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Weiser Care of Cascadia

331 East Park Street, Weiser, ID 83672 · For profit - Limited Liability company · 76 certified beds · (208) 549-2416 Medicare & Medicaid certified

Call the home — (208) 549-2416 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 26 lower-level deficiencies on record (see below)
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
Worth asking about
  • a high number of inspection citations overall (26) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (2/5)

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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
645 E 5th St · (208) 432-7045 · Call to confirm hours
Pharmacy
604 E 3rd St · (208) 414-2750 · Call to confirm hours
Grocery
1401 E 6th St · (208) 549-1332 · Call to confirm hours
Park
City Park0.3 mi
402 E Court St · (208) 414-0301 · 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 3 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 2 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 3 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 rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased20.9%15.6%15.4%worse
Long-stay residents who lose too much weight6.1%5.2%5.4%worse
Long-stay residents with a catheter left in their bladder1.7%1.2%0.9%worse
Long-stay residents with a urinary tract infection2.0%2.0%2.0%typical
Long-stay residents with depressive symptoms0.0%15.1%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury0.0%3.0%3.3%check this — see note marked star below the table
Long-stay residents whose ability to walk worsened20.5%16.1%16.1%worse
Long-stay residents on antianxiety or hypnotic medication8.0%16.3%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%96.2%95.3%typical
Long-stay residents with pressure ulcers2.8%3.2%4.7%better
Long-stay residents with worsening bladder/bowel control35.4%22.1%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table15.5%20.1%17.1%typical
Short-stay residents who newly got an antipsychotic medication1.7%1.8%1.4%worse
Short-stay residents given the seasonal flu vaccine93.8%86.5%79.4%better
Short-stay residents rehospitalized after admission33.6%17.7%22.6%worse
Short-stay residents with an outpatient ER visit11.3%12.3%12.0%typical

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

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.

50.1% 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 100 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

50.1%U.S. median 51.5%
Got home and stayed home
10.0%U.S. median 10.7%
Went back to hospital
60.0%U.S. median 56.6%
Met the expected recovery
0.34U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.15hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 60.0% 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 55 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 0.34 therapist hours per resident per day in 2026Q1 — more than 57% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% 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.

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 SNF50.1%CMS range 40.9–59.951.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.0%CMS range 7.0–13.910.7%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 discharge60.0%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 discharge34.5%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 discharge63.6%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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%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 worsened1.3%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 4.0–13.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.911.02Oct 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

0.68
RN hours/ resident / day
0.62
LPN hours/ resident / day
2.02
Aide hours/ resident / day
3.32
Total nurse hours/ resident / day
0.35
RN hoursweekends
54.2%
Total nursing turnover
42.9%
RN turnover

How full it usually is: this home is certified for 76 beds and averages 49.3 residents a day — about 65% occupied, or roughly 27 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.32 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.68 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.02 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 2.79 hrs/resident/day on weekends vs 3.54 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.81 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 54% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

12
deficiencies at the latest standard inspection (2026-02-20)
10
at the previous standard inspection (2024-09-26)

Deficiencies are more than at the previous inspection — worsening. 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.

26 citations, most serious first. The 10 most serious are shown; the remaining 16 are one tap away and print in full.

  • Potential for harm · Fcited before2026-02-20 · 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, policy review, and staff interviews, it was determined the facility failed to ensure infection control practices were followed for hand hygiene during housekeeping tasks, hand hygiene during medication administration, and safe infection control practices in the laundry room. This failure affected all residents who receive medications and laundry services and created the potential for adverse outcomes related to cross contamination. Findings include:The facility's Hand Hygiene policy revised 9/15 25, documented hand hygiene was recognized as a cornerstone of effective infection control and was essential in preventing the transmission of healthcare-associated infections. All healthcare workers should perform hand hygiene at critical moments during resident care. These moments include but are not limited to:Immediately before and after touching a resident.After contact with objects and surfaces in the resident's environment.Immediately after PPE removal (gloves, gowns, eye protection, face…

