KOOTENAI OUTPATIENT SURGERY is a Medicare-certified ambulatory surgery center located in COEUR D ALENE, ID, offering same-day outpatient surgical procedures. Google rating: 3.9 out of 5 from 18 reviews.

KOOTENAI OUTPATIENT SURGERY

coeur d alene, IDMedicare Certified

Location & Directions

Address

707 WEST IRONWOOD DR

COEUR D ALENE, ID

Service Area

This provider serves patients in COEUR D ALENE and surrounding areas in ID.

Contact this surgery center for service area details

Note on Service Area

This ambulatory surgery center serves patients in the surrounding area. Contact this surgery center directly to confirm service availability in your specific location.

Procedures Performed

Common outpatient procedures performed at this ambulatory surgery center, based on reported specialties.

Knee ArthroscopyA camera and small instruments are inserted through incisions the size of a buttonhole to repair cartilage, trim a torn meniscus, or remove loose fragments. Because the joint is not opened fully, recovery is far faster than traditional open knee surgery.Shoulder ArthroscopyUses a small camera and instruments through tiny incisions to repair the shoulder joint — commonly for impingement, labral tears, or damaged cartilage. Most patients go home the same day and begin physical therapy within the first week.ACL ReconstructionRebuilds the torn anterior cruciate ligament using a graft, since a fully torn ACL does not heal on its own. The surgery itself is outpatient, but returning to cutting and pivoting sports typically takes nine to twelve months of structured rehabilitation.Rotator Cuff RepairReattaches torn tendons in the shoulder to the bone. Pain relief often comes well before strength does — a sling is typical for several weeks and full recovery commonly takes four to six months, with physical therapy doing much of the work.Carpal Tunnel ReleaseCuts the ligament pressing on the median nerve at the wrist to relieve numbness, tingling, and night pain in the hand. The procedure takes about 15 minutes under local anesthesia. Night symptoms often improve immediately; grip strength returns over several weeks.Joint ReplacementDamaged joint surfaces are replaced with implants, most commonly at the knee or hip. Once exclusively a hospital procedure, selected healthy patients now have this done at surgery centers and go home the same day with a structured recovery plan.
Tonsillectomy / AdenoidectomyThe tonsils and sometimes the adenoids are removed for repeated infections or sleep-disordered breathing. Recovery is notably harder for adults than children, with significant throat pain for a week or more and a real emphasis on staying hydrated.Ear Tube PlacementTiny tubes are placed through the eardrum to drain fluid and ventilate the middle ear, most often for children with recurrent ear infections. The procedure takes about 10 minutes and the tubes usually fall out on their own within a year.Sinus Surgery (FESS)A camera and instruments passed through the nostrils open blocked sinus drainage pathways, with no external incisions. Considered for chronic sinusitis that has not improved with medication. Congestion often worsens briefly before it improves.SeptoplastyThe wall of cartilage and bone between the nostrils is straightened to improve airflow through a blocked side. It addresses breathing rather than external appearance, though it is sometimes combined with cosmetic reshaping.Turbinate ReductionSwollen tissue inside the nose is shrunk to improve airflow, frequently at the same time as septoplasty. Often the difference between a nose that is structurally straight and one that actually feels open.LaryngoscopyA scope examines the voice box and vocal cords, used for persistent hoarseness, difficulty swallowing, or throat pain that has not resolved. Small lesions can sometimes be biopsied or removed during the same procedure.
HysteroscopyA slim camera passed through the cervix examines the inside of the uterus, and can remove polyps or fibroids in the same visit. No abdominal incision is involved. Cramping for a day or two afterward is normal.LaparoscopyA camera and instruments are inserted through small abdominal incisions, allowing diagnosis and treatment without a large open incision. Used for endometriosis, ovarian cysts, and pelvic pain, with recovery measured in days rather than weeks.D&C (Dilation and Curettage)The cervix is dilated and the uterine lining removed, for heavy bleeding, after a miscarriage, or to obtain tissue for diagnosis. The procedure takes 10 to 15 minutes and most people return to normal activity within a day or two.Tubal LigationThe fallopian tubes are sealed, cut, or removed to provide permanent contraception. It should be considered irreversible — reversal is not reliably successful, so it is intended for people certain they do not want future pregnancy.Endometrial AblationThe uterine lining is destroyed to reduce or stop heavy menstrual bleeding, offering an alternative to hysterectomy. It is not a contraceptive, and it is only appropriate for those who have completed childbearing.Ovarian Cyst RemovalA persistent, enlarging, or painful ovarian cyst is removed, usually laparoscopically. Surgeons generally aim to remove the cyst while preserving the ovary itself, particularly for patients who may want future pregnancy.
Epidural Steroid InjectionsSteroid medication is injected near irritated spinal nerve roots to calm inflammation causing sciatica or arm pain. Often used to make physical therapy tolerable rather than as a standalone cure. There are limits on how frequently they can be repeated.Nerve Block InjectionsAnesthetic, sometimes with steroid, is injected around a specific nerve to interrupt pain signals. Used both to treat pain and to identify its source, since relief from a precisely placed block points to the nerve responsible.Radiofrequency AblationHeat generated by radio waves disables the small nerves carrying pain signals from an arthritic spinal joint. Relief commonly lasts six months to two years. Because the nerves regenerate over time, the procedure can be repeated.Spinal Cord StimulationA device delivers mild electrical pulses to the spinal cord to interrupt chronic pain signals before they reach the brain. A temporary trial period is done first, so you can judge the benefit before committing to a permanent implant.Joint InjectionsSteroid or lubricating medication is injected directly into an arthritic or inflamed joint. Image guidance is often used to confirm placement. Relief typically lasts weeks to months and can make physical therapy more productive.Trigger Point InjectionsA local anesthetic is injected into a taut, tender knot of muscle to break the spasm-and-pain cycle. The appointment takes minutes and you can usually return to normal activity the same day.
Breast Augmentation / ReductionBreast size is increased by placing implants, or decreased by removing breast tissue and skin and repositioning the remaining tissue. Reduction is often performed to relieve back, neck, and shoulder pain caused by breast weight.RhinoplastySurgery that reshapes the nose by altering the bone and cartilage beneath the skin. It is performed to change appearance, to correct breathing problems caused by internal structure, or both. Swelling takes months to fully resolve.FaceliftLiposuctionFat is suctioned out from beneath the skin through small tubes called cannulas, reshaping a specific area such as the abdomen, flanks, or thighs. It targets localized deposits and is a contouring procedure rather than a method of weight loss.Wound ReconstructionRebuilds skin and underlying tissue where a wound is too large or too damaged to close directly. Surgeons move nearby tissue, or transfer skin and muscle from elsewhere on the body, to cover the defect. Often follows trauma, infection, or cancer removal.Skin GraftingHealthy skin is taken from one area of the body and transplanted to cover a wound or burn elsewhere. Both the graft site and the donor site need care, and the donor site is often the more uncomfortable of the two.
Bunion Correction (Bunionectomy)The bony prominence at the base of the big toe is removed and the bone realigned, often with screws or plates. Recovery involves weeks in a protective shoe or boot, and swelling can persist for several months.Hammertoe CorrectionA toe permanently bent at the middle joint is straightened, sometimes with a temporary pin holding the correction. Considered when the toe rubs painfully in shoes or has developed calluses and sores.Plantar Fascia ReleaseThe tight band of tissue along the bottom of the foot is partially released to relieve stubborn heel pain. Reserved for cases that have not improved after months of stretching, orthotics, and other conservative treatment.Ankle ArthroscopyA small camera and instruments treat problems inside the ankle joint — impingement, loose fragments, or damaged cartilage — through incisions a few millimeters wide, avoiding a larger open exposure.Ingrown Toenail RemovalThe edge of a nail growing into the surrounding skin is removed under local anesthesia. When the problem keeps recurring, the nail-forming tissue at that edge is also treated so it does not grow back.Foot Fracture RepairBroken bones in the foot are realigned and stabilized with hardware so they heal in position. Because the foot bears your full weight with every step, alignment matters more here than the small bone size suggests.

