Below average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Terraces Of Boise, The during CMS and state inspections, most recent first.
A resident with cognitive impairment experienced emotional and financial harm when a staff member used the resident's credit card for personal expenses. The facility did not initiate an internal investigation when the family first reported unauthorized charges, only acting after law enforcement confirmed the theft.
Surveyors found that food items were improperly stored, uncovered, undated, and unlabeled, with cooked food stored below raw food and raw fish above raw beef. Cutting boards were discolored and pitted, making them difficult to sanitize, and equipment such as condenser fan covers and dish drying racks had accumulated dust. During meal preparation, a staff member failed to clean or sanitize cutting boards and knives between uses, increasing the risk of cross-contamination.
Surveyors found that staff left wet laundry in washing machines for extended periods, failed to keep clean and dirty laundry separated, and brought dirty linen into clean areas. Staff also did not consistently perform hand hygiene during medication administration, and medications were left unsecured on top of a medication cart. These actions reflect lapses in infection control and medication handling.
Staff failed to treat residents with dignity by referring to those needing eating assistance as "feeders" and by not serving meals at the same time to residents seated together. One resident with Alzheimer's and other conditions waited for her meal while another at the same table was already eating, due to a delay in preparing a special diet meal. The facility's policy requires respectful communication and simultaneous meal service, which was not followed.
Breakfast service was delayed more than 45 minutes past the posted start time, with residents not receiving meals until well after the scheduled 8:00 AM start. Several residents who were dependent for eating or needed assistance were still waiting while staff were only beginning to serve the dining room, and one resident was observed eating syrup off his pants before receiving breakfast in his room. The DON said she did not know meals had to be delivered within 45 minutes of the posted mealtime, while a CNA said many residents need 1-2 staff in the morning and extra hands would be helpful.
Two residents with Alzheimer's disease and muscle weakness were placed on position change alarms without prior assessment of less restrictive interventions, documentation of the alarms as potential restraints, or obtaining required consents and physician orders. The DON confirmed that only fall risk assessments were completed and that no consent was obtained before alarm use.
A resident with multiple medical conditions reported a missing heirloom ring, which was not formally investigated or documented as potential misappropriation. Although staff searched and posted notices, there was no written record of the investigation or staff interviews, resulting in a failure to appropriately address the alleged violation.
A resident with multiple medical conditions had conflicting MDS assessments regarding mobility, with the admission assessment showing no impairment and the quarterly assessment incorrectly documenting impairments. Observations confirmed the resident could move both arms, and the MDS nurse later acknowledged the quarterly assessment was coded in error.
A resident with chronic lung conditions was observed multiple times without the prescribed oxygen nasal cannula, despite orders and a care plan requiring continuous oxygen. Staff later confirmed the resident had been weaned off oxygen and was on room air with monitoring, but the care plan and physician's order were not updated to reflect this change.
A nurse administered the incorrect dose of gabapentin to a resident with multiple medical conditions, giving 400 mg in the morning instead of the prescribed 300 mg. This error was discovered after the medication was given, when the LPN reviewed the physician's order and realized the mistake, indicating a failure to follow medication administration protocols.
A resident with sleep apnea and COPD did not receive physician-ordered oxygen therapy at 2 LPM via nasal cannula at all times. The resident was observed on multiple occasions without oxygen, and facility staff confirmed the order was not being followed.
A resident's medications were left unattended on the medication cart by an LPN, who also failed to ensure that the pharmacy label for Oxycodone matched the physician's order. Both the LPN and DON confirmed that medications should not be left unattended and that pharmacy labels must reflect current orders, but discrepancies and improper practices were observed.
A resident with Alzheimer’s disease, dementia, depression, anxiety, and muscle weakness was not provided beverages consistent with her care plan. Staff gave her multiple servings of orange juice even though her diet order called for unsweetened or sugar-free beverages, and the RD confirmed she should not have received orange juice.
