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Nursing HomeMedicaid

Lincoln County Care Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

511 East Fourth Street, Shoshone, ID 8335236 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 18 Google reviews

5
4
3
2
1
Lincoln County Care Center Nursing Home in Shoshone, ID — Street View
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What this means for your family

The facility is consistently praised for its homelike atmosphere and caring staff, making it a potentially comfortable choice for long-term or memory care. Because the majority of reviews are brief and lack specific operational details, we recommend scheduling an in-person tour to observe staff-to-resident interactions and daily activity engagement firsthand.

Google Reviews

Google Reviews

18 reviews on Google
Lincoln County Care Center is described by reviewers as a safe, homelike environment with staff who are perceived as caring and attentive. While feedback is limited in detail, visitors highlight the quality of the food, the presence of daily activities, and the aesthetic appeal of the facility.

Quality Themes

Tap a score for details
Food10.0Staff9.0Clean9.0Activities9.0MedsN/AMemory9.0CommsN/AValueN/A

Strengths

  • Caring and attentive staff
  • Homelike, safe environment
  • High-quality, non-institutional food
  • Engaging daily activity programs

Rating Trends

Tap a year to see what changed

234'16(1)'18(4)'21(5)'23(1)'26(1)

Distribution · 20 analyzed

5
17
4
2
3
1
2
0
1
0

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the smaller capacity of 36 residents, how does your team ensure consistent, personalized attention throughout the day to maintain the high level of care mentioned by families?
  • 2With a focus on providing high-quality, non-institutional meals, how do you accommodate individual dietary preferences or specific nutritional needs for residents?
  • 3I noticed the staffing rating is lower than other metrics; could you walk me through how you manage daily staffing levels to ensure residents are well-supported at all times?
  • 4Regarding the recent health inspection findings, what specific steps has the facility taken to address those areas and improve your internal processes?
  • 5The activity programs are highly praised; could you share a few examples of how you tailor these daily engagements to suit the different interests and mobility levels of your residents?
  • 6How do you handle medical emergencies or urgent health changes during evening and weekend hours to ensure residents remain safe and comfortable?

Personalized based on this facility's data


Key Review Excerpts

Alzheimer's facility. Good people that care about the patients. Many programs daily for there entertainment. More of a hospital environment but good care. Food is extra good, not institutional.

Memory care family member · 2018★★★★★

Lincoln is a place that feels safe and homelike.

Visitor · 2022★★★★★

Cascades at Lincoln is very homelike and the staff truly care about their patients. They treat them like family!

Family member · 2025★★★★★
Source: 18 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.00hrs
OK
Registered nurses for medical care
Total Nursing
3.27hrs
80%
All nurses + aides combined
Staff Turnover
52%
Lower is better (< 30% = good)
RN Turnover
29%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

3

measures

Mixed Results

5

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.2%
Better than Avg
Here
8.2%
US
14.4%
ID
16.6%
Lincoln
19.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility86.9%
Worse than Avg
Here
86.9%
US
93.4%
ID
96.9%
Lincoln
94.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.2%
Better than Avg
Here
14.2%
US
19.4%
ID
22.6%
Lincoln
21.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility11.6%
Mixed vs Avgs
Here
11.6%
US
12.1%
ID
14.4%
Lincoln
4.6%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility15.3%
Better than Avg
Here
15.3%
US
19.5%
ID
16.3%
Lincoln
21.5%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
ID
5.4%
Lincoln
5.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility50.0%
Worse than Avg
Here
50.0%
US
81.8%
ID
90.6%
Lincoln
84.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
ID
1.7%
Lincoln
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
Above state avg (8.8)
10 complaint-triggered

Families filed complaints that triggered a 2025 survey revealing 10 deficiencies in medication management, care planning, and infection control. The facility has a concerning pattern of recurring issues across all three surveys spanning 2018-2025, particularly with medication safety, infection prevention, and fire safety systems. While all deficiencies show correction dates, the persistent recurrence of similar problems suggests ongoing operational challenges that families should carefully evaluate.

Apr 15, 2026Routine
13
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0732Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 16, 2025Complaint
10
0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0661Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0680Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0732Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 21, 2020Routine
15
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0758Potential for harm · PatternCorrected

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.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Oct 26, 2018Routine
7
0001Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish an Emergency Preparedness Program (EP).

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0911Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Lincoln County Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Cascades Healthcare

Chain Size

20 facilities nationwide

Chain avg rating: 1.9/5 · Rank 1 of 20 (Best)

Ownership & Management

Owners

Cascades at Lincoln County, LLC

Owner · Organization

Lincoln County Ems

Owner · Organization

Key personnel

Crump, JasonOfficer / DirectorFullmer, ChadOfficer / DirectorMcspadden, DarinOfficer / DirectorMoore, ThomasOfficer / DirectorWhite, DerekOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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