The nursing home failed to protect residents from abuse and neglect by others. Cited October 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: H
Nursing home report
Silver Ridge Care
Registered name: Lakeside Rehabilitation and Care Center
Coeur d'Alene, ID · Medicare-certified · 100 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Silver Ridge Care in Coeur d'Alene has a 1-star overall rating, with 1-star health inspection and staffing ratings and a 3-star quality rating. Reported nurse staffing is below the federal benchmark (3.81 vs 4.1 hours per resident per day), and the facility had $76,832 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.8083 hrs/resident/day
Quality measures
Last inspection: August 28, 2025Penalties, last 24 months: $76,832recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8083.
Staffing detail
- Registered nurses
- 0.34
- Licensed practical nurses
- 1.24
- Nurse aides
- 2.23
- Weekend nursing
- 3.19
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 67%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
5.6%12.5%Worsening
Residents with a fall causing major injury
1.8%3.1%Worsening
Residents with pressure ulcers (bedsores)
1.6%3.6%Worsening
Residents with a urinary tract infection
5.4%0%Improving
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
32.7%28.6%Improving
Residents whose ability to walk got worse
20.9%28.1%Worsening
Long-stay residents on antianxiety or sleep medication
11.3%6.6%Improving
Short-stay residents newly given an antipsychotic
0%1.3%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
25.9%23.5%Improving
Residents with depressive symptoms
21.2%56.6%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.9%—
Long-stay residents given the pneumonia vaccine
96.4%100%Improving
Short-stay residents given the seasonal flu vaccine
—88.2%—
Short-stay residents given the pneumonia vaccine
77%80%Improving
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: F
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $76,832 was recorded.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 28 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $220,832 in total fines.
- $76,832
Federal fine
Oct 11, 2024
- $144,000
Federal fine
Oct 18, 2023
Operator & ownership
Recent ownership change · Jun 1, 2025
Now operated by Lakeside Rehabilitation and Care Center, previously Silver Ridge Care.
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
- Occupancy
- 83.3 residents on an average day (83% of 100 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 58 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.