Timber Springs Transitional Care

1140 North Allumbaugh Street · Boise, ID · 83704 · 2085017200

120 certified beds For profit - Limited Liability company Chain: The Ensign Group

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing levels are well below research benchmarks for safe care.
  • 4 citations involved actual harm to residents.

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Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

3 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 36
Serious harm & abuse 20% 30
Staffing 20% 20
Federal penalties 15% 57
Trend 10% 50
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)2 · $30,654

Inspection citations (67 in the current record)

  • Potential for harm · D November 20, 2025 · found via complaint

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

    Corrected December 12, 2025 · Resident Rights

  • Potential for harm · D November 20, 2025 · found via complaint

    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 December 12, 2025 · Resident Rights

  • Potential for harm · D November 20, 2025 · found via complaint

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

    Corrected December 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 20, 2025 · found via complaint

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

    Corrected December 12, 2025 · Pharmacy Service

  • Actual harm · G September 12, 2025 · found via complaint

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

    Corrected December 12, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 12, 2025 · found via complaint

    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.

    Corrected October 17, 2025 · Resident Rights

  • Potential for harm · D September 12, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected October 17, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 12, 2025 · found via complaint

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

    Corrected October 17, 2025 · Resident Rights

  • Potential for harm · D September 12, 2025 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected October 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D September 12, 2025 · found via complaint

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

    Corrected October 17, 2025 · Quality of Life and Care

  • Potential for harm · D September 12, 2025 · found via complaint

    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.

    Corrected October 17, 2025 · Quality of Life and Care

  • Potential for harm · D September 12, 2025 · found via complaint

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

    Corrected October 17, 2025 · Quality of Life and Care

  • Potential for harm · D September 12, 2025 · found via complaint

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

    Corrected October 17, 2025 · Pharmacy Service

  • Potential for harm · D September 12, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected October 17, 2025 · Pharmacy Service

  • Potential for harm · D September 12, 2025 · found via complaint

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

    Corrected October 17, 2025 · Quality of Life and Care

  • Potential for harm · D September 12, 2025 · found via complaint

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

    Corrected October 17, 2025 · Nutrition and Dietary

  • Potential for harm · D September 12, 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 October 17, 2025 · Nutrition and Dietary

  • Potential for harm · D September 12, 2025 · found via complaint

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

    Corrected October 17, 2025 · Administration

  • Potential for harm · D September 12, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected December 12, 2025 · Infection Control

  • Actual harm · G June 28, 2024 · found via complaint

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

    Corrected October 6, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 28, 2024 · found via complaint

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

    Corrected August 2, 2024 · Resident Rights

  • Potential for harm · E June 28, 2024 · found via complaint

    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.

    Corrected August 2, 2024 · Resident Rights

  • Potential for harm · D June 28, 2024 · found via complaint

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

    Corrected August 2, 2024 · Resident Rights

  • Potential for harm · E June 28, 2024 · found via complaint

    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.

    Corrected August 2, 2024 · Resident Rights

  • Potential for harm · D June 28, 2024 · found via complaint

    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 August 2, 2024 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
September 12, 2025Fine$15,327
September 12, 2025Fine$15,327

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 135098 · certified since May 16, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.