Timber Springs Transitional Care: Missing ER Records - ID
That gap is at the center of a complaint inspection completed September 12 at Timber Springs Transitional Care, a nursing facility at 1140 North Allumbaugh Street in Boise.
The resident, identified in inspection records only as Resident #79, sustained a ground-level fall on August 28, 2025. The injuries were not minor. She fractured one rib on her right side. She had a laceration above the outer region of her right eyebrow and bruising across her face. She was taken to the emergency room, where the eyebrow wound was closed with sutures.
A nursing progress note dated August 29 documented the new injury. The ER visit happened. The sutures happened. What did not happen, according to inspectors, was any documentation of the hospital transfer itself — the paperwork that should travel with a resident when a nursing facility sends them out for emergency care.
Resident #79's record contained no transfer paperwork from the facility to the hospital related to the August 28 visit.
On September 11, the day before the inspection concluded, the Director of Nursing confirmed it plainly. There was no hospitalization paperwork from the facility connected to that ER visit. Not misfiled. Not pending. Not available.
None.
The inspection classified the deficiency as causing minimal harm or potential for actual harm, and noted that few residents were affected. Those classifications reflect the regulatory framework inspectors use to grade severity and scope. They do not change what the record shows: a woman in her facility's care was hurt badly enough to need an ambulance and stitches, and the facility could not produce a single document showing how that handoff to the hospital was handled.
Transfer paperwork is not administrative formality. When a nursing home resident arrives at an emergency room, the accompanying documentation tells the treating team who the patient is, what medications they take, what conditions they carry, what happened to them and when. A resident with a broken rib and a lacerated face arriving without that information forces ER staff to work without context. They may not know about blood thinners, or a history of falls, or other injuries. They are starting from scratch on a patient who should have arrived with a complete picture.
Whether that gap created any clinical consequence for Resident #79 during her August 28 visit, the inspection report does not say.
What it does say is that two weeks passed between the ER visit and the inspection, and in that time, no transfer paperwork materialized. The Director of Nursing did not describe an effort to reconstruct the record or retrieve it from the hospital. The statement, as documented by inspectors, was simply that it did not exist.
Timber Springs Transitional Care is a transitional care facility, meaning it serves residents who are often in the most medically complex period of their recovery — people discharged from hospitals who are not yet stable enough to go home. That population, by definition, moves between care settings. The paperwork that documents those movements is not incidental to their care. It is part of it.
For Resident #79, the fall came first. The broken rib came first. The laceration and the bruising and the trip to the emergency room came first. The missing paperwork is what came after, and it is what remained missing when inspectors arrived to ask about it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Timber Springs Transitional Care from 2025-09-12 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 20, 2026 · Our methodology
Timber Springs Transitional Care in Boise, ID was cited for violations during a health inspection on September 12, 2025.
The resident, identified in inspection records only as Resident #79, sustained a ground-level fall on August 28, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.