    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 · Dcited before2026-02-20 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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, policy review, resident and staff interview, it was determined the facility failed to provide a clean, comfortable, sanitary, and homelike environment when trash and laundry services were not provided. This was true for 2 of 15 residents (#5 and #7) reviewed for frequency of laundry and housekeeping services. This deficient practice created the potential for psychosocial harm if residents' laundry and trash were not cleaned creating an unwelcome and unsanitary environment for residents and/or their visitors. Findings include:The facility's policies, Homelike Environment, revised 9/17/25, and Housekeeping & Laundry Services, dated 10/8/25, documented residents have the right to a safe, clean, comfortable, and homelike environment which promotes dignity, independence, and quality of life. Additionally, the facility should maintain a sanitary, orderly, and comfortable interior environment at all times, and housekeeping and laundry services are essential to a resident safety, dignity, 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-20 · tag F0628 — isolated
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    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 interviews, it was determined the facility failed to provide a required 30 day written notice of discharge for 1 of 1 residents (Resident #58) reviewed for discharge process. This failure created the potential for psychosocial harm when Resident #58 received a verbal notice and subsequently chose to leave the facility against medical advice. Findings include:The facility's Notice of Discharge and/or Transfer Policy, dated 10/7/25, documented the facility ensures that systems are implemented to provide a written notification to the residents prior to transfer.Resident #58 was admitted to the facility on [DATE] with multiple diagnoses including bipolar disorder, obstructive sleep apnea, and a need for assistance with personal care.Resident #58's care plan, dated 10/23/25, documented he was an independent smoker and had been educated on the facility's smoking policy.A progress note dated 10/29/25 at 10:53 AM, documented Resident #58 was educated on appropriate…

    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 · D2026-02-20 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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, policy review, and staff interviews, it was determined the facility failed to provide a PASRR level II to the designated state agency. This was true for 1 of 1 residents (Resident #7) whose record was reviewed for PASRR documentation. This deficient practice created the potential for harm if Resident #7's coordination of care was not completed between the facility and the designated state agency, with interventions appropriately documented in Resident #7's care plan. Findings include:The facility's PASRR Process policy, revised 8/29/25, documented a positive PASRR Level I, necessitates an in-depth evaluation of the individual by the state-designated authority, known as a PASRR Level II. Recommendations from the PASRR Level II determination are to be incorporated into the person-centered care plan.Resident #7 was admitted to the facility on [DATE] with multiple diagnoses including dementia and PTSD.A PASRR Level I, dated 8/13/25, documented Resident #7's diagnoses of dementia and PTSD, 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-20 · 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 implement the comprehensive person centered care plan according to the resident's identified needs. This was true for 1 of 15 residents (Resident #42) reviewed for comprehensive care planning. This failure created the potential for harm when Resident #42 was not monitored for signs and symptoms of withdrawal as directed in the care plan. Findings include:The facility's Resident Assessment Instrument (RAI) and Comprehensive Care Plans Policy, revised 9/3/25, documented the care plan is developed consistent with the resident's specific condition, risks, needs, behaviors, cultural preferences, and standards of practice.Resident #42 was admitted to the facility on [DATE] with multiple diagnoses including other stimulant use, depression, and nutritional deficiency.Resident #42's care plan, revised 10/13/25, directed staff to monitor and document for potential signs of withdrawal, including:respiratory distresscardiac…

