Average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bridgeview Estates during CMS and state inspections, most recent first.
The facility did not ensure that meals were served at safe and appetizing temperatures, with hot foods sometimes below 135°F and cold foods above 41°F. Multiple residents reported that meals were cold, tasteless, or poorly prepared, and temperature logs for several meals were illegible. The Food Service Manager confirmed that required temperature standards and documentation were not consistently met.
Surveyors found that food items in the kitchen were not properly covered or dated, including cooked turkey, desserts, drinks, and sandwiches in the refrigerator, as well as opened boxes of green beans, chicken, and hamburger patties in the freezer. Dish washer and sanitizing bucket logs were incomplete, and containers of lemonade and iced tea served in the dining room were not labeled or dated. The Food Service Manager and DON confirmed these deficiencies, which did not meet professional standards.
A resident with emphysema and anxiety was found self-administering Cortisone-10 cream without a documented assessment to determine if self-administration was clinically appropriate. The DON confirmed that an assessment should have been completed but was not.
A resident with diagnoses including PTSD had this condition documented on PASRR assessments, but it was not reflected in multiple MDS assessments as required. The DON confirmed that PTSD should have been included in each MDS once identified on the PASRRs, but this was not done.
A resident with emphysema, anxiety, and PTSD did not have their PTSD diagnosis documented or addressed with goals and interventions in their comprehensive care plan. The DON confirmed this omission during the survey.
The facility did not update care plans for two residents after changes in their care needs. One resident continued to have a quad-cane listed in the care plan after it was replaced with a hemi-walker following a fall, and another resident's care plan did not include physician-ordered Tubi grips for severe lower extremity edema. These omissions were confirmed by the DON and placed residents at risk of not receiving appropriate care.
A resident did not receive treatment and care in accordance with physician orders and their own preferences and goals, resulting in a deficiency related to the facility's failure to follow the established care plan.
Two residents did not receive respiratory care as ordered by their physicians. One resident with acute respiratory failure was not using prescribed continuous oxygen, and staff failed to update or discontinue the order despite documentation showing the resident was often on room air. Another resident using CPAP therapy had equipment left uncovered and reported infrequent cleaning, with staff not following required cleaning protocols or documenting maintenance as ordered.
Controlled medications were not properly tracked or secured due to missing required nurse signatures on narcotic accountability records for two medication carts. Audits revealed that multiple signatures were not documented as required when medication carts were accepted or released, and staff confirmed the lapse in procedure.
Staff failed to secure medications as required, including leaving an insulin pen unattended at a resident’s bedside and leaving a medication cart unlocked and unattended near the nurses’ station. Both the LPN and the DON acknowledged that these actions were not in compliance with facility policy, which mandates that all medications be securely stored and inaccessible to unauthorized individuals.
Surveyors found that trash cans in the kitchen food prep area were not sealable and lacked tight-fitting lids, as required by state and federal regulations. The Food Services Manager was unaware of the need for closed garbage can lids in these areas, creating a potential for pest and rodent attraction affecting all residents and staff.
A resident with multiple chronic conditions and a history of inappropriate sexual comments towards staff did not have these behaviors documented in the clinical record as required by physician order and care plan. Despite staff acknowledging the behaviors and their impact on care, such as missed showers, no entries were found in the TAR or progress notes over several months.
Failure to Maintain Palatable and Safe Meal Temperatures
Penalty
Summary
The facility failed to ensure that resident meals were palatable and maintained at safe and appetizing temperatures, as required by the 2022 FDA Food Code. Observations and interviews revealed that hot foods were sometimes served below the required 135 degrees F, and cold foods were served above the required 41 degrees F. Specifically, a lunch meal taste tray showed pudding at 65.1 degrees F and carrots at 129 degrees F, both outside the acceptable temperature ranges. The pudding's holding temperature log for that meal was recorded at 53 degrees F, which did not meet the standard. Additionally, holding temperature logs for several dinner meals in June were found to be illegible, indicating a lack of proper documentation and monitoring. Multiple residents reported dissatisfaction with the quality and temperature of the food, describing meals as cold, tasteless, overcooked, or mushy. One resident with multiple diagnoses, including Multiple Sclerosis and depression, stated that the food was not good, with tough meat and soggy vegetables, and noted that meal quality was worse on weekends. The Facility Food Service Manager acknowledged that the holding temperature for desserts should have been lower and that the temperature logs should have been legible, but they were not on several dates.
