Karcher Post Acute
Karcher Post Acute
4.3 (23 reviews)
Skilled Nursing Facility • 66 Licensed Beds
Part of a CCRC
1127 Caldwell Boulevard, Nampa, ID
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Karcher Post Acute

Skilled Nursing Facility • 66 Licensed Beds
Part of a CCRC
1127 Caldwell Boulevard,
Nampa, ID
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Karcher Post Acute – Medicare Certified Since 1990

Karcher Post Acute is a Medicare and Medicaid certified skilled nursing facility located in Nampa, Idaho. This facility has been serving the community for 36 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility is part of a Continuing Care Retirement Community (CCRC), which offers a continuum of care on a single campus—from independent living to assisted living to skilled nursing care. CCRC residents often have priority access to the skilled nursing facility and can transition between levels of care as their needs change without having to relocate to a new community.

This facility has 66 certified beds with a current occupancy rate of 81% (averaging 53 residents per day), which is moderate. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 4.3 hours of total nursing care per resident per day (2.37 hours from CNAs, 1.57 hours from LPNs, 0.36 hours from RNs). Physical therapy staffing is 0.07 hours per resident per day. This staffing level meets research-recommended quality thresholds.

Medicare Quality Ratings: According to CMS, Karcher Post Acute has an overall quality rating of 1 out of 5 stars, which is much below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 1 stars, staffing: 3 stars, quality measures: 4 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How Karcher Post Acute compares to 24 facilities in Boise City, ID

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
1
3
Quality Measures
Clinical outcomes & safety
4
4.3
Health Inspections
State survey results
1
2.5
Staffing
Nurse-to-resident ratio
3
3.1
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.36 hrs
0.72 hrs
LPN/LVN Hours
Licensed practical nurses
1.57 hrs
0.88 hrs
CNA Hours
Certified nursing assistants
2.37 hrs
2.40 hrs
Total Nursing Hours
CNA + LPN + RN combined
4.31 hrs
4.01 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
6.6 %
4.7 %
LPN/LVN Agency Use
% of LPN hours from contractors
3.8 %
6.5 %
CNA Agency Use
% of CNA hours from contractors
7.1 %
6.5 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
50 %
48 %
Occupancy Rate
Percentage of beds filled
81 %
81 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$504
$464
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 24 facilities in Boise City, ID.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
1/5
Quality Measures
4/5
Health Inspections
1/5
Staffing
3/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 24 other nursing homes in Boise City, ID

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Karcher Post Acute
Boise City, ID Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Karcher Post Acute
Boise City, ID Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Karcher Post Acute
Boise City, ID Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Karcher Post Acute
Boise City, ID Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
142
minutes/day
CNAs
Certified Nursing Assistants
94
minutes/day
LPNs
Licensed Practical Nurses
22
minutes/day
RNs
Registered Nurses
4
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Karcher Post Acute
Boise City, ID Average (81.1%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$504
per resident per day
Compared to 24 facilities in your area
Above local median ($464)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

For-Profit Facility Part of CCRC

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-19% 2% Below
Net Income
Annual profit or loss
$-1,022,936 $169,573 Below
Staff Cost per Resident
Daily salary expense per resident
$222/day $193/day Higher
Occupancy Rate
Bed utilization percentage
81% 77% Higher
Est. Daily Rate
Average revenue per patient day
$504/day $464/day Higher
Total Beds
Licensed bed capacity
66 99 Smaller

Local comparisons based on 24 skilled nursing facilities in the Boise City, ID metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$7,057,720
Operating Expenses
Total operating costs
$8,402,561
Total Salaries
Staff compensation
$4,250,091

Payer Mix

Medicare
9%
Medicaid
71%
Private Pay & Other
20%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
19,184
Medicare
Short-term skilled nursing
9%
Medicaid
Long-term care residents
71%
Private Pay / Other
Self-pay, insurance, VA
20%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
74.94
days
Medicare Stays
30.45
days
Medicaid Stays
204.18
days
Total Admissions
258
Total Discharges
256
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in NAMPA

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Reviews

4.3 (23 reviews)
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Rick Lewis's profile photo
Rick Lewis 3 weeks ago

I’ve been here since February, and my experience has been very positive. The staff are wonderful, and the people here make the community feel warm and welcoming. The location is beautiful lots of greenery, a peaceful garden and even friendly animals like cats and squirrels that make the days brighter. I love the idea of having the gym open for residents, and I appreciate that the facility is actively working to continue upgrading the building. The meals are decent, and I can see the effort they’re making to keep improving things. Overall, this is a great place with a lot to enjoy, and I’ve been happy to call it home for the past several months.

C Maxwell's profile photo
C Maxwell 3 weeks ago

I have a family friend currently staying there, after being placed at another facility for several years. The difference was amazing. Karcher Poste Acute had bigger rooms than the previous facility (although averaged sized), and at one point they were even able to have a private room. They were able to get her in with Medicaid which if you know can be hard at some facilities. Her family and us her friends were so grateful because she was so far away previously that it was hard to see her. Now she can be involved in family activities and the facility helps with transportation etc. very grateful to Karcher Poste Acute, they seem to be taking great care of her, she is happy there her quality of life has truly improved.

Wendy's profile photo
Wendy a month ago

I would highly recommend this facility for some of the following number of reasons: * Staff is friendly and is willing to help at all times. * Upper management has a daily face to face hands - on approach in their willingness to deal with resident's concerns and treatment while they are in the facility. In other words, you as a resident, have a voice here. You get to give input on how you are treated and how the facility could be improved. * There is a quick response time in answering call lights when residents need assistance. * The facility itself is kept very clean. * Residents are allowed to check out for temporary outings with friends or family. * The facility has it's own "tv station" that posts daily activities, food menus, weather, etc. * The facility offers classes and social activitiies. Note; the craft classes that I have personally attended provided the craft supplies to complete the projects. * My personal experience with physical and occupational therapy has been very positive. * Upper management is willing to help set up training for family members on how to assist residents in daily activities and tasks when residents prepare to return home. Overall I give this facility a rating of 5 stars in their efforts to provide residents with a pleasant stay while in the facility and help prepare them with some tools to be successful in their transition in returning home.

Robert's profile photo
Robert 3 weeks ago

Karcher Post Acute was amazing with my loved one! The staff were so kind and really cared about their patients. They always kept us updated and made the whole process so much easier. The place is clean, friendly, and has a great atmosphere. I’m so thankful for the care they gave our family I highly recommend!

Suzy Gerlach's profile photo
Suzy Gerlach in the last week

Karcher has an amazing staff and provides excellent care in the treasure valley. I have had the pleasure to work with Trish and the experienced, and empathetic nursing team. I highly recommend their post acute rehab!

View All 23 Google Reviews

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