Sunterra Springs Riverview
3550 West Americana Terrace, Boise, ID 83706 · Ada County · 30 certified beds · avg 28 residents/day · certified since Oct 21, 2013
Part of chain: SUNTERRA SPRINGS (4 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Feb 23, 2024 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 6, 2024 (Past Non-Compliance)
All citations in the current public record (20)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 9, 2026 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint |
| Jan 9, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Jan 9, 2026 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Jan 9, 2026 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint |
| Jan 9, 2026 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Jan 9, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jan 9, 2026 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Jan 9, 2026 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint |
| Jan 9, 2026 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint |
| Jan 9, 2026 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Jan 9, 2026 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Feb 23, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 6 | 1 | J ▲ |
| 2025 | 3 | 0 | D |
| 2026 | 11 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $8,021.
| Date | Type | Amount / length |
|---|---|---|
| Feb 23, 2024 | Fine | $8,021 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Idaho avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.70 | 4.03 | 3.95 | bottom 49% in Idaho; bottom 47% in the U.S. |
| Registered Nurse hours | 0.66 | 0.87 | 0.69 | bottom 39% in Idaho; top 41% in the U.S. |
| Weekend total nurse staffing | 3.40 | 3.48 | 3.50 | top 34% in Idaho; top 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.76 | 0.56 | 0.48 | top 17% in Idaho; top 13% in the U.S. |
| Total nursing staff turnover (%) | 57.5 | 50.3 | 45.8 | bottom 23% in Idaho; bottom 20% in the U.S. |
| RN turnover (%) | 40.0 | 41.0 | 42.9 | top 47% in Idaho; top 46% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.46, RN 0.79, weekend 4.10. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ball Ventures LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| Ball, Allen | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| Ball, Connie | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| Bangerte, Nathan | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| Bangerter, Dee | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| Bangerter, Edward | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/28/2025 |
| Bangerter, Johnathan | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/28/2025 |
| Bangerter, Lamar | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| BV Operations LLC. | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| BV Pac Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| DLB Legacy LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| RMC Enterprises LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| Rmce Operations LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/15/2026 |
| Shrader, Richard | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| Bangerte, Nathan | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2025 |
| Bangerter, Edward | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2025 |
| Bangerter, Johnathan | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2025 |
| BV Pac Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Cavarretta, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/31/2024 |
| Cavarretta, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 01/31/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Idaho State Veterans Home - Boise | 1.5 mi | Boise, ID | ★★☆☆☆ | 1/5 | |
| Life Care Center of Boise | 1.5 mi | Boise, ID | ★★★★★ | 4/5 | |
| Shaw Mountain of Cascadia | 2.0 mi | Boise, ID | ★★★☆☆ | 2/5 | |
| Skyline Transitional Care Center | 2.0 mi | Boise, ID | ★★★★☆ | 4/5 | |
| Cascadia of Boise | 2.0 mi | Boise, ID | ★☆☆☆☆ | 2/5 | |
| Timber Springs Transitional Care | 2.5 mi | Boise, ID | ★☆☆☆☆ | 1/5 | abuseSFF |
| Arbor Valley of Cascadia | 3.3 mi | Boise, ID | ★★★☆☆ | 3/5 | |
| Life Care Center of Treasure Valley | 4.0 mi | Boise, ID | ★★★★☆ | 3/5 | |
| Terraces of Boise, the | 6.0 mi | Boise, ID | ★★☆☆☆ | 1/5 | abuse |
| Aspen Transitional Rehabilitation | 6.9 mi | Meridian, ID | ★★★☆☆ | 2/5 | abuse |
| Meridian Meadows Transitional Care | 7.1 mi | Meridian, ID | ★☆☆☆☆ | 1/5 | abuse |
| Creekside Transitional Care and Rehabilitation | 9.5 mi | Meridian, ID | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 135139.