Inspection Reports for Brookdale Boise Parkcenter
739 E Parkcenter Blvd, Boise, ID 83706, United States, ID, 83706
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 17, 2025, identified deficiencies related to medication administration, including missed or improperly timed doses for several residents. Earlier inspections showed a pattern of issues with medication management, staffing levels, and fire and life safety compliance, with multiple citations for incomplete documentation and improper use of electrical devices. Complaint investigations mostly found substantiated issues involving medication errors and insufficient staffing, while other complaints were unsubstantiated or not clearly resolved. No fines, immediate jeopardy findings, or license suspensions were listed in the available reports. The facility’s inspection history shows ongoing challenges in medication administration and safety documentation, with no clear trend of improvement or worsening over time.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
7.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
8% better than Idaho average
Idaho average: 7.9 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
77 residents
Based on a March 2023 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Oct 17, 2025
Visit Reason
The inspection was conducted as a health care complaint investigation regarding medication administration issues at the facility.
Complaint Details
The visit was complaint-related, focusing on medication administration errors. The facility nurse confirmed the medications were not given as ordered.
Findings
The facility failed to ensure residents' medications were administered as ordered, with multiple instances of missed or improperly timed medications for several residents documented during the investigation.
Deficiencies (1)
Failure to ensure residents' medications were given as ordered, including missed doses of cyanocobalamin, magnesium carbonate, Mounjaro, diclofenac sodium, trospium chloride, and lispro insulin.
Report Facts
Missed lispro insulin doses: 33
Inspection Report
Life Safety
Deficiencies: 10
Date: Oct 25, 2024
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey to assess compliance with fire safety codes and related regulations.
Findings
Multiple deficiencies were identified including failure to update relocation agreements, lack of documentation for emergency generator testing, unclear designated smoking areas, missing fire and life safety inspection records, inoperable mechanical ventilation in the oxygen transfilling room, painted sprinkler heads, and prohibited use of multi-plug adapters and relocatable power taps for medical devices.
Deficiencies (10)
Relocation agreements had not been revised since 2022.
Failed to provide documentation of annual diesel fuel testing and three-year load bank test for emergency generator.
Smoking area location was not clearly marked and not specified in policy.
No documentation for semi-annual inspection/testing of water-flow alarm devices and smoke detector sensitivity testing within last five years.
Failed to provide documentation for emergency lighting testing, fire rated door latch security, missing fire extinguisher placard, and inoperable mechanical ventilation in oxygen transfilling room.
No documentation of monthly visual inspections of fire suppression system gauges and valve checks.
Sprinkler pendent and escutcheon painted over in resident room #113 closet; sprinkler head must be replaced.
Use of multi-plug adapters in maintenance office and room #120 is prohibited.
Use of relocatable power tap (RPT) to power microwave and refrigerator in room #120 is prohibited.
Use of relocatable power tap (RPT) to power oxygen concentrator in room #113 is prohibited.
Report Facts
Facility License Number: RC-401
Oxygen reservoir tank volume: 3600
Inspection Report
Follow-Up
Census: 77
Deficiencies: 8
Date: Mar 9, 2023
Visit Reason
The inspection was a health care licensure and follow-up survey conducted to assess compliance with regulatory requirements and verify correction of previous deficiencies.
Findings
The facility had multiple deficiencies including incomplete background checks for employees, incomplete quarterly nursing assessments, medication administration issues, lack of behavior management plans for residents on psychotropic medications, unsigned agreements, inaccurate admission and discharge register, and incomplete infection control and specialized training documentation for employees.
Deficiencies (8)
One of seven employees did not have a completed State Police background check.
The Registered Nurse did not complete all quarterly nursing assessments for several residents.
Medication technicians did not ensure residents took their medications and medications were found unattended.
Residents were taking psychotropic medications without behavior management plans in place.
NSAs for several residents were not signed or dated by residents or their legal representatives.
The admission and discharge register was not accurate, showing 93 residents while the roster listed 77.
Seven of ten employees lacked documentation of infection control training.
