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Cascadia of Lewiston

2852 Juniper Drive, Lewiston, ID 83501 · For profit - Limited Liability company · 34 certified beds · (208) 748-7700 Medicare only — no Medicaid

Call the home — (208) 748-7700 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0609, F0610) — most recent Apr 20251 actual-harm citation CMS recorded as corrected before the inspection ended (past non-compliance)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (1/5)
  • nursing-staff turnover (68%) runs well above the national median (45%)
  • about 18% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 5 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
2841 Juniper Dr Ste 2 · (208) 848-9001 · Call to confirm hours
Pharmacy
Walgreens0.5 mi
2102 Nez Perce Dr · (208) 743-4434 · Call to confirm hours
Grocery
117 Thain Rd · (208) 746-1003 · Call to confirm hours
Park
2602 11th Ave · (208) 743-8928 · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Short-stay residentsrehab / post-hospital 5 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Short-stay residents who newly got an antipsychotic medication0.7%1.8%1.4%better
Short-stay residents given the seasonal flu vaccine97.5%86.5%79.4%better
Short-stay residents rehospitalized after admission14.3%17.7%22.6%better
Short-stay residents with an outpatient ER visit13.0%12.3%12.0%typical

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

60.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 334 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

60.0%U.S. median 51.5%
Got home and stayed home
10.1%U.S. median 10.7%
Went back to hospital
78.5%U.S. median 56.6%
Met the expected recovery
1.08U.S. median 0.31
Therapy hours / resident / day
0.78hours / resident / day
Physical therapy
0.26hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 78.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 130 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 1.08 therapist hours per resident per day in 2026Q1 — more than 97% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF60.0%CMS range 54.9–64.551.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.1%CMS range 7.7–13.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge78.5%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge74.6%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge73.1%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.1%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened1.1%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.9%CMS range 4.5–10.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.161.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.84
RN hours/ resident / day
1.14
LPN hours/ resident / day
2.33
Aide hours/ resident / day
4.31
Total nurse hours/ resident / day
0.63
RN hoursweekends
68.4%
Total nursing turnover
62.5%
RN turnover

How full it usually is: this home is certified for 34 beds and averages 31.3 residents a day — about 92% occupied, or roughly 3 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.31 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.84 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.33 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.66 hrs/resident/day on weekends vs 4.57 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.92 to 0.63 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 68% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

0
deficiencies at the latest standard inspection (2026-05-21)
8
at the previous standard inspection (2025-04-03)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.

