Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Skyline Transitional Care Center during CMS and state inspections, most recent first.
The facility failed to properly clean and sanitize kitchen cookware, affecting 64 residents. Baking sheets and frying pans were observed with crusted black residue, which the Certified Dietary Manager could scratch off with her fingernail, indicating inadequate cleaning. This posed a risk of foodborne illnesses due to contaminated equipment.
The facility failed to ensure accurate MDS assessments for four residents, leading to potential negative outcomes. A resident with bipolar disorder and another with schizophrenia had PASRR Level II screenings documented, but their MDS assessments were incorrectly coded as not having received them. Another resident's MDS was inaccurately coded due to a misunderstanding of the PASRR Level II requirements. These inaccuracies were due to misunderstandings or oversights by the MDS Coordinator.
A resident with bowel incontinence and multiple diagnoses, including congestive heart failure, did not receive prescribed bowel care medications, such as Milk of Magnesia, after experiencing constipation for several days. This oversight was confirmed by the DON, indicating a failure to follow physician orders and professional standards of practice.
A facility failed to assess a resident for entrapment risk before installing bed rails, as required by their policy. The resident was observed with mobility bars in an upright position, but their record lacked documentation of an assessment. The DON confirmed the resident was not assessed prior to installation.
Two residents experienced significant medication errors due to lapses in medication administration practices. One resident with diabetes was given the wrong type of insulin, while another received oxycodone instead of her prescribed medication. Both incidents lacked proper documentation on how the errors occurred and the residents' conditions before interventions.
Improper Cleaning of Kitchen Cookware
Penalty
Summary
The facility failed to ensure the proper cleaning and sanitation of kitchen cookware, which had the potential to affect the 64 residents consuming food prepared by the facility. During an observation with the Certified Dietary Manager (CDM) and Registered Dietitian, baking sheets and frying pans were found to have a crusted black residue. Although the staff claimed that the cookware was cleaned and sanitized using appropriate food service methods, the CDM was able to scratch off the residue with her fingernail, indicating that the cleaning was not thorough. This deficiency placed residents at risk for potential foodborne illnesses and adverse health outcomes due to contaminated food services equipment.
Inaccurate MDS Assessments Due to Misunderstanding of PASRR Level II Screenings
Penalty
Summary
The facility failed to ensure the accuracy of the Minimum Data Set (MDS) assessments for four residents, which could lead to negative outcomes due to inaccurate assessments. Resident #1, diagnosed with bipolar disorder, depression, anxiety, opioid dependence, and tobacco use, had two PASRR Level II screenings documented in her electronic medical record. However, her MDS assessments incorrectly indicated that she did not receive a PASRR Level II screening. The MDS Coordinator believed the form used was not considered a true Level II screening. Similarly, Resident #25, with major depressive disorder, schizophrenia, and anxiety, had a PASRR Level II documented in her record, but her MDS assessment was incorrectly coded as not having received a PASRR Level II screening. Resident #27, diagnosed with schizoaffective disorder, had a PASRR Level II completed, but his MDS assessment was incorrectly coded as not having a completed PASRR Level II. The MDS Coordinator stated this was because the PASRR Level II indicated no further evaluation was required. Resident #8, with bipolar disorder and depression, had a PASRR Level II completed, but her MDS assessment was not coded to reflect this. The MDS Coordinator acknowledged the oversight, and the Social Worker confirmed the PASRR Level II had been completed. These inaccuracies in the MDS assessments were due to misunderstandings or oversights by the MDS Coordinator regarding the PASRR Level II screenings.
Failure to Administer Prescribed Bowel Care
Penalty
Summary
The facility failed to adhere to professional standards of practice for a resident with bowel and bladder incontinence, leading to a potential risk of bowel obstruction. The resident, who was admitted with diagnoses including congestive heart failure and chronic respiratory failure with hypoxia, had specific physician orders for managing constipation. These orders included the administration of Colace, Milk of Magnesia (MOM), Dulcolax suppository, and Fleet Enema, each to be used sequentially based on the resident's bowel movement status. Despite these orders, the resident's bowel movement records indicated periods of constipation, specifically from February 15 to February 19 and February 25 to February 27, without documentation of MOM being administered as required after three days without a bowel movement. The resident reported experiencing constipation, and the Director of Nursing confirmed that the MOM should have been given according to the physician's order, highlighting a lapse in following the prescribed bowel care regimen.
Failure to Assess Resident for Bed Rail Entrapment Risk
Penalty
Summary
The facility failed to ensure that a resident was thoroughly assessed for the risk of entrapment prior to the placement of bed rails. This deficiency was identified for one resident who was observed with two mobility bars in an upright position. The facility's policy required that appropriate alternatives be attempted before installing bed rails and that an interdisciplinary team assess the resident for entrapment risk if alternatives failed. Additionally, informed consent was to be obtained from the resident or their representative. However, the resident's record lacked documentation of such an assessment, and the Director of Nursing confirmed that the resident had not been assessed prior to the installation of the mobility bars.
Medication Errors Affect Two Residents
Penalty
Summary
The facility failed to ensure residents were free from significant medication errors, as evidenced by incidents involving two residents. Resident #116, who has diabetes, was mistakenly administered 33 units of Novolog, a rapid-acting insulin, instead of Lantus, a long-acting insulin. This error occurred while LPN #1 was training a Medication Assistant Certified (MAC) on insulin preparation. Although immediate corrective actions were taken, such as administering glucose gel and monitoring blood glucose levels, the incident report lacked documentation on how and why the error occurred, as well as the resident's condition before the intervention. Additionally, there was no documentation of the blood glucose monitoring that was reportedly conducted every 15-30 minutes. Resident #117, who has diabetes and schizophrenia, received an incorrect medication, oxycodone, instead of her prescribed medication. This error was self-reported by LPN #1, who was distracted by another resident's request for pain medication. The incident report did not specify how the error occurred or what medication was initially intended for Resident #117. The DON confirmed the error was discovered during narcotic medication reconciliation. Both incidents highlight deficiencies in medication administration practices and documentation within the facility.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Boise
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cascadia Of Boise | 1.1 mi | — | 8 | 0 |
| Life Care Center Of Boise | 1.1 mi | — | 0 | 0 |
| Timber Springs Transitional Care | 1.5 mi | — | 19 | 0 |
| Sunterra Springs Riverview | 2 mi | — | 11 | 0 |
| Life Care Center Of Treasure Valley | 2.7 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.