    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 · D2026-02-20 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    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 and staff interview, it was determined the facility failed to ensure a medication was administered according to professional standards of practice. This was true for 1 of 8 residents (Resident #29) observed during medication administration. This deficient practice created the potential for Resident #29 to develop Candida albicans infection in her mouth (oral thrush - a fungal infection characterized by painful, creamy white, cottage cheese-like patches on the tongue, inner cheeks or throat) when she did not rinse her mouth with water after inhaling her steroid medication. Findings include:The Symbicort (an inhaler containing corticosteroid) Prescribing Information under Warning and Precautions documented Localized infections: Candida albicans infection of the mouth and throat may occur. Monitor patients periodically for signs of adverse effects on the oral cavity. Advise the patient to rinse his/her mouth with water without swallowing after inhalation to help reduce 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-20 · 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 record review, observation, policy review, and staff interview, it was determined the facility failed to ensure smoking paraphernalia was stored in a safe location for 2 of 3 residents (#6 and #42) reviewed for smoking. This failure created the potential for harm when Resident #6's smoking assessment was not accurate and when Resident #42 was observed sleeping in her bed while holding a vape device. Findings include:The facility's Non Smoking Campus Policy, revised 9/12/25, documented the facility maintained a smoke free environment to promote the health, safety, and comfort of residents, staff, visitors, volunteers, and contractors. The policy stated that smoking is not permitted anywhere on the premises, including buildings, grounds, and parking areas, and applied to cigarettes, cigars, pipes, e cigarettes, and vaping devices.1. Resident #6 was admitted to the facility on [DATE] and readmitted on [DATE], with multiple diagnoses including kidney disease, diabetes, COPD (a progressive, treatable, but…

    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 · D2026-02-20 · 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

    Based on record review, policy review, and staff interview, it was determined the facility failed to ensure the physician responded to the pharmacists' recommendation. This was true for 1 of 6 residents (Resident #48) reviewed for unnecessary medications. This created the potential for Resident #48 to develop Candida albicans infection in his mouth (oral thrush - a fungal infection characterized by painful, creamy white, cottage cheese-like patches on the tongue, inner cheeks or throat). Findings include:The facility's Pharmacist Consultation Policy revised 9/16/25, documented irregularities were reported to the provider, and the provider will provide documentation of accepting or rejecting recommendations with documentation present in the medical record.The Symbicort (an inhaler containing corticosteroid) Prescribing Information under Warning and Precautions documented Localized infections: Candida albicans infection of the mouth and throat may occur. Monitor patients periodically for signs of adverse effects on the oral cavity. Advice the patient to rinse his/her mouth with water…

    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 · D2026-02-20 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    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 staff interview, it was determined the facility failed to ensure a resident's medication regimen was free from unnecessary medications. This was true for 1 of 6 residents (Resident #8) whose medication regimens were reviewed for unnecessary medications. This failure placed Resident #8 at risk for adverse outcomes from overmedication when he was receiving nicotine patches, had an order for nicotine gum, and was smoking cigarettes. Findings include: Resident #8 was admitted to the facility on [DATE] with multiple diagnoses including incomplete quadriplegia (a spinal cord injury which causes paralysis in all four limbs but leaves some voluntary motor or sensory function below the injury level) and COPD. Resident #8's EHR documented he was assessed for independence with smoking on 1/15/26 and 2/11/26. Resident #8's physicians orders documented the following:- Nicotine Transdermal Patch 24 Hour 14 MG/24HR, Apply 1 patch transdermally one time a day for Nicotine, Make sure to remove old…

    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 · Dcited before2026-02-20 · tag F0761 — failed to label and store drugs safely — isolated
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, policy review, and resident and staff interviews, it was determined the facility failed to ensure medications were safely stored when unattended by staff. This was true for 1 of 1 resident (Resident #18) whose medications were observed in his room. This deficient practice created the potential for harm if the medications were taken by another resident. Findings include:The facility's Medication Storage & Labeling policy released 10/13/25, documented the facility will ensure that medications were stored and labeled in accordance with CMS regulations, state law, and acceptable professional principles to ensure safety, efficacy, and compliance. The policy stated for general medications: Store in locked compartments (cabinets, carts, medication room).Resident #18 was admitted to the facility on [DATE] with multiple diagnoses including myocardial infarction (heart attack) and diabetes.A Comprehensive MDS assessment dated [DATE], documented Resident #18 was cognitively intact.On 2/17/26 at 11:05…

