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.
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
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.
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: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $30,654 |
Inspection citations (67 in the current record)
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
| Date | Type | Amount / length |
|---|---|---|
| September 12, 2025 | Fine | $15,327 |
| September 12, 2025 | Fine | $15,327 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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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.