CareSentinel

Compiled from official CMS federal data

Timber Springs Transitional Care, Boise, ID — Violations & Inspection Reports

CCN 135098 · 1140 North Allumbaugh Street, Boise, ID, 83704

Record as of Jun 2026 · Updated monthly from CMS

Does Timber Springs Transitional Care have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Timber Springs Transitional Care (CCN 135098), in Boise, ID, has federal inspection findings. CMS currently displays its federal abuse icon for this facility — a flag CMS assigns under its own published methodology for abuse-related citations (deficiency tag F600 and related). CMS also lists the facility as a candidate for its Special Focus Facility program; a candidate is not on the active watch list.

In its current inspection cycle, CMS cited the facility for 19 deficiencies; the most severe is rated G, a level CMS classifies as actual harm. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $30,654 in civil money penalties on file against the facility. The record also includes 6 abuse- or neglect-related citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series; most recent Sep 2025). This page restates the federal record and draws no conclusion of its own.

Abuse-, fall-, and care-related findings on the federal record

  • 6 citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Sep 2025.
  • 1 pressure-ulcer care citation (F686) — the consumer term is "bedsores"; most recent May 2023.
  • 1 nutrition and hydration citation (F692) — the consumer terms are "malnutrition" and "dehydration"; most recent May 2023.
  • 36 findings on file from complaint-triggered inspections.

Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.

FOR FAMILIES

What brings you to this record?

The Federal Record

CMS displays its federal abuse icon on this facility's official record.

Below is this facility's federal inspection record as on file with CMS.

Federal Abuse Icon

Federal abuse icon on file

CMS displays this icon for facilities it has cited for resident abuse under its own published methodology — the government's own flag, restated here.

F600 — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

SFF Candidate

A candidate for the federal Special Focus Facility watch list

CMS lists this facility as a candidate for the Special Focus Facility program. It is not on the active watch list.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.

Civil money penalties on file

$30,654

Have a lawyer review this record →

About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

Deficiency timeline

How to read these codes ↓

Showing the 60 most recent of 67 federal records.

Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.

2023-05-08
HISTORICAL
F812S/S J

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-09-12
CURRENT CYCLE
F600S/S G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-06-28
HISTORICAL
F600S/S G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

57 more citations on file — Abuse & neglect 2 · Pressure ulcers 1 · Nutrition & hydration 1 · Medication & pharmacy 7 · Resident rights 12 · Other citations 33 (expand)
2025-11-20
CURRENT CYCLE
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2025-11-20
CURRENT CYCLE
F757S/S D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

2025-11-20
CURRENT CYCLE
F585S/S D

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.

2025-11-20
CURRENT CYCLE
F553S/S D

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

2025-09-12
CURRENT CYCLE
F584S/S D

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.

2025-09-12
CURRENT CYCLE
F790S/S D

Provide routine and 24-hour emergency dental care for each resident.

2025-09-12
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2025-09-12
CURRENT CYCLE
F641S/S D

Ensure each resident receives an accurate assessment.

2025-09-12
CURRENT CYCLE
F693S/S D

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.

2025-09-12
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-09-12
CURRENT CYCLE
F812S/S D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-09-12
CURRENT CYCLE
F807S/S D

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

2025-09-12
CURRENT CYCLE
F760S/S D

Ensure that residents are free from significant medication errors.

2025-09-12
CURRENT CYCLE
F610S/S D

Respond appropriately to all alleged violations.

2025-09-12
CURRENT CYCLE
F756S/S D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2025-09-12
CURRENT CYCLE
F628S/S D

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

2025-09-12
CURRENT CYCLE
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2025-09-12
CURRENT CYCLE
F839S/S D

Employ staff that are licensed, certified, or registered in accordance with state laws.

2024-06-28
HISTORICAL
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-06-28
HISTORICAL
F584S/S E

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.

2024-06-28
HISTORICAL
F761S/S E

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.

2024-06-28
HISTORICAL
F622S/S E

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.

2024-06-28
HISTORICAL
F578S/S E

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.

2024-06-28
HISTORICAL
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2024-06-28
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2024-06-28
HISTORICAL
F585S/S D

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.

2024-06-28
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-06-28
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-06-28
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2024-06-28
HISTORICAL
F700S/S D

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.

2024-06-28
HISTORICAL
F756S/S D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2024-06-28
HISTORICAL
F758S/S D

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.

2024-06-28
HISTORICAL
F849S/S D

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.

2024-06-28
HISTORICAL
F732S/S C

Post nurse staffing information every day.

2023-05-08
HISTORICAL
F600S/S G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2023-05-08
HISTORICAL
F686S/S G

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2023-05-08
HISTORICAL
F800S/S F

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

2023-05-08
HISTORICAL
F803S/S F

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.

2023-05-08
HISTORICAL
F725S/S F

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2023-05-08
HISTORICAL
F657S/S E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2023-05-08
HISTORICAL
F565S/S E

Honor the resident's right to organize and participate in resident/family groups in the facility.

2023-05-08
HISTORICAL
F727S/S E

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.

2023-05-08
HISTORICAL
F758S/S E

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.

2023-05-08
HISTORICAL
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2023-05-08
HISTORICAL
F806S/S E

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

2023-05-08
HISTORICAL
F582S/S E

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

2023-05-08
HISTORICAL
F808S/S E

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.

2023-05-08
HISTORICAL
F684S/S E

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-05-08
HISTORICAL
F677S/S E

Provide care and assistance to perform activities of daily living for any resident who is unable.

2023-05-08
HISTORICAL
F622S/S D

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.

2023-05-08
HISTORICAL
F584S/S D

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.

2023-05-08
HISTORICAL
F801S/S D

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.

2023-05-08
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2023-05-08
HISTORICAL
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2023-05-08
HISTORICAL
F637S/S D

Assess the resident when there is a significant change in condition

2023-05-08
HISTORICAL
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2023-05-08
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

Overall CMS star rating

This facility: 1  ·  CMS state average: 3.2

Both figures as published by CMS.

You may be reading this record for the first time.

If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.

Your federal record — tap to preview

Federal record

Timber Springs Transitional Care — Federal Record

CMS overall 1/5 · 19 current-cycle deficiencies · CMS abuse icon listed


Section 7 — Case Context

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SECTION 7 — CASE CONTEXT

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What happened

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If you believe a resident is in immediate danger, call 911. Care concerns can also be reported at no cost to your state survey agency or the Long-Term Care Ombudsman program (ltcombudsman.org) — independent of any legal inquiry.

How to read this record

Making sense of a CMS inspection record

CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.

Three questions to ask on a tour

  • How is the home staffed on nights, weekends, and holidays?
  • What happens when a resident’s condition changes suddenly?
  • How, and how quickly, are families told about an incident?

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