    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
Show the remaining 16 citations
  • Potential for harm · D2026-02-20 · tag F0848 — isolated
    Provide a neutral and fair arbitration process and agree to arbitrator and venue.
    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 staff interview, the facility failed to ensure the facility's Arbitration Agreement signed by the residents included the selection of venue that was convenient to both parties. This was true for 2 of 3 residents (#40 and #48) whose arbitration agreements were reviewed. This deficient practice created the potential for residents not to attend the arbitration process to resolve the dispute due to inconvenience of the venue. Findings include:1. Resident #40 was admitted to the facility on [DATE] and signed the Arbitration Agreement on 8/26/25.2. Resident #48 was admitted to the facility on [DATE] and his representative signed the Arbitration Agreement on 9/19/25.Resident #40 and Resident #48's Arbitration Agreement documented the following, An arbitration hearing arising under this Arbitration Agreement shall be held in the county where the Facility is located before a board of three arbitrators, selected from the American Arbitration Association ( AAA).On 2/19/26 at 11:36 AM, 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-20 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    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 its Antibiotic Stewardship practices were followed by initiating antibiotic therapy without obtaining culture and sensitivity results to guide appropriate treatment. This was true for 1 of 1 residents (Resident #17) reviewed for antibiotic stewardship. This failure created the potential for inappropriate antibiotic use and development of antibiotic resistant organisms. Findings include:The facility's Antibiotic Stewardship Policy, revised 6/16/25, documented the facility focused on improving antibiotic use through an Antibiotic Stewardship Program to ensure appropriate antibiotic usage, promote therapeutic and cost effective care, and reduce the likelihood of developing multi drug resistant organisms. The policy also documented that the facility utilized McGeer's Criteria to validate infections and routinely reviews culture and sensitivity reports as part of infection surveillance.The Revised McGeer's…

    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 · F2024-09-26 · tag F0727 — failed to provide required RN coverage — widespread
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on review of facility staffing records and staff interview, it was determined the facility failed to ensure an RN was on duty at least 8 hours a day, 7 days a week. This was true for 2 of 21 days reviewed. The failure created the potential for harm if routine and/or emergency nursing needs went unmet and had the potential to affect all residents living in the facility. Findings include: On 9/25/24 at 4:20 PM, review of the Licensed Nurse time punches for 9/1/24 to 9/21/24 documented the facility did not have an RN on duty for 8 consecutive hours on 9/7/24 and 9/8/24. On 9/26/24 at 9:05 AM, the Medical Records Manager, stated the CNO was scheduled to work on 9/7/24 for 6 hours and RN #2 was scheduled to work intermittently on 9/8/24. On 9/26/24 at 9:40 AM, the CNO stated she worked from home and did not work in the building on 9/7/24 or 9/8/24. She stated she knew the facility had to have 8 hours of RN coverage but did not know the hours needed to be consecutive.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-09-26 · tag F0732 — pattern
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, policy review, and staff interview, it was determined the facility failed to ensure nurse staffing information was accurate, posted daily for each shift, and kept for review for 18 months. This failed practice had the potential to affect the 46 residents residing in the facility and their representatives, visitors, and others who wanted to review the facility's staffing levels. Findings include: The facility's Posting of Licensed and Unlicensed Direct Care Staff policy, dated 11/28/17, documented, the facility posts daily, the total number and actual hours worked by RNs, LPNs, CNAs, and the resident census. The policy documented the daily posting were to be retained for a minimum of 18 months or as required by State law, whichever is greater. On 9/22/24 at 12:00 PM, the Daily Posted Staffing sheet was observed with the date 9/20/24, indicating the facility had failed to post the last two days of nursing hours. On 9/22/24 at 2:07 PM, the Administrator stated the medical records person should have posted the weekend nursing hours on Friday but must have missed…

    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 · E2024-09-26 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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, staff interview, policy review, and review of the Idaho Food Code, the facility failed to appropriately store and label food . This deficient practice had the potential to affect 25 of 26 residents who received meals in the facility and residents that eat snacks. 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 Labeling and rotating food supply, For food…