Deficient Food Storage, Labeling, and Documentation in Kitchen
Penalty
Summary
Surveyors observed multiple failures in food storage, labeling, and documentation within the facility's kitchen. In the walk-in refrigerator, a large container of cooked turkey was found partially covered with plastic wrap that was submerged in liquid, and several trays of desserts, drinks, and zip-lock bags containing peanut butter and jelly sandwiches were not dated. In the walk-in freezer, large cardboard boxes of green beans, chicken, and hamburger patties were found opened to the air and not properly covered. The Food Service Manager confirmed that these items should have been properly covered and dated but were not. Further review of kitchen records revealed incomplete dish washer logs, with missing data for certain meals on specific dates, and missing entries in the kitchen sanitizing bucket PPM log for several time points. Additionally, containers of lemonade and iced tea served in the dining room were not labeled or dated, as confirmed by the DON. These actions and omissions were not in accordance with the Idaho Food Code and professional standards, and had the potential to affect all residents receiving meals prepared in the facility's kitchen.
Failure to Assess Resident for Safe Self-Administration of Medication
Penalty
Summary
A deficiency was identified when a resident with multiple diagnoses, including emphysema and anxiety, was observed with tubes of Cortisone-10 cream on her overbed table and reported self-administering the medication as needed. Review of the resident's medical record revealed there was no documented assessment to determine if she was safe to self-administer this medication. The Director of Nursing confirmed that an assessment should have been completed to allow the resident to keep and self-administer the Cortisone-10 cream, but this was not done.
Inaccurate MDS Assessment Documentation for PTSD Diagnosis
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) assessment accurately reflected a resident's status. Specifically, a resident admitted with multiple diagnoses, including emphysema, anxiety, and post-traumatic stress disorder (PTSD), had PTSD documented on both Level I and Level II PASRR assessments. However, multiple MDS assessments for this resident did not indicate PTSD under the relevant section. The Director of Nursing confirmed that PTSD should have been documented in each MDS once it was listed on the PASRRs, but it was not. This discrepancy was identified through observation, interview, and record review.
Failure to Care Plan for PTSD Diagnosis
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan for a resident who was admitted with multiple diagnoses, including emphysema, anxiety, and PTSD. Observation, interview, and record review revealed that the resident's care plan did not document the PTSD diagnosis or include related goals and interventions. The Director of Nursing confirmed that the PTSD diagnosis should have been included in the care plan but was not.
Failure to Update Care Plans Following Changes in Resident Needs
Penalty
Summary
The facility failed to update and revise care plans in response to changes in residents' care needs, as required by policy. For one resident with COPD, congestive heart failure, and a history of repeated falls, a fall incident occurred when a quad-cane bent during a transfer, resulting in injury. Although the intervention was to replace the quad-cane with a hemi-walker, subsequent physical therapy documentation reflected the use of a hemi-walker, but the resident's care plan continued to list the quad-cane as the assistive device. The care plan was not updated to reflect the change in mobility aid, despite staff acknowledgment that the change had occurred after the fall. Another resident with acute respiratory failure and cellulitis of the lower limb had a physician's order for daily use of Tubi grips for edema management. Observations and weekly skin assessments documented severe edema and noncompliance with Tubi grips and foot elevation, but the care plan did not include the use of Tubi grips as an intervention. The Director of Nursing confirmed that the care plan should have included this intervention but did not. These failures to update care plans placed residents at risk of not receiving appropriate care as their needs changed.
Failure to Provide Care According to Orders and Resident Preferences
Penalty
Summary
The deficiency involves a failure to provide appropriate treatment and care according to physician orders, as well as the resident’s preferences and goals. The report indicates that care was not delivered in alignment with the established plan or the expressed wishes and objectives of the resident, as required.
