Paradise Creek Health and Rehab of Cascadia

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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

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.

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.

44.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 85 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 58.8% 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 51 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 0.25 therapist hours per resident per day in 2026Q1 — more than 34% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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.

Staffing

How full it usually is: this home is certified for 63 beds and averages 46.9 residents a day — about 74% occupied, or roughly 16 beds typically open. It usually has some room. 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 3.36 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.67 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.07 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 2.94 hrs/resident/day on weekends vs 3.53 on weekdays — 17% thinner on weekends. RN hours go from 0.75 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 71% 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

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.

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.

27 citations, most serious first. The 13 most serious are shown; the remaining 14 are one tap away and print in full.

• Actual harm · Gcited before2024-08-29 · 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 interview, observation, record review, and policy review, the facility failed to ensure two out of 20 sampled residents (Residents (R)30 and R43) were provided with adequate and or timely nursing care and services after: 1. R30 experienced a fall in which she sustained a significant laceration to her forehead and 2. R43's hospice orders were not implemented in a timely manner. The failure to send R30 to the emergency department (ED) timely resulted in harm when R30's laceration could not be sutured and then required debridement and continued treatment three weeks after the fall. Findings include: Review of the facility's Neurological Evaluation policy dated [DATE] revealed, Neurologic vital signs supplement the routine measurement of temperature, pulse rate, and respirations when a resident is suspected to have hit their head (e.g., a fall), has hit their head or has a traumatic brain and/or spinal cord injury . 1. Review of the undated admission Record in the electronic medical record (EMR) under the…

  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
• Actual harm · G2023-07-14 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 the State Agency's Long-Term Care Reporting Portal, review of I&A reports, and staff interview, it was determined the facility failed to ensure residents were free from abuse. This was true for 2 of 4 residents (#23 and #39) reviewed for abuse. This failure resulted Resident #39 and Resident #23 not being free from verbal abuse. Findings include: The facility's Abuse policy, revised 7/23/19, documented the facility prohibited abuse and implemented policies and procedures to prevent all types of abuse, including and not limited to verbal, sexual, physical, and mental abuse. The prohibitions on abuse applied to facility staff, other residents, consultants, volunteers, agency staff, family members, legal guardians, friends, and visitors. The facility's Detecting Abuse policy, revised 7/23/19, documented when identifying events and occurrences that may constitute or contribute to abuse, the facility's procedure was to evaluate the resident for signs and symptoms of…

  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
• Actual harm · Gcited before2023-07-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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, I&A review, and staff and resident representative interview, it was determined the facility failed to ensure adequate supervision and interventions for residents to prevent falls. This was true for 2 of 7 residents (#24 and #31) reviewed for falls. This resulted in harm to Resident #31 and created risk of injury to Resident #24. Findings include: The facility's Fall Response and Management policy, revised 5/17/21, documented for a fall without injury staff were to implement immediate interventions to prevent a repeat fall, and for a fall with injury, to revise the care plan with interventions and communicate the event and intervention changes to staff. The policy was not followed. 1. Resident #31 was admitted to the facility on [DATE], with multiple diagnoses including respiratory failure, weakness, and repeated falls. Resident #31's care plan, initiated 6/13/23, documented she was at risk for falls. The care plan directed staff to keep her adjustable bed in position 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-05-07 · 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 observations, interviews, and policy review, the facility failed to maintain sanitary conditions in the walk-in freezer and in the ice scoop holder on the side of the ice machine. These failures had the potential to cause contamination which could affect 46 residents who consumed food from the kitchen. Findings include:During the initial tour of the kitchen on 05/04/26 at 9:20AM, an observation in the walk-in freezer identified that ice had built up on the freezer lines. The ice extended far enough to encroach on the upper stacked box of burritos. An interview during the tour at 9:45 AM with the Dietary Manager (DM) identified that the ice buildup had happened before. At the end of the initial tour at 9:50 AM, inspection of the ice machine identified an ice scoop holder mounted on the side of the machine. Two ice scoops were stored in the holder. Approximately 20 milliliters of standing water was present in the bottom of the holder, and the scoops were in contact with the standing water. There was no visible way to allow the water to drain. An interview on 05/04/26 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-07 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 and interviews, the facility failed to ensure recommendations to address gradual weight loss were implemented for one of four residents (Resident (R) 2) reviewed for nutrition out of a total sample of 18 residents. This failure had the potential to contribute to continued weight loss, skin breakdown, or malnutrition for R2. Findings include:Review of R2's admission Record, located under the Profile tab of the electronic medical record (EMR), revealed she was admitted to the facility on [DATE] with diagnoses including dementia with behavioral disturbance, malnutrition, anemia, and osteoporosis. Review of R2's Care Plan, dated 01/05/26 and located under the Care Plan tab of the EMR revealed, [R2] is at risk for nutritional decline r/t [related to] dementia, B vitamin deficiency, hx [history of] ETOH [alcohol] abuse, PVD [peripheral vascular disease], HTN [hypertension], CKD3 [chronic kidney disease stage 3], anemia. The approaches included: Obtain weights weekly and record . Complete Mini…