The facility failed to ensure kitchen equipment cleanliness and proper food storage, potentially affecting 36 residents. Observations showed dust on air conditioner fan covers in the walk-in refrigerator and pink slime mold in the ice machine. The Maintenance Technician confirmed quarterly cleaning schedules but was unsure why the air conditioning cover was not cleaned. The Dietitian was unaware of the last service date for the ice machine.
The facility failed to properly dispose of garbage, leading to debris accumulation around the garbage compactor, which could attract pests. The area was cleaned every two weeks, but the Dietitian was unsure of the last cleaning date. The Maintenance Technician and Administrator confirmed the cleaning schedule, noting the area was cleaned the previous week and was due for cleaning the next day.
The facility did not adhere to infection prevention measures as reusable medical equipment was not disinfected between residents. An LPN used a mobile vital signs machine on two residents without cleaning it between uses, contrary to the facility's policy and CDC recommendations. The LPN and a CNA indicated that the equipment was cleaned only once daily, while the Administrator stated it should be cleaned after each use.
Failure to Prevent Misappropriation of Resident Funds
Penalty
Summary
The facility failed to protect a resident's rights by not preventing the misappropriation of the resident's funds. A resident, admitted with multiple diagnoses including dementia and depression, was found to have had $1,900 stolen from their personal finances by a facility staff member. The theft was discovered after the resident's family noticed unauthorized activity on the resident's credit card statement following a short-stay rehabilitation. The family reported their concerns to the facility, but due to uncertainty about the source of the charges, the Executive Director directed the family to contact law enforcement rather than initiating an internal investigation at that time. Subsequently, law enforcement confirmed that a staff member had used the resident's credit card for personal expenses. The facility only began its internal investigation, staff training, and resident reviews after being notified by the police of the confirmed theft. The failure to act promptly when first notified by the family resulted in emotional and financial harm to the resident, as the facility did not take immediate steps to investigate or prevent further misappropriation.
Deficient Food Storage, Labeling, and Sanitation Practices
Penalty
Summary
Surveyors observed multiple deficiencies in the facility's food storage, preparation, and sanitation practices. In the walk-in meat refrigerator and freezer, food items such as salmon, cooked beef, chicken wings, chicken tenders, and scones were found open, uncovered, undated, and unlabeled. Cooked food was stored below raw food, and raw fish was stored above raw beef, contrary to FDA Food Code requirements. The Kitchen Manager confirmed that these items should have been covered, labeled, dated, and stored according to proper food safety protocols. Cutting boards in the main kitchen and storage areas for multiple houses were found to be discolored, pitted, and stained, making them difficult to clean and sanitize. The Kitchen Manager acknowledged that these cutting boards should have been replaced due to their condition. Additionally, condenser fan covers in the walk-in produce refrigerator and dish drying racks were observed with layers of dust, and the Kitchen Manager admitted these had not been cleaned or sanitized as required. During dinner tray line observation, a staff member repeatedly placed food containers and utensils on a cutting board and knife used for preparing mechanical chopped diets without cleaning or sanitizing the surfaces between uses. The staff member also placed a drinkable straw on the same cutting board before serving it to a resident. The staff member stated that containers were cleaned prior to use but did not believe cross-contamination was occurring. The Kitchen Manager later confirmed that the cutting board and knife should have been cleaned and sanitized after contact with containers and between uses.
Deficient Infection Control in Laundry, Hand Hygiene, and Medication Storage
Penalty
Summary
Surveyors identified multiple deficiencies related to infection prevention and control within the facility. Observations revealed that residents' wet laundry was left sitting in washing machines for extended periods, with no tracking system in place to monitor when loads were started or moved to the dryer. Clean and dirty laundry were not consistently separated, as clothes were found hanging on both sides of the laundry room, and staff entered the clean side of the laundry area with bags of dirty linen. Staff interviews confirmed inconsistent practices and a lack of clear procedures for handling laundry, with some staff unaware of proper protocols for maintaining separation between clean and dirty items. Additionally, staff failed to consistently perform hand hygiene during medication administration. One RN did not perform hand hygiene before entering a resident's room to administer medications, acknowledging the lapse when questioned. Medication storage practices were also deficient, as capsules were observed left directly on top of a medication cart without a barrier, and an LPN admitted the capsules should have been placed in a medication cup. These actions and inactions demonstrate lapses in basic infection control and medication handling procedures.
