Skyline Transitional Care Center
1001 South Hilton Street · Boise, ID · 83705 · 2083454464
111 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- 4 citations involved actual harm to residents.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.49 | 0.55–0.75 |
| Weekend hours / resident-day | 3.30 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (32 in the current record)
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Potential for harm · E March 7, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected April 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 7, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · D March 7, 2025 · found via complaint
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.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · D March 7, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 10, 2025 · Pharmacy Service
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Potential for harm · F March 7, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 10, 2025 · Nutrition and Dietary
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Actual harm · G January 24, 2022
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 25, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G January 24, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 15, 2022 · Quality of Life and Care
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Potential for harm · D January 24, 2022
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 9, 2022 · Resident Rights
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Potential for harm · E January 24, 2022
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.
Corrected March 15, 2022 · Resident Rights
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Potential for harm · D January 24, 2022
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 15, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 24, 2022
Respond appropriately to all alleged violations.
Corrected March 15, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 24, 2022
Ensure each resident receives an accurate assessment.
Corrected March 15, 2022 · Resident Assessment and Care Planning
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Potential for harm · D January 24, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 15, 2022 · Resident Assessment and Care Planning
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Potential for harm · E January 24, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 1, 2022 · Resident Assessment and Care Planning
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Potential for harm · D January 24, 2022
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected March 15, 2022 · Quality of Life and Care
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Potential for harm · D January 24, 2022
Provide activities to meet all resident's needs.
Corrected June 1, 2022 · Quality of Life and Care
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Potential for harm · E January 24, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 1, 2022 · Quality of Life and Care
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Potential for harm · D January 24, 2022
Provide enough food/fluids to maintain a resident's health.
Corrected March 15, 2022 · Quality of Life and Care
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Potential for harm · D January 24, 2022
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 15, 2022 · Pharmacy Service
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Potential for harm · D January 24, 2022
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected March 15, 2022 · Nutrition and Dietary
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Potential for harm · E January 24, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 15, 2022 · Nutrition and Dietary
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Potential for harm · F January 24, 2022
Report COVID19 data to residents and families.
Corrected March 9, 2022 · Infection Control
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Potential for harm · D January 24, 2022
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected March 9, 2022 · Environmental
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Actual harm · G March 5, 2020
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 3, 2020 · Resident Rights
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Actual harm · G March 5, 2020
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 3, 2020 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 135077 · certified since May 1, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.