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Skilled nursing facility · CMS certification number 135111

Syringa Chalet Nursing Facility

Blackfoot, Idaho · Medicare and Medicaid

Certified beds, as filed in Care Compare: 42

Finances, as filed

Not yet extracted for this facility.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
BROG, DAVIDADP OF THE SNFIndividualNOT APPLICABLEsince 08/01/2022
LOOSLI, ANGELAADP OF THE SNFIndividualNOT APPLICABLEsince 08/14/2017
LUPTON, MARKADP OF THE SNFIndividualNOT APPLICABLEsince 08/20/2025
BROG, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2022
FISHER, ABBEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/05/2016
LOOSLI, ANGELAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/14/2017
LUPTON, MARKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/15/2019
STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFAREOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 05/23/2008

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE (enrollment ID O20110217000693).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
ANGELA LOOSLIIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/14/2017
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID BROGIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK E LUPTONIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/20/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ABBE FISHERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/5/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANGELA LOOSLIIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/14/2017
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID BROGIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK E LUPTONIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/15/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFAREOrganizationOPERATIONAL/MANAGERIAL CONTROL1005/23/2008
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
122 January 202622 January 202687
25 December 20245 December 202482
323 August 201923 August 201960

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

22 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
22 January 2026HealthF 0584Resident Rights DeficienciesHonor 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.DYesDeficient, Provider has date of correction25 February 2026
22 January 2026HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DYesDeficient, Provider has date of correction25 February 2026
22 January 2026HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDYesDeficient, Provider has date of correction25 February 2026
22 January 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction25 February 2026
22 January 2026HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DYesDeficient, Provider has date of correction25 February 2026
22 January 2026HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction25 February 2026
22 January 2026HealthF 0761Pharmacy Service DeficienciesEnsure 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.DYesDeficient, Provider has date of correction25 February 2026
22 January 2026HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.DYesDeficient, Provider has date of correction25 February 2026
5 December 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EYesDeficient, Provider has date of correction30 December 2024
5 December 2024HealthF 0625Resident Rights DeficienciesNotify 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.DYesDeficient, Provider has date of correction30 December 2024
5 December 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DYesDeficient, Provider has date of correction30 December 2024
5 December 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DYesDeficient, Provider has date of correction30 December 2024
5 December 2024HealthF 0676Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.GYesDeficient, Provider has date of correction30 December 2024
5 December 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction30 December 2024
5 December 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DYesDeficient, Provider has date of correction30 December 2024
5 December 2024HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.DYesDeficient, Provider has date of correction30 December 2024
23 August 2019HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction3 October 2019
23 August 2019HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DNoDeficient, Provider has date of correction3 October 2019
23 August 2019HealthF 0578Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correction3 October 2019
23 August 2019HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction3 October 2019
23 August 2019HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GNoDeficient, Provider has date of correction3 October 2019
23 August 2019HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction3 October 2019

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
5 December 2024Fine$13,92345654

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeGovernment - State
Legal Business NameSTATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
Date First Approved to Provide Medicare and Medicaid Services1990-03-12
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishBingham
Telephone Number2087851200
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds42
Average Number of Residents per Day34.6
Overall Rating5
Health Inspection Rating4
QM Rating4
Long-Stay QM Rating4
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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On 1 November 2025: MARK E LUPTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Syringa Chalet Nursing Facility

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Idaho at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 135111.