Failure to Ensure Dignified Dining Experience and Simultaneous Meal Service
Penalty
Summary
Facility staff failed to ensure residents were treated with dignity during dining services, as evidenced by staff referring to residents requiring assistance with eating as "feeders" and identifying their table as a "special table" needing extra help. This was observed when a CNA oriented an agency CNA by pointing out the table with residents who needed assistance and repeatedly used the term "feeders" in reference to these individuals. The facility's Dignity Policy requires staff to promote residents' well-being and self-esteem and to always speak respectfully to residents, which was not followed in these instances. Additionally, the facility did not serve meals simultaneously to residents seated at the same table. One resident with Alzheimer's disease, osteoarthritis, and muscle weakness was observed waiting for her meal while another resident at the same table had already been served and was eating. The resident expressed concern about not having food and requested more to drink while waiting. Staff explained that the delay was due to the kitchen forgetting to prepare a special diet meal, resulting in the resident being served significantly later than her tablemate. The registered dietitian confirmed that residents at the same table should be served at the same time.
Delayed Breakfast Service and Assistance
Penalty
Summary
The facility failed to provide timely meals to residents when breakfast was delayed more than 45 minutes past the posted start time. Surveyors observed a meal schedule posted in the dining room showing hot breakfast was to begin at 8:00 AM, but at 8:37 AM residents were only then being seated and staff were just beginning to serve the dining room. Breakfast meals were not received by several residents until between 8:49 AM and 9:13 AM, including residents who were dependent for eating, required substantial to maximal assistance, required partial/moderate assistance, or required supervision/touching assistance. One resident was observed at 9:12 AM drinking syrup from a ramekin and using a fork to eat syrup off his pants before receiving breakfast in his room at 9:13 AM. The MDS assessments showed Resident #33 required substantial/maximal assistance with eating, Residents #3 and #13 were dependent for eating, Resident #17 required partial/moderate assistance, and Resident #14 required supervision or touching assistance. During interview, the DON stated she was unaware meals needed to be delivered within 45 minutes of the posted mealtime and believed the mealtime started whenever residents were ready to eat in the dining room. A CNA stated many residents in the house require one to two staff to assist them in the morning and that it takes until after 8:00 AM to get residents into the dining room, while the administrator stated he had enough nursing staff.
Failure to Assess and Document Use of Position Change Alarms as Potential Restraints
Penalty
Summary
The facility failed to ensure that position change alarms were properly assessed as potential restraints and that appropriate consents and physician orders were obtained prior to their use. Specifically, for two residents with Alzheimer's disease and muscle weakness, position change alarms were implemented as fall prevention devices without documentation that less restrictive interventions had been attempted first. There was also no assessment in the residents' records regarding the use of these alarms as potential restraints. Observations confirmed that both residents were using tab alarms attached to their wheelchairs and clipped to their shirts. Interviews with the DON revealed that while fall risk assessments were completed, no specific assessment was conducted before placing the alarms, and consents were not obtained from the residents' representatives. The facility's policy required monitoring and documentation of interventions, but these steps were not followed in these cases.
