F
34/100

Timber Springs Transitional Care Inspection Report, Violations & Safety Grade (Boise, Idaho)

1140 North Allumbaugh Street, Boise, Idaho 83704

Phone: 2085017200

CMS Overall:1/5

Overview & Bed Count

Certified Beds
120
Avg Residents/Day
91.5
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Ada
Sprinkler Systems
Yes
Special Focus
SFF Candidate
Abuse Icon
Yes

CMS Star Ratings

Overall1/5
Health1/5
Staffing1/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityIdaho AvgDifference
RN Hours per Resident per Day0.570.84-0.28
Total Nurse Hours per Resident per Day3.303.99-0.68
CMS Staffing Rating1/53/5-
Nursing Staff TurnoverN/A49.5%-

Health Citation History

67 health citations on record

DateCategoryDescriptionSeverity
2025-11-20Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.D – Moderate Harm Potential
2025-11-20Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D – Moderate Harm Potential
2025-11-20Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2025-11-20Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2025-09-12Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2025-09-12Resident Rights DeficienciesHonor 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 – Moderate Harm Potential
2025-09-12Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2025-09-12Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2025-09-12Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-09-12Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-09-12Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D – Moderate Harm Potential
2025-09-12Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2025-09-12Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2025-09-12Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2025-09-12Quality of Life and Care DeficienciesProvide routine and 24-hour emergency dental care for each resident.D – Moderate Harm Potential
2025-09-12Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.D – Moderate Harm Potential
2025-09-12Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2025-09-12Administration DeficienciesEmploy staff that are licensed, certified, or registered in accordance with state laws.D – Moderate Harm Potential
2025-09-12Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-06-28Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2024-06-28Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-06-28Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2024-06-28Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2024-06-28Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.E – Moderate Harm Potential
2024-06-28Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2024-06-28Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-06-28Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2024-06-28Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D – Moderate Harm Potential
2024-06-28Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-06-28Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-06-28Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-06-28Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D – Moderate Harm Potential
2024-06-28Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2024-06-28Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2024-06-28Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D – Moderate Harm Potential
2024-06-28Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential
2023-05-08Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.J – Immediate Jeopardy
2023-05-08Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2023-05-08Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2023-05-08Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F – Moderate Harm Potential
2023-05-08Nutrition and Dietary DeficienciesProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.F – Moderate Harm Potential
2023-05-08Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.F – Moderate Harm Potential
2023-05-08Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.E – Moderate Harm Potential
2023-05-08Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.E – Moderate Harm Potential
2023-05-08Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E – Moderate Harm Potential
2023-05-08Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2023-05-08Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2023-05-08Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.E – Moderate Harm Potential
2023-05-08Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.E – Moderate Harm Potential
2023-05-08Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential

Showing 50 of 67 citations.

Fire Safety Citation History

23 fire safety citations on record

DateCategoryDescriptionSeverity
2024-06-28Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2024-06-28Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2023-05-08Smoke DeficienciesHave properly installed hallway dispensers for alcohol-based hand rub.F – Moderate Harm Potential
2023-05-08Services DeficienciesHave an externally vented heating system.F – Moderate Harm Potential
2023-05-08Gas, Vacuum, and Electrical Systems DeficienciesHave proper fire barriers, ventilation and signs for the transfilling of oxygen.E – Moderate Harm Potential
2023-05-08Construction DeficienciesInstall a two-hour-resistant firewall separation.D – Moderate Harm Potential
2023-05-08Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2023-05-08Emergency Preparedness DeficienciesEstablish policies and procedures for volunteers.E – Moderate Harm Potential
2019-03-29Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.F – Moderate Harm Potential
2019-03-29Emergency Preparedness DeficienciesDevelop Emergency Preparedness policies and procedures.F – Moderate Harm Potential
2019-03-29Emergency Preparedness DeficienciesProvide emergency officials' contact information.F – Moderate Harm Potential
2019-03-29Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2019-03-29Construction DeficienciesMeet other general requirements.F – Moderate Harm Potential
2019-03-29Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2019-03-29Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2019-03-29Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2019-03-29Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2019-03-29Emergency Preparedness DeficienciesEstablish policies and procedures for volunteers.D – Moderate Harm Potential
2019-03-29Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.D – Moderate Harm Potential
2019-03-29Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2019-03-29Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2019-03-29Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2019-03-29Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper storage of liquid oxygen.D – Moderate Harm Potential

Total Penalties & Fines

$30,654
Total Fine Amount (CMS)
2
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2025-09-12Fine$15,327-
2025-09-12Fine$15,327-

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