Five of ten employees lacked documented specialized training for caring for residents with dementia, mental illness, developmental disability, or traumatic brain injury.
Report Facts
Residents listed in admission and discharge register: 93
Residents listed in facility roster: 77
Employees lacking infection control training: 7
Employees lacking specialized training: 5
Inspection Report
Complaint Investigation
Census: 84
Deficiencies: 1
Date: Aug 31, 2022
Visit Reason
The inspection was conducted as a health care complaint investigation regarding insufficient staffing at the facility.
Complaint Details
The visit was complaint-related and focused on staffing inadequacies. Multiple staff, residents, and family members reported insufficient staffing. The administrator acknowledged reviewing staffing levels.
Findings
The facility administrator did not schedule sufficient personnel during all hours to meet resident needs, resulting in delayed assistance with toileting, call lights, and transfers. Incident and accident reports documented multiple resident falls on night shift.
Deficiencies (1)
Insufficient personnel scheduled during all hours to meet resident needs, including assistance with toileting, call lights, and transfers.
Report Facts
Resident census: 84
Staffing count: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Colleen Wilt | Administrator | Named in relation to staffing insufficiency and response |
| Gloria Keathley | Survey Team Leader | Led the health care complaint investigation |
Inspection Report
Life Safety
Deficiencies: 7
Date: Jan 14, 2022
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey to assess compliance with applicable fire safety codes and sanitation standards.
Findings
The facility was found to have multiple deficiencies related to fire and life safety standards, including unsecured oxygen cylinders, improper electrical installations, missing or incomplete kitchen hood and sprinkler system inspections, bent kitchen hood filters, lack of required signage, missing documentation for emergency generator inspections and fuel testing, and failure to maintain required relocation agreements.
Deficiencies (7)
Resident room #161 had an unsecured oxygen cylinder.
The nurse's office had two Multi-Plug Adapters in use.
Resident room #120 had a microwave and small refrigerator plugged into a Relocatable Power Tap.
Facility did not maintain compliance with NFPA 101 Life Safety Code including missing semi-annual kitchen hood suppression system inspections, bent kitchen hood baffle filters, missing placard for class K fire extinguisher, missing sprinkler inspection documentation, missing 5-year sensitivity data for smoke detectors, missing emergency exit lighting testing documentation, non-self-closing door to holiday storage room, lack of testing documentation for Alcohol Based Hand Rub dispensers, and rated door to oxygen transfilling area did not self-close and latch.
Facility could not produce documentation for consistent weekly inspections or monthly load tests of the diesel powered emergency generator; missing annual fuel quality test for diesel fuel.
Facility could not produce documentation showing fuel-fired heating devices had been inspected in the past 12 months; last known inspection was 11/20/2020.
Facility had two relocation agreements but they had not been updated annually; last known updates were in 2020 and 2010.
Report Facts
Number of Multi-Plug Adapters: 2
Number of relocation agreements: 2
Dates of weekly inspections and monthly load tests completed: 6
Last known kitchen hood suppression system inspection: May 4, 2021
Last known fuel-fired heating inspection: Nov 20, 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| John Jackson | Administrator | Named as facility administrator |
| Linda Chaney | Survey Team Leader | Named as survey team leader for fire life safety and sanitation licensure |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Sep 10, 2021
Visit Reason
The inspection was conducted as a health care complaint investigation triggered by concerns regarding resident assessments after changes in condition.
Complaint Details
The visit was complaint-related, focusing on failure to assess residents after changes in condition. Substantiation status is not stated.
Findings
The facility nurse failed to assess two residents after they experienced changes in condition, including falls and signs of dehydration. The administrator noted that some nurses had left the facility and had not completed all resident assessments.
Deficiencies (1)
The facility nurse did not assess 2 residents after they experienced a change of condition, including falls and dehydration.
Report Facts
Residents not assessed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tyler Anderson | Administrator | Named as the facility administrator who stated that some nurses had left and assessments were incomplete. |
| Bradley Perry | Survey Team Leader | Led the health care complaint investigation survey. |
Inspection Report
Life Safety
Deficiencies: 8
Date: Nov 18, 2020
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey to assess compliance with fire and life safety standards for the facility.