Failure to Investigate and Document Missing Resident Property
Penalty
Summary
The facility failed to investigate a resident's missing personal item as a potential misappropriation of property. A resident, who was cognitively intact and had diagnoses including Parkinson's disease, diabetes, and hypertension, reported that a ring given to her by her grandmother went missing. The resident stated she informed the facility, and staff told her they would look for the ring. The ring, described as having three stones (an emerald in the middle and two diamonds on the sides, set in gold), was brought into the facility by a family member and reported missing two weeks later. Staff actions included posting a picture of the ring in the facility and searching the resident's room and laundry, but the ring was not found. Despite these efforts, there was no documentation of the investigation, including interviews with staff or progress notes regarding the missing ring. The Executive Director confirmed that while staff were interviewed and searches were conducted, there was no written record of these actions. The lack of documentation and formal investigation into the missing item constituted a failure to respond appropriately to an alleged violation involving potential misappropriation of a resident's property.
Inaccurate MDS Assessment Coding for Resident Mobility
Penalty
Summary
The facility failed to ensure that a resident's Minimum Data Set (MDS) assessments accurately reflected their physical status. Specifically, a resident admitted and later readmitted with multiple diagnoses, including heart disease, anemia, and hypertension, had conflicting MDS documentation. The admission assessment indicated no impairment in upper and lower extremities, while the subsequent quarterly assessment documented impairments on both sides of the upper and lower extremities. Observations of the resident showed the ability to move both arms and support their chin, which contradicted the quarterly MDS assessment. Upon review, the MDS nurse confirmed that the quarterly assessment was mistakenly coded as showing impairments, when it should have indicated no impairment.
Failure to Update Care Plan Following Change in Oxygen Therapy
Penalty
Summary
The facility failed to ensure that care plans were revised as needed for a resident with multiple diagnoses, including sleep apnea and chronic obstructive pulmonary disease. A physician's order directed staff to provide continuous oxygen at 2 LPM via nasal cannula, and the resident's care plan reflected this order. However, on multiple occasions, the resident was observed without the oxygen nasal cannula and reported not having used it for some time. Staff confirmed that the resident had been weaned off oxygen and was now on room air with oxygen saturation monitored twice daily, but neither the care plan nor the physician's order had been updated to reflect this change in treatment.
Medication Administration Error Due to Failure to Follow Physician's Orders
Penalty
Summary
A deficiency occurred when a nurse failed to administer medication according to professional standards and physician's orders for one resident. The facility's policy required staff to verify the correct medication, dose, time, and route before administration. Despite this, an LPN administered 400 mg of gabapentin in the morning instead of the prescribed 300 mg dose for that time. The error was identified when the LPN reviewed the physician's order after the medication had already been given. The resident involved had a history of inflammatory neuropathy, anemia, and hypertension, and was admitted with orders for both 300 mg and 400 mg gabapentin at different times of day. This incident was observed during a medication pass and confirmed through policy review and staff interview, demonstrating a failure to follow established medication administration protocols.
Failure to Provide Ordered Oxygen Therapy
Penalty
Summary
The facility failed to provide respiratory services as ordered for a resident with diagnoses including sleep apnea and chronic obstructive pulmonary disease. A physician's order directed staff to administer oxygen at 2 liters per minute via nasal cannula at all times for every shift. However, on two separate occasions, the resident was observed lying in bed without the prescribed oxygen. The resident reported not having used her oxygen for some time and was unsure when it had stopped. The Assistant Director of Nursing confirmed that the facility was not providing the ordered oxygen therapy at the time of review.
Failure to Secure Medications and Ensure Accurate Pharmacy Labeling
Penalty
Summary
The facility failed to ensure that medications were secured when unattended and that pharmacy labels matched physician orders for a resident with multiple diagnoses, including stage 4 pressure ulcers and hypertension. During medication administration, an LPN was observed leaving a cup containing a white powder (Miralax) unattended on top of the medication cart while attending to other tasks, including assisting a resident and checking the kitchen menu. Both the LPN and the Director of Nursing confirmed that medications should not be left unattended on the medication cart. Additionally, a discrepancy was found between the physician's order and the pharmacy label for the resident's Oxycodone prescription. The physician's order specified 0.5 tablet by mouth twice daily, both scheduled and as needed, while the pharmacy label indicated 0.5 tablet by mouth four times daily as needed. The LPN acknowledged the mismatch and stated that an order change sticker should be used, but none was present. The Director of Nursing confirmed that pharmacy labels should match physician orders and that a new card should be dispensed when orders change.
