Cycle 1
Health 2026-01-09 · Fire 2025-01-24
11 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Boise, ID
Sunterra Springs Riverview
3-star overall rating with 3-star inspections with $8,021 in total fines with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
3550 West Americana Terrace, Boise, ID
(208) 615-4940
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
30
Certified beds
Average residents
26
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sunterra Springs
Operator or chain grouping
Approved since
2013-10-21
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
4 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.76
Registered nurse staffing · state 0.83 · national 0.68
LPN hours / resident day
1.38
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.61
Nurse aide staffing · state 2.47 · national 2.35
Total nurse hours
4.76
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
2.14
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
4.41
Weekend nurse staffing · state 3.47 · national 3.43
Weekend RN hours
0.72
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.31
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.63
CMS adjusted RN staffing hours
Adjusted total hours
3.90
CMS adjusted total nurse staffing hours
Case-mix index
1.67
Higher values indicate more complex resident acuity
RN turnover
70%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
68%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
914
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
62.13
Composite VBP score used to determine payment impact.
Payment multiplier
1.0171
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
9.44
Baseline 18.88% · Performance 17.06% · Measure score 9.44 · Achievement 9.44 · Improvement 9
Healthcare-associated infections
9.07
Baseline 4.00% · Performance 5.12% · Measure score 9.07 · Achievement 9.07 · Improvement 0
Total nurse turnover
1.67
Baseline 62.79% · Performance 56.86% · Measure score 1.67 · Achievement 1.67 · Improvement 1.06
Adjusted total nurse staffing
4.68
Performance 4.41 hours · Measure score 4.68 · Achievement 4.68 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 7.71% |
10.72%
3 pts better
|
Better than the National Rate · Eligible stays 389 · Observed rate 4.88% · Lower 95% interval 5.72% |
| Discharge to community | 76.56% |
50.57%
26 pts better
|
Better than the National Rate · Eligible stays 374 · Observed rate 77.27% · Lower 95% interval 72.53% |
| Medicare spending per beneficiary | 0.75 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 98.54% |
95.27%
3.3 pts better
|
Numerator 203 · Denominator 206 |
| Falls with major injury | 0.49% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 206 |
| Discharge self-care score | 82.78% |
53.69%
29.1 pts better
|
Numerator 125 · Denominator 151 |
| Discharge mobility score | 82.12% |
50.94%
31.2 pts better
|
Numerator 124 · Denominator 151 |
| Pressure ulcers or injuries, new or worsened | 0.49% |
2.29%
1.8 pts better
|
Numerator 1 · Denominator 206 · Adjusted rate 0.64% |
| Healthcare-associated infections requiring hospitalization | 5.13% |
7.12%
2 pts better
|
No Different than the National Rate · Eligible stays 189 · Observed rate 2.12% · Lower 95% interval 2.78% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 54 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 58 · Denominator 58 |
| Discharge function score | 83.44% |
56.45%
27 pts better
|
Numerator 126 · Denominator 151 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 129 · Denominator 129 |
| Transfer of health information to patient | 93.51% |
96.28%
2.8 pts worse
|
Numerator 72 · Denominator 77 |
| Resident COVID-19 vaccinations up to date | 36.44% |
25.2%
11.2 pts better
|
Numerator 43 · Denominator 118 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% |
90.2%
6.7 pts better
|
81.7%
15.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.0% · Q2 97.1% · Q3 98.6% · Q4 99.6% · 4Q avg 96.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.8% |
11.6%
7.2 pts worse
|
12.0%
6.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.8% · Observed 16.0% · Expected 9.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.5%
1 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.5% · Q3 0.5% · Q4 0.5% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.8% |
86.5%
1.3 pts better
|
79.7%
8.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.2% |
17.5%
9.7 pts worse
|
23.9%
3.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.2% · Observed 22.9% · Expected 20.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2025-01-24 · Fire 2024-02-23
3 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Cycle 3
Health 2024-02-23 · Fire 2020-01-09
6 health deficiencies
Top issue: Infection Control (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-24
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-07-01
F · Potential for more than minimal harm
2025-01-24
E25 · Emergency Preparedness Deficiencies
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2024-07-01
F · Potential for more than minimal harm
2025-01-24
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-07-01
F · Potential for more than minimal harm
2025-01-24
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-01
F · Potential for more than minimal harm
2025-01-24
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-01
E · Potential for more than minimal harm
2025-01-24
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-01
D · Potential for more than minimal harm
2025-01-24
E24 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2024-07-01
F · Potential for more than minimal harm
2020-01-09
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2019-07-22
F · Potential for more than minimal harm
2020-01-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-07-22
F · Potential for more than minimal harm
2020-01-09
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-07-22
E · Potential for more than minimal harm
2020-01-09
K927 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2019-07-22
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-09
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2026-02-06
D · Potential for more than minimal harm
2026-01-09
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-02-06
D · Potential for more than minimal harm
2026-01-09
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2026-01-04
D · Potential for more than minimal harm
2026-01-09
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-02-06
D · Potential for more than minimal harm
2026-01-09
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-02-06
D · Potential for more than minimal harm
2026-01-09
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-06
D · Potential for more than minimal harm
2026-01-09
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2026-02-06
D · Potential for more than minimal harm
2026-01-09
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2026-02-06
D · Potential for more than minimal harm
2026-01-09
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-02-06
D · Potential for more than minimal harm
2026-01-09
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2026-02-06
D · Potential for more than minimal harm
2026-01-09
F761 · Pharmacy Service Deficiencies
Health
Ensure 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.
Corrected 2026-02-06
D · Potential for more than minimal harm
2025-01-24
F584 · Resident Rights Deficiencies
Health
Honor 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.
Corrected 2025-02-21
D · Potential for more than minimal harm
2025-01-24
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-02-21
D · Potential for more than minimal harm
2025-01-24
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-21
J · Immediate jeopardy
2024-02-23
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-01-06
D · Potential for more than minimal harm
2024-02-23
F578 · Resident Rights Deficiencies
Health
Honor 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.
Corrected 2024-04-12
D · Potential for more than minimal harm
2024-02-23
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-04-12
D · Potential for more than minimal harm
2024-02-23
F758 · Pharmacy Service Deficiencies
Health
Implement 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.
Corrected 2024-04-12
D · Potential for more than minimal harm
2024-02-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-12
D · Potential for more than minimal harm
2024-02-23
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-04-12
Penalties and ownership
What sits behind the stars
$8,021
2024-02-23
Fine
Fine · fine $8,021
Fine
Ownership
Cavarretta, Christopher
Operational/Managerial Control · Individual
Gatherum, Jason
Operational/Managerial Control · Individual
Stevens, Gary
Operational/Managerial Control · Individual
Williams, Ryan
Operational/Managerial Control · Individual
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