Findings
The facility was found to be non-compliant with several fire and life safety standards including missing annual fuel tests for the emergency generator, lack of documentation for smoke detector sensitivity tests, staff training on oxygen use, and inspection of alcohol-based hand rub dispensers. Additional issues included painted sprinkler heads, malfunctioning rated doors, and holes in walls compromising fire safety.
Deficiencies (8)
Missing the annual fuel test for the diesel fuel stored for the generator and the 3-year, 4-hour load test.
Could not produce documentation for a 5-year sensitivity test of the smoke detectors.
Could not produce documentation for staff training at the time of hire and annually thereafter on oxygen use and handling.
Alcohol Based Hand Rub dispensers installed throughout the facility but no documentation of testing and inspection when refilled; one dispenser installed over a light switch which is an ignition source.
Multiple penetrations at conduits used for wires and cables in mechanical/electrical rooms; holes in walls behind doors in housekeeping and storage rooms.
Painted sprinkler head in the 1st floor theater/lounge room.
Rated doors protecting the vertical opening at the elevator shaft would not close and latch properly, with a 5" gap due to coordinator preventing inactive leaf from closing.
Door to the 2nd floor laundry room/housekeeping storage room did not self-close.
Report Facts
Facility License Number: RC-401
Survey Date: Nov 18, 2020
Response Due Date: Dec 18, 2020
Gap between elevator shaft doors: 5
Hole size in walls: 3
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jun 25, 2020
Visit Reason
The inspection was conducted as a health care complaint investigation regarding the facility's discharge procedures.
Complaint Details
The visit was complaint-related, investigating the allegation that the facility failed to provide written notice of discharge to Resident #1.
Findings
The facility discharged Resident #1 without providing the required written notice, which was confirmed by the facility administrator.
Deficiencies (1)
Facility discharged Resident #1 without providing a written notice of discharge.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Yvonne Yates | Administrator | Confirmed the resident had been discharged without a written notice. |
| Tom Moss | Survey Team Leader | Led the health care complaint investigation. |
Inspection Report
Follow-Up
Deficiencies: 7
Date: Mar 6, 2020
Visit Reason
The inspection was a health care licensure and follow-up survey conducted to evaluate the facility's compliance with regulations and verify correction of previously cited deficiencies.
Findings
The facility was found deficient in multiple areas including inadequate abuse policy procedures, failure to conduct nursing assessments after resident condition changes, medication availability issues, improper implementation of diet and medication orders, lack of reassessment for self-administered medications, incomplete psychotropic medication reviews, and failure to ensure care notes were properly signed and dated.
Deficiencies (7)
The facility's abuse policy did not include immediate law enforcement contact for sexual assault or serious injury, nor instructions for initial reporting or protection steps if the alleged perpetrator was a visitor.
The facility nurse did not conduct nursing assessments after resident #4's condition changes, including a fall and insulin errors, and failed to conduct 90-day nursing assessments for multiple residents.
Medications were not available as ordered for residents #4, #5, #11, and #12.
Diet orders were not implemented correctly for residents #2, #4, and #10; insulin was improperly held for residents #2 and #4; resident #5 missed doses of omeprazole and bisacodyl.
Facility nurse did not reassess residents' ability to self-administer medications every 90 days; two residents self-administered without assessment.
Six-month psychotropic medication reviews were not completed for residents #4, #6, and #8.
Care notes were not signed and dated by the person providing care and services, and this information was not included in resident records.
Report Facts
Response Due Date: Apr 27, 2020
Previous Citation Dates: Jan 6, 2017
Previous Citation Dates: May 18, 2017
Previous Citation Dates: May 4, 2018
Medication Doses Missed: 10
Inspection Date: Mar 6, 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Yvonne Yates | Administrator | Named as facility administrator in the report header |
| Mina Ramirez | Survey Team Leader | Named as survey team leader conducting the inspection |
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