USDA Feasibility Study for Assisted Living and Elder Care in Idaho

    NAICS 623312

    Assisted living and elder care projects in rural Idaho face no certificate-of-need barrier, so new supply can enter freely and the study must survey the competitive pipeline honestly. An independent USDA feasibility study consultant models age- and income-qualified demand among residents aged 75+, payer mix and caregiver staffing; the independent USDA feasibility study company stress-tests Medicaid managed-care rates.

    Program Fit

    Community Facilities or B&I depending on sponsor structure; CF projections for assisted living must be based on no more than 90 percent occupancy under 7 CFR 5001.304.

    What the Study Covers

    Framed to the scope required by 7 CFR Part 5001 Appendix A for OneRD guaranteed loan submissions.

    • Market demand and competitive supply analysis
    • Technical and site feasibility, including environmental considerations
    • Five to ten year financial projections with DSCR, DCF, and sensitivity analysis
    • Management and operational capacity assessment
    • Economic feasibility and rural community impact

    Idaho Market Evidence

    Idaho runs no CON program for assisted living, and House Bill 345 (signed March 19, 2025) moves Idaho Medicaid toward comprehensive managed care with work requirements for expansion adults from January 1, 2027; Grace At Fruitland received a $95,388 REAP grant for solar at its assisted living facility (2023). Eight Idaho cities exceeded 50,000 in the 2020 Census, and the excluded urban fringes around Boise, Idaho Falls, Pocatello, Coeur d'Alene and Twin Falls make eligibility parcel-specific at every metro edge; every Idaho study includes a dated, address-level USDA map determination.

    Frequently Asked Questions

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