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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 135098

Timber Springs Transitional Care

67 federal citations on record , including 1 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $135,944.

Abuse Icon Special Focus Status 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
67
Total citations
67
Last 3 years
5
Actual harm+
4
Federal penalties
$135,944
Total fines
1
Overall ★ rating

Most common violation categories here

Resident Rights17 Quality of Care13 Nutrition & Dietary10 Medication & Pharmacy8 Care Planning6

Most common F-tags at this facility

F5843 F6003 F6843 F6953 F7563

Citation history

67 on record
SurveyF-TagViolationSeveritySource
Nov 20, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Nov 20, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Nov 20, 2025F585Honor 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.DComplaint
Nov 20, 2025F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DComplaint
Sep 12, 2025F880Provide and implement an infection prevention and control program.DComplaint
Sep 12, 2025F839Employ staff that are licensed, certified, or registered in accordance with state laws.DComplaint
Sep 12, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint
Sep 12, 2025F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DComplaint
Sep 12, 2025F790Provide routine and 24-hour emergency dental care for each resident.DComplaint
Sep 12, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Sep 12, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Sep 12, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Sep 12, 2025F693Ensure 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.DComplaint
Sep 12, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 12, 2025F641Ensure each resident receives an accurate assessment.DComplaint
Sep 12, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint
Sep 12, 2025F610Respond appropriately to all alleged violations.DComplaint
Sep 12, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Sep 12, 2025F584Honor 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.DComplaint
Jun 28, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
Jun 28, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Jun 28, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EComplaint
Jun 28, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DComplaint
Jun 28, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Jun 28, 2024F732Post nurse staffing information every day.CComplaint
Jun 28, 2024F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DComplaint
Jun 28, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Jun 28, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 28, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 28, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.EComplaint
Jun 28, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jun 28, 2024F585Honor 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.DComplaint
Jun 28, 2024F584Honor 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.EComplaint
Jun 28, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jun 28, 2024F578Honor 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.EComplaint
Jun 28, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
May 8, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 8, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.JComplaint
May 8, 2023F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.EComplaint
May 8, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EComplaint
May 8, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
May 8, 2023F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FComplaint
May 8, 2023F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.DComplaint
May 8, 2023F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.FComplaint
May 8, 2023F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EComplaint
May 8, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
May 8, 2023F732Post nurse staffing information every day.CComplaint
May 8, 2023F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EComplaint
May 8, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
May 8, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
May 8, 2023F692Provide enough food/fluids to maintain a resident's health.DComplaint
May 8, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
May 8, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
May 8, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
May 8, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
May 8, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
May 8, 2023F637Assess the resident when there is a significant change in conditionDComplaint
May 8, 2023F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
May 8, 2023F610Respond appropriately to all alleged violations.DComplaint
May 8, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 8, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
May 8, 2023F584Honor 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.DComplaint
May 8, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EComplaint
May 8, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 8, 2023F565Honor the resident's right to organize and participate in resident/family groups in the facility.EComplaint
May 8, 2023F558Reasonably accommodate the needs and preferences of each resident.DComplaint
May 8, 2023F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $135,944 and 1 payment-denial actions spanning 61 days.

DateTypeFinePayment denial
Sep 12, 2025Fine$23,580—
Sep 12, 2025Fine$23,580—
May 8, 2023Fine$88,784—
May 8, 2023Payment Denial—Jun 28, 2023 · 61 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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