Timber Springs Transitional Care

Special Focus Facility candidate · CMS abuse icon · CCN 135098 · RUSSET RIDGE HEALTHCARE LLC · For profit - Limited Liability company · THE ENSIGN GROUP chain · 120 certified beds · Ada · ID


Timber Springs Transitional Care is a 120-bed nursing home in Boise, Idaho. CMS has certified it for Medicare and Medicaid since 1986-05-16. It averages 93.3 residents a day.

What harm was found in the violations cited at Timber Springs Transitional Care?

CMS lists 67 health-inspection deficiencies for Timber Springs Transitional Care since 2023-05-08, 36 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-11-20.

Survey dateTagDeficiencySeverity
2025-11-20F0553, F0585, F0658, F0757Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Honor 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2025-09-12F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2025-09-12F0584, F0610, F0628, F0641, F0684, F0693, F0695, F0756, F0760, F0790, F0807, F0812, F0839, F0880Honor 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. / Respond appropriately to all alleged violations. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure 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. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure that residents are free from significant medication errors. / Provide routine and 24-hour emergency dental care for each resident. / Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Employ staff that are licensed, certified, or registered in accordance with state laws. / Provide and implement an infection prevention and control program.D
2024-06-28F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-06-28F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-06-28F0578, F0584, F0622, F0761Honor 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. / 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. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / 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.E
2024-06-28F0550, F0580, F0585, F0656, F0684, F0695, F0700, F0756, F0758, F0849Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Honor 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Try 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement 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. / Arrange 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
2024-06-28F0732Post nurse staffing information every day.C
2023-05-08F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.J
2023-05-08F0600, F0686Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2023-05-08F0725, F0800, F0803Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Ensure 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
2023-05-08F0565, F0582, F0657, F0677, F0684, F0727, F0758, F0804, F0806, F0808Honor the resident's right to organize and participate in resident/family groups in the facility. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Have 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. / Implement 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.E
2023-05-08F0554, F0558, F0580, F0584, F0609, F0610, F0622, F0637, F0690, F0692, F0695, F0756, F0801, F0842Allow residents to self-administer drugs if determined clinically appropriate. / Reasonably accommodate the needs and preferences of each resident. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Assess the resident when there is a significant change in condition / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-05-08F0732Post nurse staffing information every day.C

Why was Timber Springs Transitional Care fined 2 times?

DateTypeAmount
2025-09-12Fine$15,327
2025-09-12Fine$15,327

How is Timber Springs Transitional Care staffed relative to the ID average?

MeasureThis facilityID average
Total nurse staffing hours per resident per day3.274744.04398
Average number of residents per day93.356.9

Who owns Timber Springs Transitional Care, and what chain is it in?

Timber Springs Transitional Care is registered with CMS as For profit - Limited Liability company, operates under the legal business name RUSSET RIDGE HEALTHCARE LLC and belongs to the THE ENSIGN GROUP chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTPENNANT HEALTHCARE LLCsince 05/22/2025
INDIRECT OWNERSHIP INTERESTTHE ENSIGN GROUP INCsince 05/22/2025
MANAGING CONTROL - GOVERNING BODYALLEN, DANIEL, ARNELL, PAUL, BURNAM, SOONsince 05/22/2025
CORPORATE OFFICERBURNAM, SOON, KEETCH, CHADsince 03/01/2011
OPERATIONAL/MANAGERIAL CONTROLALLEN, DANIEL, ARNELL, PAULsince 07/01/2025
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFFARNSWORTH, STEPHEN, PORT, BARRYsince 06/25/2025
ADP OF THE SNFCRANE CREEK HEALTH HOLDINGS LLC, ENSIGN SERVICES INC, STANDARD BEARER HEALTHCARE OP LP, ALLEN, DANIEL, ARNELL, PAULsince 04/01/2025

Were you or a family member harmed at Timber Springs Transitional Care?