  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 · Dcited before2026-05-07 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  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, interview, record review, and facility policy review, the facility failed to obtain a physician's order, in accordance with professional standards of practice, prior to administering oxygen to one of two residents reviewed for respiratory care (Resident (R) 8) out of a sample of 18 residents. This failure had the potential to result in unsafe or inappropriate oxygen administration and inadequate monitoring of the resident's respiratory treatment. Findings include:Review of R8's admission Record located under the Profile tab of the electronic medical record (EMR) revealed R8 was admitted to the facility on [DATE] with diagnoses of pulmonary hypertension, malignant neoplasm of cardia, malignant neoplasm of lower third of esophagus, abnormal findings in the lung fields, and chronic systolic (congestive) heart failure. Review of R8's Care Plan located under the Care Plan tab of the EMR revealed R8 had the potential for altered respiratory status with nursing pulmonary services for pulmonary…

  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 · Fcited before2024-08-29 · 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, record review, interview, and policy review, the facility failed to ensure food was not expired, freezer temperatures were of proper parameters and thermometers were properly sanitized. This had the potential to affect food safety for the 41 residents served food from the kitchen. Findings include: Review of the facility's policy titled, Refrigerator & Freezer Temperature Monitoring, release date 01/01/18, revealed Freezers: Recommended temperature range is 0 °F [degree Fahrenheit] +/-10 .Post a temperature log for each refrigerator and freezer at the beginning of the month. Review of the facility's policy titled, Food and Supply Storage, release date 11/28/17, revealed All food, non-food item, and supplies used in food preparation shall be stored in such a manner as to maintain safety and sanitation of the food or supply for human consumption .Expiration date: the last date that food should be eaten .Reject any unacceptable product and make note of return on the invoice. Review of the facility's policy titled, Food Preparation, release date 11/28/17, revealed…

  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 · E2024-08-29 · tag F0730 — pattern
  Observe each nurse aide's job performance and give regular training.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, interviews, and policy review, the facility failed to ensure annual performance reviews were completed for every nurse aide at least one review every 12 months for five of five (Certified Nursing Assistants (CNA) 1, CNA2, CNA3, CNA4, and CNA5) and failed to include no less than 12 hours of training per year for three of five (CNA) 1, CNA3, and CNA4) reviewed for education and reviews for 43 census residents. The failure had the ability to affect the current skillset and knowledge level in order to care for the residents. Findings include: Review of the facility's policy titled, Nurse Aide Staffing, release date 11/28/17, revealed Each nurse aide receives a performance review at least once every 12 months. Review of the undated document titled, Employee Seniority provided by the facility, revealed the following: -CNA1 had a hire date of 05/01/23. -CNA2 had a hire date of 05/01/23. -CNA3 had a hire date of 05/01/23. -CNA4 had a hire date of 06/06/23. -CNA5 had a hire date of 08/21/23. Review of undated Official Transcript provided by the facility, revealed CNA1…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-29 · 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, interviews, and facility policy review, the facility failed to ensure residents received meals that were palatable for five of 20 sampled residents (Resident (R) 19, R36, R22, R13, and R35) reviewed for palatability. This failure had the potential to affect resident meal intake. Findings include: Review of the facility's policy titled, Food Preparation, release date 11/28/17, revealed Food is prepared by methods that conserve nutritive value, flavor, and appearance .Food is stored, prepared, and held by methods that preserve the nutritive value of the food to the extent possible. 1. Review of R19's significant change Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 07/09/24 revealed a Brief Interview for Mental Status (BIMS) score of nine out of 15 which indicated the resident had moderately impaired cognition. During an interview on 08/26/24 at 10:41 AM, R19 stated the food had no flavor and no salt. 2. Review of R36's admission MDS with an ARD of 07/25/24 revealed a BIMS score of 15 out of 15 which indicated the resident had…

