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Choosing a community: the questions that matter

Built from what Idaho's rules require each facility to put in writing.

Home›Questions›Choosing a community: the questions that matter

What staffing pattern will be in my parent's admission agreement?

Idaho requires the admission agreement to identify the staffing patterns and staff qualifications on a normal day; ask for it in writing and compare buildings on that figure, since Idaho sets no numeric ratio.

Who is awake in the building overnight?

Idaho requires staff up, awake and immediately available during sleeping hours, and one staff member in each detached building; ask how many, and who covers the secured unit.

How often does the nurse see residents?

The facility nurse must visit at least every 90 days for quarterly assessments; ask how quickly the nurse comes for a change in condition.

What did your last state survey find?

Ask for the full report and plan of correction; the IDHW search shows only the result line, which our facility pages reproduce.

Do you accept Medicaid, and what happens if my parent's money runs out?

Idaho requires the admission agreement to disclose the conditions for staying if payment shifts to a public program; check the facility's Medicaid field on our page.

What are your rate increase and refund rules?

The agreement must describe billing, refunds for partial months, the 30-day notice rule, and how to contest charges, including through the ombudsman.

Can we choose our own home health or hospice agency?

The agreement must disclose any restriction on choosing home health, hospice or personal care providers.

What does the state survey record look like across the Treasure Valley?

Of the 93 senior-serving licensed RALFs in our five counties, 17 had no issues at their latest health care licensure survey and 52 currently show a Gold or Silver award on IDHW's search.

CitySenior RALFsClean latest surveyGold or Silver awardComplaint surveys (3 yrs)With enforcement on file
Boise34719267
Meridian20510111
Nampa151971
Caldwell70373
Eagle63571
Emmett30141
Garden City20110
Star20110
Middleton21220
Kuna10010
Parma10100

IDHW RALF Facility Search, retrieved November 6, 2026.

How many communities should a Boise family tour?

Three or four is usually enough: shortlist from the state record and your location, call to confirm openings and Medicaid if it matters, and visit the top three, returning unannounced to the favorite.

Tour at a mealtime, ask to see the room your parent would actually have, and sit in a common area for ten minutes. Ask residents and visiting families how long staff have been there. Take the admission agreement home and read the staffing pattern, rate-increase clause and discharge conditions before signing.

Not sure where to start?

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