  • Actual harm · G2025-04-03 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of the facility's policy and procedure, review of Incidents and Accidents (I&A's) reports, and staff interview, it was determined the facility failed to ensure residents were free from significant medication errors. This was true for 2 of 2 residents (#133 and #134) reviewed for medication errors. Resident #134 was harmed when his J-tube had to be surgically replaced after being administered medications through it instead of by mouth per the physician's order and Resident #133 was potentially harmed when he was found to have 2 Fentanyl patches on his body instead of the ordered one patch. Findings include: The facility's Eight Rights of Medication Administration procedure, undated, directed the licensed nurse to check the following to administer the medication: - Right resident - Right medication - Right dose - Right route - Right time - Right documentation - Right reason - Right response 1. Resident #134 was admitted to the facility on [DATE] with multiple diagnoses including…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Past Non-Compliance
  • Potential for harm · F2025-04-03 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, policy review, and review of the Idaho Food Code, the facility failed to appropriately store, label, and serve foods. This deficient practice had the potential to affect all 27 residents who received meals from the facility kitchen served in the dining room and resident rooms. This placed residents at risk for potential contamination and use of spoiled foods, and adverse health outcomes, including food-borne illnesses. Findings include: Review of the Idaho Food Code, revised February 2021, stated 3-501.17 Ready-to-Eat, Time/Temperature Control for Safety Food, Date Marking . refrigerated, ready-to-eat, time/temperature control for safety food prepared and held in a food establishment for more than 24 hours shall be clearly marked to indicate the date or day by which the food shall be consumed on the premises, sold, or discarded when held at a temperature of 5ºC (41ºF) or less for a maximum of 7 days. The day of preparation shall be counted as Day 1. The facility's Food and Supply Storage policy dated 11/28/17, documented under Policy for Labeling and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-04-03 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, policy review, and staff interview, it was determined the facility failed to ensure staff rinsed and stored the nebulizer mouthpiece appropriately after each use. This was true for 5 of 5 residents (#7, #13, #15, #78, and #80). This failure placed residents at risk of respiratory infection due to growth of pathogens (organism that cause illnesses) in the respiratory equipment. Findings include: An article from American Heart Association website, accessed on 4/9/25 at https://www.lung.org, titled ABCs of Using a Nebulizer documented the following: - After each treatment, disassemble and wash the nebulizer parts in warm soapy water or in the dishwasher. - Rinse and let the pieces air dry and store in clean dry place. - Once a week soak them in a vinegar solution for 30 to 60 minutes to disinfect them. - The tubing and compressor for a jet nebulizer should never be put into water. They can be wiped with a damp soapy towel or disinfectant wipe if they get soiled. 1. Resident #7…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-04-03 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, resident interview, test tray evaluation, and staff interview, it was determined the facility failed to ensure palatable food was served. This affected 5 of 16 residents (#2, #14, #16, #17, and #127) who were reviewed for dietary concerns. This failed practice created the potential to negatively affect residents' nutritional status and psychosocial well-being. Findings include: The facility's Food Preparation policy dated 8/1/23, documented food is prepared by methods that conserve nutritive value, flavor, and appearance. The following resident interviews were conducted: On 3/31/24 at 4:04 PM, Resident #14 said the food is terrible, as if it came from a box like hamburger helper, no taste, the chicken has no flavor and sometimes food is too salty. On 3/31/25 at 4:15 PM, Resident #16 said food is not palatable and his daughter has started taking him home on Sundays to feed him good food. On 3/31/25 at 4:29 PM, Resident #2 said the food had bland taste and food that should be hot is sometimes served cold even though she eats in dining room. On…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-03 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, policy review, and resident and staff interviews, it was determine the facility failed to ensure residents were assessed to determined if they were safe to self-administer medication. This was true for 2 of 2 residents (#5 and #7) reviewed for self-administration of medication. This failure created the potential for adverse outcomes if Resident #5 and #7 self-administered their inhaler inappropriately. Findings include: The facility's Self-Administration of Medications policy and procedure, released 11/28/17 documented the resident may self-administer drugs if the interdisciplinary team has determined that this practice is safe. Qualified nursing staff administers drugs until the determination is made. 1. Resident #5 was admitted to the facility on [DATE], with multiple diagnoses including chronic pulmonary disease (COPD - a progressive lung disease characterized by increasing breathlessness.) A physician's order, dated 3/11/25 documented Resident #5 was to receive one…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-03 · tag F0561 — failed to honor residents' choices — isolated
