilitation therapy team being a standout strength, how do you integrate their work into the daily routine for residents who are here for short-term recovery?
  • 4The facility has a 1-star rating for health inspections; could you walk me through the specific steps you have taken recently to address these regulatory concerns and improve care quality?
  • 5How do you ensure that nursing staff maintain consistent communication with families, especially when there are changes in a resident's medical condition or care plan?
  • 6Beyond the therapy sessions, what kind of social activities or engagement programs do you have in place to keep residents active and connected during their stay?

Personalized based on this facility's data


Key Review Excerpts

The therapists were patient but firm, encouraging him every step of the way. The facility is clean, the communication with the family was excellent, and most importantly, my father is now back home and feeling stronger than ever.

Rehab patient's family member · 2026★★★★★

The entire staff from nursing, therapeutic modalities, administration, dining, EVS & transportation was professional, efficient, caring and very friendly and helpful towards the patient and family.

Rehab patient's family member · 2022★★★★★

The few good employees are worked to death. The nurses ignore family. They don't call you back. You're lucky if someone answers and says they'll call back but it's not true.

Long-term resident's family member · 2024☆☆☆☆
Source: 26 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
60%
Registered nurses for medical care
Total Nursing
4.05hrs
99%
All nurses + aides combined
Staff Turnover
44%
Lower is better (< 30% = good)
RN Turnover
63%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

12

measures

Worse Than Avg

1

measures

Mixed Results

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.4%
Better than Avg
Here
5.4%
US
19.4%
ID
22.6%
Canyon
20.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
19.5%
ID
16.3%
Canyon
17.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
14.4%
ID
16.6%
Canyon
17.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.7%
Better than Avg
Here
9.7%
US
15.3%
ID
17.6%
Canyon
12.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility14.0%
Mixed vs Avgs
Here
14.0%
US
12.1%
ID
14.4%
Canyon
6.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
5.3%
ID
5.4%
Canyon
7.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.4%
Better than Avg
Here
98.4%
US
81.8%
ID
90.6%
Canyon
90.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility91.8%
Better than Avg
Here
91.8%
US
79.8%
ID
86.5%
Canyon
86.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
1.6%
ID
1.7%
Canyon
3.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
3penalties
Well above state avg (8.8)
22 complaint-triggered
$36,443 in fines

This facility has significant ongoing issues with families filing 22 complaints that triggered federal investigations, revealing recurring problems with resident safety and accident prevention, medication management, and care planning. Most concerning are recent deficiencies in November 2025 for resident abuse protection and medication errors, indicating persistent safety issues despite previous corrections. While the facility has addressed each cited deficiency, the pattern of repeated violations in core care areas suggests families should carefully evaluate whether this facility can consistently provide safe, quality care.

Nov 7, 2025Complaint
2
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Sep 3, 2025Complaint
2
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Apr 4, 2025Complaint
11
0561Actual harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Apr 4, 2025Routine
1
0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Jul 2, 2024Complaint
1
0622Actual harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Jan 26, 2024Complaint
6
0622Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0625Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Federal Penalties

Fine

Nov 7, 2025

$10,358

Fine

Apr 4, 2025

$11,190

Fine

Jul 2, 2024

$9,318

Ownership & Operations

Who Operates This Facility

Owner / Operator

Karcher Post Acute

Organization Type

for profit

Chain Affiliation

Chain Name

Prestige Care

Chain Size

2 facilities nationwide

Chain avg rating: 3.5/5 · Rank 2 of 2 (Worst)

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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