Failure to Follow Ordered Beverage Diet
Penalty
Summary
The facility failed to follow Resident #22’s comprehensive person-centered care plan by providing beverages that did not meet her ordered dietary needs. Resident #22 was admitted with multiple diagnoses including Alzheimer’s disease, muscle weakness, dementia, depression, and anxiety. Her care plan, initiated on 4/3/25, documented a diet order to include offering unsweetened or sugar-free beverages. On 2/9/26, CNA #2 gave her orange juice at 7:37 AM, Support Staff #1 gave her a second glass of orange juice at 8:33 AM, and she received a third glass of orange juice with breakfast at 8:59 AM. On 2/10/26, the RD stated that Resident #22 was on a no sweetened beverage diet order and should not have received orange juice.
Deficiency in Kitchen Equipment Cleanliness and Food Storage
Penalty
Summary
The facility failed to maintain kitchen equipment cleanliness and proper food storage, which could potentially affect the 36 residents consuming food prepared by the facility. Observations revealed that the air conditioner fan covers in the main kitchen walk-in refrigerator were coated with dust, with strands waving in the air current. Additionally, the ice machine in the main kitchen had a layer of pink slime mold on the interior side. These conditions were confirmed by the Dietitian and the Maintenance Technician during the survey. The Maintenance Technician stated that the ice machine is serviced and cleaned quarterly by a third-party vendor, with the last cleaning occurring on 11/26/24. However, the presence of pink slime mold indicated a lapse in maintaining cleanliness. The Maintenance Technician also mentioned that the walk-in refrigerator air conditioning covers are supposed to be cleaned quarterly, but he was unsure why the specific cover in question was not cleaned. The Dietitian was also unaware of when the ice machine was last serviced, highlighting a lack of oversight in maintaining sanitary conditions.
Improper Garbage Disposal Attracts Pests
Penalty
Summary
The facility failed to ensure proper disposal of garbage and refuse, which could attract insects and rodents, potentially affecting all residents, staff, and visitors. According to the FDA Food Code Section 5-501.15, outside receptacles and waste handling units should be installed to minimize debris accumulation and pest attraction. On December 19, 2024, it was observed that various items of edible and non-edible refuse were scattered around the ground near the garbage compactor. The Dietitian was unsure when the area was last cleaned, while the Maintenance Technician and Administrator confirmed that the area was cleaned every two weeks after the compactor was emptied. The area had been cleaned the previous week and was not scheduled for cleaning until the following day.
Failure to Disinfect Reusable Medical Equipment
Penalty
Summary
The facility failed to ensure proper infection prevention measures were taken when reusable medical equipment was not disinfected between residents. The facility's policy, revised in September 2022, required that resident care equipment, including reusable medical equipment, be cleaned and disinfected according to current CDC recommendations. However, on December 19, 2024, an LPN was observed using a mobile vital signs machine to obtain blood pressure, pulse, and temperature readings on two residents without cleaning or disinfecting the equipment between uses. The LPN stated that the machine was cleaned once at the end of her shift. Additionally, a CNA mentioned that the mobile vital signs machines were cleaned once a day by night shift staff. The Administrator confirmed that nursing staff were responsible for cleaning the machines after each resident use.
What surveyors are citing around you — mapped
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What surveyors actually found near you
We read the 168 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Boise
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Shaw Mountain Of Cascadia | 4.4 mi | ★★★★★ | 18 | 0 |
| Idaho State Veterans Home - Boise | 4.9 mi | ★★★★★ | 0 | 0 |
| Sunterra Springs Riverview | 6 mi | ★★★★★ | 11 | 0 |
| Skyline Transitional Care Center | 6.8 mi | ★★★★★ | 9 | 0 |
| Life Care Center Of Boise | 7.2 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.