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, policy review, and resident and staff interview, it was determined the facility failed to promote and facilitate a resident's ability to make food choices. This was true for 1 of 16 residents (Resident #24) reviewed for accommodation of food choices. This deficient practice placed Resident # 24 at risk for decreased sense of wellbeing and self-worth, and frustration when her food preferences were not accommodated. Findings include: The facility's Resident Rights policy dated, 10/15/22 documented residents will be cared for in a manner and in an environment that promotes maintenance or enhancement of each resident's quality of life. Resident #24 was admitted to the facility on [DATE] with multiple diagnoses, including macular degeneration (a chronic eye disease that affects the macula, the central part of the retina responsible for sharp, central vision- meaning one cannot see right in front of them) and nutritional deficiency (this occurs when the body doesn't get enough of a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-03 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, record review, review of facility's Grievances, and staff interview, it was determined the facility failed to ensure residents grievances were thoroughly investigated for 1 of 1 resident (Resident #77) whose grievance was reviewed. This failure created the potential for Resident #77 to be subjected for ongoing abuse without detection and intervention. Findings include: The facility's Identification and Investigation of Abuse, Neglect, Misappropriation, and Injuries of Unknown Origin policy and procedure, revised 8/1/23 documented the facility has processes in place to assist in preventing abuse, neglect, misappropriation of resident property and exploitation. The policy documented residents, the accused and all witnesses would be interviewed. If there are no witnesses, consider interviewing all employees on the shift or the unit as appropriate as well as other residents on the unit. Upon the conclusion of the investigation, prepare a summary report of the findings and conclusions.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-03 · tag F0622 — isolated
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review, and interview, it was determined the facility failed to ensure information was provided to the receiving hospital for 1 of 2 residents (Resident #13) reviewed for transfers. This deficient practice had the potential to cause harm if residents were not treated in a timely manner due to lack of information. Findings include: The facility's Transfer and Discharge policy and procedure, released 11/18/24 documented during an emergent transfers of a resident to an acute care, the following information are provided to the receiving provider: - Contact information of the practitioner who was responsible for the care of the resident. - Resident representative information, including contact information. - Advance directive information. - Special instructions and/or precautions for ongoing care, as appropriate, which must include, if applicable, but are not limited to: treatment and devices such oxygen, implants, intravenous, tubes/catheters, precautions such as isolation or contact,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-05-03 · tag F0756 — failed to review each resident's drug regimen — pattern
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review, and staff interview, the facility failed to ensure a licensed pharmacist reviewed each residents' medications at least monthly, and the physician/prescriber addressed the medications irregularities identified by the pharmacist. This was true for 2 of 5 residents (#3 and #17) whose medications were reviewed. These deficient practices created the potential for harm if residents' medications were administered without a clinical rationale. Findings include: The facility's policy, Pharmacy Consultation, dated 11/28/17, documented the Pharmacy Consultant would conduct monthly medication regimen review (MRR) for each resident in the facility. The review should address any side effects of medication; allergic reactions to antibiotic therapy; significant medication interactions; if prescribed medication was consistent with the resident's condition; whether the physician and staff have documented progress towards or maintenance of goals for medication therapy; whether the physician…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-05-03 · tag F0761 — failed to label and store drugs safely — pattern
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, policy review, observation, and staff interview, the facility failed to ensure that 5 of 13 diabetic residents ( #8, #15, #18, #26, and #85) with insulin medications kits located in their rooms were locked; 1 of 2 medication carts were locked; and daily medication refrigerator temperatures were documented. These deficient practices created the potential for harm if residents and unauthorized personnel accessed medications and they became missing or were administered incorrectly, needles were improperly used, or residents received medications with decreased efficacy from not being stored at the correct temperature. Findings include: The facility's policy, Medication Management, revised 10/15/22, directed the staff to ensure Medications and biologicals are stored appropriately according to the manufacturer's guidelines and to prevent unauthorized access. Unlocked medication/treatment carts are always under the nurse control. 1. The following diabetic kits were not securely stored: - On 4/29/24 at 1:10 PM, an unlocked green diabetic kit containing insulin…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-05-03 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, policy review, and staff interview, it was determined the facility failed to ensure infection control prevention practices were maintained to provide a safe and sanitary environment. This was true for 9 of 9 residents (#2, #5, #26, #81, #83, #84, #133, #135, and #137) observed for enhanced barrier precautions. These failures had the potential to impact all residents in the facility by placing them at risk for cross contamination and infection. Findings include: The CDC Website for Long-Term Care Facilities - Frequently Asked Questions about Enhanced Barrier Precautions in Nursing Homes, dated 4/2/24, and accessed on 5/16/24, states: - Enhanced Barrier Precautions are an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDROs) in nursing homes. Enhanced Barrier Precautions involve gown and glove use during high-contact resident care activities for residents known to be colonized or infected with a MDRO as well as those at…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · E2024-05-03 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review, and staff interview, it was determined the facility failed to ensure newly admitted residents were provided education for pneumococcal vaccines prior to refusing the vaccine. This was true for 5 of 5 residents (#2, #7, #14, #15, and #16) reviewed for pneumococcal immunizations. This failure created the potential for harm should residents contract Pneumococcal pneumonia and experience illness from pneumonia. Findings include: The facility's policy for their Pneumococcal Program, revised 5/31/23, stated Educate residents or resident advocate about the pneumococcal vaccination, the benefits, potential side effects and general safety of receiving the vaccine. Provide a copy of the VIS [Vaccination Information sheet] statement. The following residents did not receive education prior to refusing the pneumococcal vaccine. a. Resident #14 was admitted to the facility on [DATE]. A Vaccine Information Acknowledgement, dated 2/14/24, documented Resident #14 checked the box I do not…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-03 · tag F0585 — failed to handle grievances — isolated
