Boundary County Nursing Home remained under the ownership of Boundary County in the first quarter of 2026, Centers for Medicare and Medicaid Services (CMS) data shows. Located in Boundary County, this facility has been owned by the county since Jan. 1, 1966.
The facility is recognized as a public institution.
For that period, Boundary County Nursing Home earned an overall CMS rating of five, which exceeds Idaho’s average rating of 3.2 among nursing homes. CMS evaluates overall ratings using measures such as results from health inspections, staffing figures, and the quality of resident care.
CMS reports that the home cared for an average of 17.9 residents per day in the first quarter of 2026, operating with a capacity of 20 beds. The nursing home currently operates within a hospital facility.
During the first quarter of 2026, no fines or penalties were issued to Boundary County Nursing Home.
Boundary County, Idaho, had only one public nursing home in total.
U.S. Census Bureau estimates show the population of older adults nationally is increasing, while the number of children is declining. The age 65-and-older group grew by 13% from 2020 to 2024, while people under 18 decreased by 1.7%. The nation’s older adult population has surged over the past 100 years, increasing from 4.9 million in 1920 to more than 61 million by 2024.
A 2021 report found that almost half of adults in this age bracket—about 28 million individuals—could need long-term services and supports. More than a third may face eventual stays in nursing homes.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an insurance education organization. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Boundary County Nursing Home | Boundary County | Government – County | 5 | 17.9 |
Data used in this article comes from the Centers for Medicare and Medicaid Services. Readers can view the original data here.