  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 · D2024-08-29 · 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 observation, interview, record review, and policy review, the facility failed to ensure a verbal grievance was documented, investigated, and the results were reported back for one out of 20 sampled residents (Resident (R) 8). This failure resulted in R8's grievance not being resolved timely. Findings include: Review of the facility's Complaints and Grievances policy dated 10/15/22 and provided by the facility revealed, The facility should make prompt efforts to resolve grievances the resident may have . Complaints/grievances may be written or verbal . Complaints/grievance are acknowledged, investigated, and the complainant apprised of progress toward a resolution and takes appropriate corrective action if the alleged violation is confirmed by the facility . Review of the undated admission Record in the electronic medical record (EMR) under the Profile tab revealed R8 was admitted to the facility on [DATE] with a primary diagnosis of atherosclerotic heart disease. Review of the quarterly Minimum Data Set…

  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 before2024-08-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 observations, record review, staff interview, and review of the facility policy, the facility failed to ensure interventions were put in place and followed to prevent additional falls for three of six residents reviewed for falls (Resident (R) 9, R33, and R42) out of a total sample of 20 residents. This failure increased the potential for additional falls and potential injury for residents with a history of falls. Findings include: Review of the facility's policy titled, Accidents and Supervision to Prevent Accidents, revision date [DATE], documented, The facility provides an environment that is free from accident hazards over which the facility has control and provides supervision and assistive devices to each resident to prevent avoidable accidents .Avoidable Accident-an accident that occurred because the facility failed to: Identify environmental hazards and/or assess individual resident risk of an accident, including the need for supervision and/or assistive devices; and/or .Evaluate/analyze the…

  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 · D2024-08-29 · tag F0756 — failed to review each resident's drug regimen — isolated
  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 interview, record review, and policy review, the facility failed to ensure the pharmacist made a written recommendation to the physician for a gradual dose reduction (GDR) for one of five residents reviewed for unnecessary medications (Resident (R) 16) out of a total sample of 20 residents. This failure increased the potential for R16 to be overmedicated. Findings include: Review of the facility's Drug Regimen Review policy dated 11/28/17 and provided by the facility revealed, The facility contracts with a pharmacy to complete monthly drug regimen review to identify irregularities and to identify clinically significant risks and/or actual or potential adverse consequences which may result from or be associated with medications . Any irregularities noted by the pharmacist during this review are to be documented on a separate, written report that is sent to the attending physician and the facility's medical director and director of nursing . The attending physician documents in the resident's medical…

  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 · F2023-07-14 · tag F0880 — failed to prevent and control infections — widespread
  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 observation, record review, policy review, review of manufacturer disinfection instructions, and staff interview, it was determined the facility failed to ensure infection control and prevention practices were maintained to provide a safe and sanitary environment. This was true when staff failed to perform hand hygiene, blood glucose (BG) machines were not sanitized, and unused tables were visibly dirty. These failures had the potential to impact all 35 residents in the facility by placing them at risk for cross contamination and infection. Findings include: 1. The facility's Hand Hygiene policy, dated 9/10/20, stated staff should use hand hygiene before preparing or handling food and before touching another resident's utensils when helping multiple residents with meals. This policy was not followed. On 7/12/23 at 7:43 AM, Dishwasher #1 was observed in the dining room serving breakfast to residents. He was observed not using gloves or performing hand hygiene after he touched the following surfaces/items…

  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

“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.

Fines & penalties

$48,758 in federal fines across 7 penalties.

• $21,320 — penalty dated 2024-08-29
• $4,587 — penalty dated 2023-09-25
• $4,587 — penalty dated 2023-09-18
• $4,545 — penalty dated 2023-09-11
• $4,587 — penalty dated 2023-09-05
• $4,587 — penalty dated 2023-08-28
• $4,545 — penalty dated 2023-08-21

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

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 →

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

CMS files one row per role, so the 11 rows in the source record cover these 7 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.

3 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.

This home reported $183K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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

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