    Honor 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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review, grievance review, and resident and staff interview, the facility failed to ensure grievance concerns and/or complaints were thoroughly investigated and resolved to the satisfaction of the complainant without fear of reprisal. This was true for 2 of 4 residents (#7 and #143 ) whose grievances were reviewed. This deficiency had the potential for harm should residents experience a loss of self-worth and psychosocial distress. Findings include: The facility's Complaint and Grievances policy, dated 11/28/17, documented An individual has the right to voice grievances to the facility or other agency or entity that hears grievances without discrimination or reprisal and without fear of discrimination or reprisal. Such grievances include those with respect to care and treatment which has been furnished as well as that which has not been furnished, the behavior of staff and of other residents, and other concerns regarding their LTC [Long Term Care] facility stay. The facility should…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-03 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the State Agency's Long Term Care Reporting Portal, record review, grievance report review, and resident and staff interview, it was determined the facility failed to ensure allegations of resident abuse were reported to the State Survey Agency within 2 to 24 hours. This affected 1 of 3 residents (Resident #7) who were reviewed for abuse. This failure created the potential for residents to be subjected to ongoing abuse without detection and protective measures implemented by the facility. Findings include: The facility's policy, titled Abuse, revised 8/1/23, documented: Allegations of verbal, sexual, physical, and mental abuse, corporal punishment, involuntary seclusion, and neglect of the resident as well as mistreatment, injuries of unknown source, exploitation, deprivation of goods and services by staff, and misappropriation of resident property are reported to the CEO immediately and the state agency . a. Within 2 hours if there was alleged abuse or serious bodily injury as a result of an…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-03 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review, and staff interview, the facility failed to ensure abuse allegations documented on grievance forms were recognized, reported, and investigated for 1 of 3 residents (Resident #7) reviewed for abuse. This failure created the potential for residents to be subjected to ongoing abuse without detection and protective measures implemented by the facility. Findings include: The facility's policy, titled Abuse, revised 8/1/23, documented The facility respects the resident right to be free from abuse . Prohibitions on abuse including and not limited to verbal . prohibitions apply to . facility staff. The facility's policy, titled Identification and Investigation of Abuse, Neglect, Misappropriation, and Injuries of Unknown Origin Identification of Incidents and Occurrences that may Constitute or Contribute to Abuse and Neglect, revised 8/1/23, documented Review reports of grievances, complaints, and allegations of abuse, neglect, injuries of unknown injury, and misappropriation for…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-03 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review, and staff interview, it was determined the facility failed to ensure a transfer notice was provided in writing to a resident, their representative, and the Office of the State Long-Term Care Ombudsman prior to transfer. This was true for 1 of 1 residents (Resident #30) reviewed for transfers. The deficient practice created the potential for psychosocial distress if residents and their representatives were not made aware of or able to exercise their rights related to transfer from the facility. Findings include: The facility's policy, Transfer and Discharge, revised 10/15/22, documented If the facility determines a resident who was transferred with an expectation of returning to the facility . The written notice of transfer/discharge includes: 1) Reason for transfer/discharge, 2) Effective date of transfer/discharge, 3) Location to which the resident is transferred/discharged , 4) Statement that the resident has the right to appeal the action to the state. Resident #30 was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-03 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review, and staff interview, it was determined the facility failed to ensure a bed hold notice was provided to a resident or their representative upon transfer to the hospital. This was true for 1 of 1 resident (Resident #30) reviewed for transfers. This deficient practice created the potential for harm if residents were not informed of their right to return to their former bed/room at the facility within a specified time. Findings include: The facility's policy, Transfer and Discharge, revised 10/15/22, documented At the time of transfer/discharge, the resident and a family member or legal representative are given a written notice of the bed-hold policy that specifies the duration of the bed-hold and readmission criteria after the bed-hold period ends . Resident #30 was admitted to the facility on [DATE], with multiple diagnoses including post-surgical care for a total joint replacement. A progress note, dated 3/21/24 at 10:39 AM, documented Resident #30 had an order to send her…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-03 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. Resident #26 was admitted to the facility on [DATE], with multiple diagnoses including End Stage Renal Failure. An admission physician order, dated 4/11/24, documented Resident #26 was to receive dialysis every evening on Monday, Wednesday, and Friday for End Stage Renal Disease. Resident #26's Baseline Care Plan, dated 4/12/24, did not include baseline care development for her dialysis. During an interview on 5/2/24 at 2:05 PM, LPN #1 reviewed the process for Resident #26 for dialysis and confirmed the 48-hour care plan did not include dialysis care. During an interview on 5/2/24 at 3:32 PM, the CNO and the CRN reviewed the 48-hour care plan for Resident #26 and confirmed there was no focus or plan of care for dialysis and said there should have been a plan of care for dialysis in place upon admission. Based on record review, policy review, and staff interview, it was determined the facility failed to ensure a baseline care plan was developed within 48 hours of resident's admission. This was true for 2 of 12…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-03 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review, and staff interview, it was determined the facility failed to ensure comprehensive resident-centered care plans were developed and implemented. This was true for 1 of 12 residents (Resident # 26) whose care plans were reviewed. This failure placed Resident #26 at risk of negative outcomes if services were not provided or provided incorrectly due to lack of information in the care plan. Findings include: The facility's Care Plan policy, revised 10/15/22, documented The facility develops and implements a comprehensive person-centered care plan for each resident, consistent with the resident rights and includes measurable objectives and time frames to meet a resident's medical, nursing, and mental and psychosocial needs identified in the comprehensive assessment. Resident #26 was admitted to the facility on [DATE] with multiple diagnoses including End Stage Renal Failure with Dialysis. An admission MDS assessment, dated 4/14/24, documented Resident #26 was cognitively intact…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-03 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, protocol review, and resident and staff interview, the facility failed to ensure physician orders for bowel care were followed for a resident. This was true for 1 of 1 resident (Resident #7) reviewed for bowel care. This deficient practice placed Resident #7 at risk for constipation or bowel obstruction. Findings include: The facility's protocol for Bowel Care, updated 1/27/11, documented the following process: 1. After 9 pm, the medication/charge nurse for each unit was responsible for reviewing the resident Certified Nursing Assistant (CNA) flowsheet records for bowel regularity. When a resident has not had a documented BM (bowel movement) in the last 48 hours the nurse was responsible to ensure the physicians orders provide coverage for the bowel regime and then follow the directives. 2. Bowel Regime: a. Follow specific physician orders for residents that require an increase in frequency over protocol. b. If resident is 48-hours without a BM documented, administer 30cc [by mouth] Milk…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-03 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review, observation, and staff interview, it was determined the facility failed to ensure to keep accurate and complete clinical records for each resident. This was true for 1 of 12 residents (Resident #7) whose records were reviewed. This deficient practice created the potential for harm if inappropriate care and/or treatment was provided. Findings include: The facility's policy, Documentation of Resident Health Status Needs and Services, revised 10/15/22, documented The medical record must contain an accurate representation of the actual experiences of the resident and include enough information to provide a picture of the resident's progress, including his/her response to treatments and/or services, and changes in his/her condition, plan of care goals, objectives and/or interventions .factual .and accurate. The facility's policy, Oral Medication Administration, revised 1/1/18, documented After medication administration document in the electronic MAR the dose of the medication,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to CASCADIA HEALTHCARE — 46 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 53.0+1.0 vs chain
Health inspection 4 of 52.8+1.2 vs chain
Staffing 1 of 52.7-1.7 vs chain
Quality measures 5 of 53.9+1.1 vs chain
The other 45 homes this chain runs (chain average 3.0★, per CMS)
1 of 5Caldwell Care of CascadiaCaldwell, ID 1 of 5Cascadia of BoiseBoise, ID 1 of 5Cherry Ridge of CascadiaEmmett, ID 1 of 5Coeur d Alene Health of CascadiaCoeur d'Alene, ID 1 of 5Colfax Health and Rehabilitation of CascadiaColfax, WA 1 of 5Colville Health and Rehabilitation of CascadiaColville, WA 1 of 5Curry Village Health And Rehab Of CascadiaBrookings, OR 1 of 5Eagle Rock Health and Rehabilitation of CascadiaIdaho Falls, ID 1 of 5Mount Ascension Transitional Care Of CascadiaHelena, MT 1 of 5Orchards of Cascadia, TheNampa, ID 1 of 5Spokane Valley Health And Rehabilitation Of CascadSpokane Valley, WA 1 of 5Teton Healthcare of CascadiaIdaho Falls, ID 2 of 5Cascadia of NampaNampa, ID 2 of 5Royal Plaza Health and Rehabilitation of CascadiaLewiston, ID 2 of 5Salem Transitional CareSalem, OR 2 of 5Secora Rehabilitation Of CascadiaPortland, OR 2 of 5Snohomish Health and Rehabilitation of CascadiaSnohomish, WA 3 of 5Arbor Valley of CascadiaBoise, ID 3 of 5Brookfield Health And Rehab Of CascadiaBattle Ground, WA 3 of 5Clarkston Health And Rehab Of CascadiaClarkston, WA 3 of 5Clearwater Health & Rehabilitation of CascadiaOrofino, ID 3 of 5Highland Health And Rehabilitation Of CascadiaBellingham, WA 3 of 5Northpark Health And Rehabilitation Of CascadiaPhoenix, AZ 3 of 5Shaw Mountain of CascadiaBoise, ID 3 of 5Weiser Care of CascadiaWeiser, ID 4 of 5Canyon West of CascadiaCaldwell, ID 4 of 5Cove of Cascadia, TheBellevue, ID 4 of 5Grangeville Health & Rehabilitation of CascadiaGrangeville, ID 4 of 5Lewiston Transitional Care of CascadiaLewiston, ID 4 of 5Mountain Valley of CascadiaKellogg, ID 4 of 5Paradise Creek Health and Rehab of CascadiaMoscow, ID 4 of 5Stafholt Health And Rehabilitation Of CascadiaBlaine, WA 4 of 5Wellspring Health & Rehabilitation of CascadiaNampa, ID 5 of 5Alderwood Park Health And Rehab Of CascadiaBellingham, WA 5 of 5Aspen Park of CascadiaMoscow, ID 5 of 5Bend Transitional CareBend, OR 5 of 5Boswell Transitional Care Of CascadiaSun City, AZ 5 of 5Creekside Health and Rehabilitation of CascadiaEugene, OR 5 of 5Fairlawn Health And Rehabilitation Of CascadiaGresham, OR 5 of 5Hudson Bay Health And RehabilitationVancouver, WA