Procedure list is based on CMS-reported specialty designations. Contact the facility to confirm specific procedures offered.

Patient Experience Scores

Overall: 96/100 (+3 vs natl avg 93)

Based on 338 surveys · 26% response rate

OAS CAHPS scores are linear means (0–100) from Medicare patient surveys. Higher is better. National averages shown for comparison.

Overall RatingPatients who gave the facility a high overall rating
96+3 vs national avg (93)
0↑ natl avg100
Would RecommendPatients who would definitely recommend this facility
94+2 vs national avg (92)
0↑ natl avg100
StaffPatients who rated staff care and professionalism highly
99+3 vs national avg (96)
0↑ natl avg100
CommunicationPatients who felt staff communicated well about their care
97+3 vs national avg (94)
0↑ natl avg100
Source: OAS CAHPS (Outpatient and Ambulatory Surgery CAHPS) Survey, Centers for Medicare & Medicaid Services. Scores are linear means on a 0–100 scale.

Safety Metrics

Hospital Transfer Rate

% of patients transferred to a hospital during or after their procedure (ASC-4). Lower is better.

0.21%

natl avg ~1.0%

Patient Fall Rate

% of patients who experienced a fall resulting in injury. Lower is better.

0.03%

natl avg ~0.1%

Patient Burn Rate

% of patients who experienced a burn during their procedure. Lower is better.

0.00%

natl avg ~0.03%

Wrong Site Surgery Rate

% of cases involving wrong-site, wrong-side, wrong-patient, or wrong-implant surgical events. Lower is better.

0.00%

natl avg ~0.01%

Source: CMS ASC Quality Reporting Program. Data reflects Medicare patient outcomes reported by the facility.