Failure to Provide Physician-Ordered Respiratory Care and Equipment Maintenance
Penalty
Summary
The facility failed to provide respiratory services as ordered by the physician for two residents. One resident with a history of acute respiratory failure with hypoxia and cellulitis of the right lower limb was observed not using his prescribed oxygen concentrator, stating he used it only when he felt it was needed. Despite a physician's order for continuous oxygen at 3 liters per minute via nasal cannula, documentation showed the resident was frequently on room air with varying oxygen saturation levels, and nursing staff did not contact the physician to update or discontinue the order as required. Another resident, diagnosed with diabetes and requiring assistance with personal care, was observed with CPAP nasal pillows left uncovered on the bedside table. The resident reported that it had been a while since staff had cleaned the mask and had never seen the humidifier cleaned. Facility policy required daily cleaning of the CPAP mask and weekly cleaning of the humidifier, with documentation in the patient record. However, there was no documentation of mask cleaning on a specific date, and the DON confirmed that nurses were not cleaning the mask or humidifier according to the physician's order and care plan.
Failure to Track and Secure Controlled Medications
Penalty
Summary
The facility failed to ensure that controlled medications were properly tracked and secured, as evidenced by missing licensed nurse signatures on narcotic accountability records for two medication carts. During audits of the Sawtooth Hall and Sun Valley Hall medication carts, it was observed that the narcotic accountability records had three and five missing nurse signatures, respectively, over the documented periods. Staff interviews confirmed that two nurses were required to sign the narcotic accountability record when accepting or releasing the medication cart, but this procedure was not consistently followed. The Director of Nursing also acknowledged that the required signatures were missing at the times of cart transfer.
Failure to Secure Medications and Lock Medication Cart
Penalty
Summary
Facility staff failed to ensure that medications and biologicals were securely stored and inaccessible to unauthorized individuals, as required by facility policy. Specifically, an LPN administered oral medications to a resident with spinal stenosis and diabetes, then left an insulin pen unattended on the resident’s overbed table while leaving the room to retrieve a needle. The LPN later acknowledged that the insulin pen should not have been left at the bedside. The Director of Nursing confirmed that medications should not have been left unattended in the resident’s room. Additionally, an unattended and unlocked medication cart was observed next to the nurses’ station. A medication aide confirmed that the cart should have been locked when not attended. The Director of Nursing reiterated that medication carts are to be locked when staff are not present. These actions were not in accordance with the facility’s policies on medication storage and administration, which require all medications to be securely stored and inaccessible to residents and visitors.
Improperly Covered Kitchen Garbage Cans
Penalty
Summary
Surveyors observed that various trash cans in the kitchen food preparation area were not properly sealable, as they had round holes cut in the center to keep them open. These garbage cans were not equipped with tight-fitting lids, contrary to the requirements outlined in the Idaho Administrative Rules and the U.S. Food and Drug Administration 2022 Food Code. During the survey, the Food Services Manager stated she was not aware of the requirement to have closed garbage can lids in the food preparation areas. This failure to properly cover garbage containers had the potential to attract pests and rodents into the kitchen, affecting all residents and staff in the facility.
Failure to Document Resident Behaviors and Interventions in Clinical Records
Penalty
Summary
The facility failed to maintain accurate and complete clinical records for a resident with multiple diagnoses, including COPD, congestive heart failure, and a history of repeated falls. A physician's order required documentation of the resident's inappropriate sexual comments towards staff on the Treatment Administration Record (TAR), including the number of episodes, interventions, and outcomes. The care plan also indicated that behavior tracking was in place for these behaviors. However, review of the resident's TAR and progress notes over several months revealed no documentation of any sexually inappropriate comments or behaviors, despite staff and administrative acknowledgment that such incidents occurred and resulted in the resident not receiving showers on specific dates. The Director of Nursing confirmed that these behaviors should have been documented but were not.
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What surveyors actually found near you
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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 Twin Falls
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Twin Falls Transitional Care Of Cascadia | 9.2 mi | ★★★★★ | 0 | 0 |
| Serenity Transitional Care | 10.1 mi | ★★★★★ | 0 | 0 |
| Oak Creek Rehabilitation Center Of Kimberly | 11.2 mi | ★★★★★ | 27 | 0 |
| Cascades At Desert View | 14.6 mi | ★★★★★ | 24 | 0 |
| Bennett Hills Rehabilitation And Care Center | 34.7 mi | ★★★★★ | 16 | 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 July 2026) and official state health department websites.