Showing 40 of 45; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
CASCADIA IDAHO OPERATIONS LLCOrganizationDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 03/01/2022
CASCADIA HC GROUP LLCOrganizationINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 06/05/2025
CASCADIA HEALTHCARE LLCOrganizationINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 03/01/2022
CASCADIA HOLDCO LLCOrganizationINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 06/05/2025
HAMMOND, OWENIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 03/01/2022
LAFORTE, STEPHENIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 06/05/2025
NELSON, TIMOTHYIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 06/05/2025
LEWISTON 2852 REALTY, LLCOrganization5% OR GREATER SECURITY INTEREST; ADP OF THE SNFsince 06/05/2025
WHITE OAK HEALTHCARE FINANCE LLCOrganization5% OR GREATER SECURITY INTERESTsince 03/01/2022
CASCADIA SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2022
BURT, JAMESIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/14/2025
RUDOLPH, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/03/2025

CMS files one row per role, so the 23 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

7 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$5.2M
Net patient revenuemost recent cost report
-17.5%
Operating marginrevenue minus expenses
$1.1M
Related-party expense18% of expenses

This home reported $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$658per resident / day
operating cost
$19,990per month
≈ monthly operating cost
$560per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in ID

Paying with Medicaid

CMS lists this home as Medicare-certified only — it is not Medicaid-certified, so it generally cannot accept Medicaid as payment for a long-term stay. That makes it one of roughly 545 homes nationally where a Medicaid-funded placement is not an option. If you expect to rely on Medicaid, ask the home directly before you tour, and see the Idaho Medicaid page for homes that do.

Typical monthly cost in Idaho
$10,494/mo
Nursing home (semi-private)
$12,167/mo
Nursing home (private)
$5,175/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 135145. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-21, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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