Skilled nursing facility · CMS certification number 135142
Advanced Health Care of Coeur d'Alene
Coeur d'Alene, Idaho · Medicare and Medicaid
Certified beds, as filed in Care Compare: 34
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,223,171 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,600,672 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,622,499 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,961,053 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $661,446 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,313 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $667,759 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $667,710 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 12,410 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 9,198 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 2,568 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 11,766 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 375 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 141 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 516 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 22.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433374, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,163,199 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,986,482 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,176,717 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,730,975 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $445,742 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,267 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $451,009 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $451,009 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,608 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 508 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 22.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391526, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 July 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,074,046 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,110,517 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,963,529 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,422,246 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $541,283 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $243,877 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $785,160 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $785,160 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,782 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 434 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 27.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360176, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,222,655 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,979,826 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,242,829 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,524,764 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $718,065 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $308,201 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,026,266 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,026,266 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,556 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 479 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 24.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1327382, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 July 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,927,389 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,636,002 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,291,387 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,879,123 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $412,264 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $240,928 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $653,192 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $653,192 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,552 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 527 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 21.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1289763, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 May 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,770,524 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,799,968 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,970,556 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,323,294 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $647,262 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,987 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $662,249 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $662,249 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,794 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 481 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 24.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254993, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 January 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,676,038 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,144,589 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,531,449 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,149,444 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $382,005 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,484 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $403,489 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $403,489 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,992 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 498 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 24.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1250303, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 10 February 2017 to 31 December 2017 — a reporting period of 324 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,357,400 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,791,555 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,565,845 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,503,900 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$938,055 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,911 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$933,144 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$933,144 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,350 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 340 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 24.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1199309, read from the public cost report file SNF10FY2017.zip.
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.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| NEW AHC HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/2021 |
| THE GAIL MILLER GST TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 72% | since 01/01/2024 |
| FISHER, CURTIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/28/2025 |
| LHMSH LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2024 |
| MEZA, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/12/2025 |
| NEW AHC HOLDINGS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/12/2025 |
| OXNAM, NATHAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2024 |
| THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2024 |
| FISHER, CURTIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/12/2025 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of AHC OF COEUR D ALENE LLC (enrollment ID O20170412001407).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| NEW AHC HOLDINGS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2021 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ADVANCED HEALTH CARE - LARRY H MILLER CORPORATION | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 1/1/2021 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| KAREN GAIL MILLER IRREV TR FBO ZANE MILLER | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5.1 | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE GAIL MILLER GST TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 72.3 | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF KAREN R. WI | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5.1 | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF ROGER L. MI | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5.1 | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5.1 | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CURTIS FISHER | Individual | ADP OF THE SNF | 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. | 5/28/2025 | 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. |
| LHMSH LLC | Organization | ADP OF THE SNF | 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. | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| MICHAEL G MEZA | Individual | ADP OF THE SNF | 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. | 4/12/2025 | 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. |
| NEW AHC HOLDINGS, LLC | Organization | ADP OF THE SNF | 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. | 4/12/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| 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. | Organization | ADP OF THE SNF | 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. | 4/12/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| 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. | Organization | ADP OF THE SNF | 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. | 4/12/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| NATHAN C OXNAM | Individual | CORPORATE OFFICER | 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. | 1/1/2024 | 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. |
| THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 | Organization | INDIRECT OWNERSHIP INTEREST | 3.8 | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 | Organization | INDIRECT OWNERSHIP INTEREST | 2.5 | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CURTIS FISHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | 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. | 5/12/2025 | 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. |
Changes in ownership
- 1 July 2026: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2025: JAMES BURT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: THE RNC OPPORTUNITY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: THE MILLER UTAH TRUST, DATED AUGUST 22, 2019 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MICHAEL G MEZA no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MICHAEL G MEZA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CURTIS FISHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CURTIS FISHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: LHMSH LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: NEW AHC HOLDINGS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF ROGER L. MI appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 April 2024: ANDREW R FRASURE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: MICHAEL G MEZA appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF ZANE MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 15 June 2023: JOSEPH B WALKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: EMILY ENGBERSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: NATHAN C OXNAM appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: JAMES BURT appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF KAREN R. WI appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: ANDREW R FRASURE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
Recent changes on this record
- 1 July 2026: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 July 2025: JAMES BURT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: THE RNC OPPORTUNITY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: THE MILLER UTAH TRUST, DATED AUGUST 22, 2019 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MICHAEL G MEZA no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MICHAEL G MEZA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CURTIS FISHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CURTIS FISHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: LHMSH LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: NEW AHC HOLDINGS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF ROGER L. MI appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 8 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 1 April 2024: ANDREW R FRASURE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: MICHAEL G MEZA appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF ZANE MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 28 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 15 June 2023: JOSEPH B WALKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: EMILY ENGBERSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: NATHAN C OXNAM appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: JAMES BURT appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF KAREN R. WI appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: ANDREW R FRASURE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 22 July 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 20 July 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 6 May 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 31 January 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 19 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 21 May 2026 | 21 May 2026 | 3 | 7 |
| 2 | 20 March 2025 | 20 March 2025 | 4 | 4 |
| 3 | 23 August 2021 | 23 August 2021 | 11 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
18 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 21 May 2026 | Health | F 0657 | 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. | D | Yes | Deficient, Provider has date of correction | 15 June 2026 |
| 21 May 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 15 June 2026 |
| 21 May 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 15 June 2026 |
| 20 March 2025 | Health | F 0625 | 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. | D | No | Deficient, Provider has date of correction | 17 April 2025 |
| 20 March 2025 | Health | F 0655 | 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 | D | No | Deficient, Provider has date of correction | 17 April 2025 |
| 20 March 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Past Non-Compliance | 28 February 2025 |
| 20 March 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 17 April 2025 |
| 23 August 2021 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | No | Deficient, Provider has date of correction | 22 October 2021 |
| 23 August 2021 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | No | Deficient, Provider has date of correction | 22 October 2021 |
| 23 August 2021 | Health | F 0655 | 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 | D | No | Deficient, Provider has date of correction | 22 October 2021 |
| 23 August 2021 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | 22 October 2021 |
| 23 August 2021 | Health | F 0680 | Quality of Life and Care Deficiencies | Ensure the activities program is directed by a qualified professional. | F | No | Deficient, Provider has date of correction | 22 October 2021 |
| 23 August 2021 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 22 October 2021 |
| 23 August 2021 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | No | Deficient, Provider has date of correction | 22 October 2021 |
| 23 August 2021 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | D | No | Deficient, Provider has date of correction | 22 October 2021 |
| 23 August 2021 | Health | F 0742 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | No | Deficient, Provider has date of correction | 22 October 2021 |
| 23 August 2021 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | 22 October 2021 |
| 23 August 2021 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 22 October 2021 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | AHC OF COEUR D ALENE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2017-02-10 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Kootenai |
| Telephone Number | 2087690400 |
| Chain Name | ADVANCED HEALTH CARE |
| Chain ID | 11 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | None |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 34 |
| Average Number of Residents per Day | 29.9 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on Advanced Health Care of Coeur d'Alene: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF STEPHEN F. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for Advanced Health Care of Coeur d'Alene
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.
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 135142.