Skilled nursing facility · CMS certification number 135111
Syringa Chalet Nursing Facility
Blackfoot, Idaho · Medicare and Medicaid
Certified beds, as filed in Care Compare: 42
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $13,923.00 · Payment denials: 0. The most recent penalty on file: December 5, 2024, Fine, $13,923. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
No Medicare cost report on file 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.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BROG, DAVID | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2022 |
| LOOSLI, ANGELA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/14/2017 |
| LUPTON, MARK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/20/2025 |
| BROG, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2022 |
| FISHER, ABBE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/05/2016 |
| LOOSLI, ANGELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/14/2017 |
| LUPTON, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/15/2019 |
| STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/23/2008 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE (enrollment ID O20110217000693).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| ANGELA LOOSLI | Individual | ADP OF THE SNF | Not stated in the filing | 8/14/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID BROG | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK E LUPTON | Individual | ADP OF THE SNF | Not stated in the filing | 8/20/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ABBE FISHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/5/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANGELA LOOSLI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/14/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID BROG | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK E LUPTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/15/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 5/23/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- November 1, 2025: MARK E LUPTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARK E LUPTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 15, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 23, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ANGELA LOOSLI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 14, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ANGELA LOOSLI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 14, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ABBE FISHER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 5, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID BROG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID BROG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
Recent changes on this record
- November 1, 2025: MARK E LUPTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARK E LUPTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 15, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 23, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ANGELA LOOSLI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 14, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ANGELA LOOSLI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 14, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ABBE FISHER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 5, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID BROG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID BROG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 22, 2026 | January 22, 2026 | 8 | 7 |
| 2 | December 5, 2024 | December 5, 2024 | 8 | 2 |
| 3 | August 23, 2019 | August 23, 2019 | 6 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
22 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| January 22, 2026 | Health | F 0584 | Resident Rights Deficiencies | Honor 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. | D | Yes | Deficient, Provider has date of correction | February 25, 2026 |
| January 22, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Yes | Deficient, Provider has date of correction | February 25, 2026 |
| January 22, 2026 | 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 | Yes | Deficient, Provider has date of correction | February 25, 2026 |
| January 22, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | February 25, 2026 |
| January 22, 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | February 25, 2026 |
| January 22, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | February 25, 2026 |
| January 22, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure 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. | D | Yes | Deficient, Provider has date of correction | February 25, 2026 |
| January 22, 2026 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Yes | Deficient, Provider has date of correction | February 25, 2026 |
| December 5, 2024 | 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 | Yes | Deficient, Provider has date of correction | December 30, 2024 |
| December 5, 2024 | 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 | Yes | Deficient, Provider has date of correction | December 30, 2024 |
| December 5, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | December 30, 2024 |
| December 5, 2024 | 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 | December 30, 2024 |
| December 5, 2024 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | G | Yes | Deficient, Provider has date of correction | December 30, 2024 |
| December 5, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | December 30, 2024 |
| December 5, 2024 | 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. | D | Yes | Deficient, Provider has date of correction | December 30, 2024 |
| December 5, 2024 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | D | Yes | Deficient, Provider has date of correction | December 30, 2024 |
| August 23, 2019 | 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. | D | No | Deficient, Provider has date of correction | October 3, 2019 |
| August 23, 2019 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | October 3, 2019 |
| August 23, 2019 | Health | F 0578 | Resident Rights Deficiencies | Honor 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. | D | No | Deficient, Provider has date of correction | October 3, 2019 |
| August 23, 2019 | 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 | October 3, 2019 |
| August 23, 2019 | 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. | G | No | Deficient, Provider has date of correction | October 3, 2019 |
| August 23, 2019 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | October 3, 2019 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| December 5, 2024 | Fine | $13,923 | 45654 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - State |
| Legal Business Name | STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE |
| Date First Approved to Provide Medicare and Medicaid Services | 1990-03-12 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Bingham |
| Telephone Number | 2087851200 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 42 |
| Average Number of Residents per Day | 34.6 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
One email a day naming what moved on Syringa Chalet Nursing Facility: 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.
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 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.
Other public records in Idaho
- OROFINO, CITY OF, OROFINO Water discharge permit
- PIERCE, CITY OF - PIERCE WWTP, PIERCE Water discharge permit
- AMERICAN FALLS, CITY OF - AMERICAN FALLS WWTP, AMERICAN FALLS Water discharge permit
- POCATELLO, CITY OF, POCATELLO Water discharge permit
- ADMIRAL BEVERAGE CORPORATION, NAMPA Water discharge permit
- SM PROPERTY OWNERS ASSOCIATION INC, TWIN FALLS Water discharge permit
- OCEAN BEAUTY SEAFOODS BOISE, BOISE Water discharge permit
- FEDEX GROUND - SANDPOINT, PONDERAY Water discharge permit
- LURRE CONSTRUCTION INC 00622, CALDWELL Air emission source
- SUNROC CORPORATION 00607, BOISE Air emission source
- PREMIER LLC 00706, EAGLE Air emission source
- PREMIER, LLC - 00744, EAGLE Air emission source
- ACTION GRAVEL ENTERPRISES - 00741, DRIGGS Air emission source
- ACTION GRAVEL ENTERPRISES - 00740, DRIGGS Air emission source
- HK CONTRACTORS, INC. - 00739, IDAHO FALLS Air emission source
- SUPERIOR BLASTING, INC - 00737, BOISE Air emission source
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.