Google Reviews

3.9
18 reviews
Jordie Breeden

Jordie Breeden

I recently had surgery. The whole team was excellent and so kind to me. I came in with a lot of pain and they were so helpful and took the time to get to know me and talk me through everything. And after surgery I woke up feeling wonderful and no longer in pain. I wish I could remember everyone's name so I could give them credit. I would 100% recommend for any surgical needs. Thank you for the amazing experience

Verified Google review
Sally Foli

Sally Foli

The staff treated me very poorly. I have had 2 sections and a laprascopic prodecure in the past. I am not new to surgery however I am new to being treated like a drug addict and not receiving any pain medication after surgery, especially when its my Abdominal wall being cut into and stitched up.... Literally was put under anesthesia, they performed the surgery and sent me to recovery. I woke up in the most excruciating pain ive ever experienced in my life and instantly started crying. Gene (the only nurse who actually had empathy for me) faught for me to get paid meds and eventually the pain was able to be bearable after an hour and a half. Relief was only momentary though as I woke up at 1:15 and by 3pm the pain was tolerable to where I was not in horrific pain. Only for Gene to be replaced due to shift change, I am still in tears at this point but hey atleast it wasnt as bad when I first woke up and I could articulate an actual sentence. This was legit the worst pain I've felt in memory. My c-sections didn't even hurt this badly and i was up and walking about 6 hours after those being cut hip to hip... Well new nurse comes on shift and tells me "you need to get up and walk, the co2 is whats causing your pain not the actual surgery" she was very rough when she went to move my bed up she moved it down very quickly causing me to tense up and my core to constrict didnt apologize just said "these hospital beds are old and that can happen". I told her it hurt and to stop that I needed a second but she just kept going up and told me to get in the chair next to me and just kept reiterating that getting up and moving will take away the pain. So I did, only for her to see the constant stream of tears running down my face as I was walking around the recovery unit and her then realizing I was in actual pain and had me go sit in a wheelchair...They tried to sending me home with freaking tramadol which is basically a high powered Tylenol with no actual pain reliever, its what they give to drug seekers. And mind you I do not tolerate pain meds at all and only took 3 after my c-sections before tossing the rest...but ky pain was managed properly when coming out of surgery so it was not really needed. I am not a drug seeker at all!!! Which I informed them that I was actually apart of Law Enforcement so yeah 100% nope on that one... They didn't even stitch my incision sites just glued them and they already came open at home... Do not recommend Kootenai Health at all. Make the drive to Sacred!

Verified Google review
Chris Gummeson

Chris Gummeson

Dr Heidi Jackson removed my wife's gallbladder. She was very kind and did a great job. Also, our nurse was fantastic, as was the admin staff. Would not recommend needing the surgery, but if you do Dr Jackson and her team will take good care of you.

Verified Google review
Cassie Erickson

Cassie Erickson

I went in for surgery today and felt compelled to write a review after my experience. At check in I was greeted by a very friendly helpful lady who was very efficient. After check in I waited maybe 5 minutes and was then taken back by my nurse Tina. I can not say enough about this RN. She was friendly, fun, very gentle and explained everything to me very well. I was taken care of by several other very nice people in pre op and haven’t a single complaint! After my procedure I was awoken by the soft voice of my post op nurse Kiki. She was also super friendly and made sure all my needs were met, BEFORE I needed them! I was blown away with how wonderful my experience was! If I ever need outpatient surgery again I will ONLY go to KOS! Thank you all so much for making me feel so welcome and making this completely stress free for me!

Verified Google review
Shirley Blackwell

Shirley Blackwell

My letter to Susan Frankenberg, Clinical Manager, today 9/26/18 Dear Susan, My entire experience felt more like a spa experience than going in for surgery! Last Thursday, September 20th. Due to your amazingly compassionate upbeat fun and capable team, I experienced far more comfort - mind body and soul than discomfort. Plus your facility at Kootenai Outpatient Surgery is so pleasant, clean and comfy. Especially loved your fluffy warm air flow comforter! Really glad I chose to take Dr Keese's advice for the bracioplexis block. Was so relieved I did get to go out but with zero side effects afterward except for feeling like I was carrying around a dead body arm for a day or so. Your anesthesiologist team absolutely stellar. And post op nurse Laurie precious. Wish I could rember everybody's name to thank personally but they were all above and beyond expectations. Best regards, Shirley Blackwell, LMT Back in Touch Massage & Bodywork

Verified Google review

Reviews from Google Places for KOOTENAI OUTPATIENT SURGERY. These are real experiences shared by patients.

Contact

Years in Operation

26 years

Est. 2000

Ownership

For-Profit

Operating Rooms

4

Specialties

Orthopaedic SurgeryOtolaryngologyObstetrics & GynecologyInterventional Pain MedicinePlastic and Reconstructive SurgeryPodiatry
Medicare Certified

Verify quality data on the official CMS source:

View on Medicare.gov

Questions to Ask

  • Does my insurance cover this procedure here?
  • What is the surgeon's experience with this procedure?
  • What is the facility's hospital transfer rate?
  • What anesthesia options are available?
  • What is the recovery process and follow-up care?
  • Are there pre-op requirements (labs, fasting, etc.)?