    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 · Dcited before2024-09-26 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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 and staff interviews, it was determined the facility failed to ensure residents were provided with a safe, clean, and homelike environment. This was true for 2 of 46 Residents (#28, #199) whose rooms were observed. This deficient practice created the potential for diminished quality of life and safety risk. Finding include: 1. Resident #28 was admitted to the facility on [DATE], with multiple diagnoses including dementia, diabetes, and osteoarthritis. On 9/23/24 at 11:15 AM, observed in Resident #28's room, the walls had scrapes, chipped paint , and holes. On 9/24/24 at 3:10 PM, the Administrator with the CNO present, stated the walls should have been repaired after last resident moved. 2. Resident #199 was admitted to the facility on [DATE], with multiple diagnoses including right shoulder infection and diabetes. On 9/22/24 at 2:26 PM, observed in Resident #199 room, the base board by the sink was missing and part of the base board was sticking out having the potential to cause a skin tear.…

    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 · D2024-09-26 · tag F0637 — isolated
    Assess the resident when there is a significant change in condition
    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 staff interview, it was determined the facility failed to complete a comprehensive MDS assessment when a resident experienced a significant change after developing a pressure ulcer to her right buttock. This was true for 1 of 5 residents (Resident #28) reviewed for pressure ulcers. This failure had the potential for harm if the facility staff did not recognize significant changes in the resident's health status and needs. Findings include: Resident #28 was admitted to the facility on [DATE], with multiple diagnoses including dementia, diabetes, and osteoarthritis. A review of Resident #28's record documented the following: On 7/25/24, a Skin Inspection Evaluation documented a silver dollar size-open wound on the right buttock/leg. On 7/26/24, a Skin & Wound Evaluation documented a new MASD (Moisture Associated Skin Damage) to the coccyx, measuring 2.8 cm x 1.8 cm. On 7/29/24, a Skin & Wound Evaluation documented the MASD to the coccyx had now progressed into a pressure injury (damage…

    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 · Dcited before2024-09-26 · 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 observation, staff interview, policy and record review, the facility failed to follow comprehensive person-centered care plan for 1 of 4 residents (Resident #199) observed with wounds. This deficient practice created the potential for harm or adverse outcomes related to infection and skin breakdown. Findings include: Facility Prevention and Treatment of Pressure Ulcers and Other Skin Alterations policy revision date 7/13/18, documented With each dressing change or at least weekly (and more often when indicated by wound complications, or changes in wound characteristics), an evaluation of the PU/PI (pressure ulcer/pressure injury) or non-pressure skin alteration should be documented. At a minimum, documentation should include the date observed and : A. Location, staging if applicable; B. Size (perpendicular measurements of the greatest extent of length and width of the PU/PI), depth; and the presence, location and extent of any undermining or tunneling/sinus tract; C. Exudate, if present: type (such as…

    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 · D2024-09-26 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, review of policy, records review, and interviews, it was determined the facility failed to ensure Nursing Assistants (NAs) performed tasks which they had the knowledge, skills, and competences. This was true for 1 of 6 NAs observed in the facility. This had the potential for adverse effects and potential harm to residents medical and physical status. Findings include: Facility Indwelling Catheters policy Revision Date: 4/12/22, documented Infection control is followed in the care of indwelling catheters. Guidelines to prevent Catheter Associated Infections include but may not be limited to: Good hygiene is maintained at the catheter-urethral interface: cleaned daily with soap and water. Lippincott Nursing Procedures (9th edition) documented to avoid contaminating the urinary tract, always clean by wiping away from, never toward the urinary meatus. CDC Guidelines for Prevention of Catheter Associated Urinary Tract Infections 2009 documented, III. Proper Techniques for Urinary Catheter Maintenance, Do not clean the periurethral area with antiseptics to prevent…

    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 · Dcited before2024-09-26 · tag F0761 — failed to label and store drugs safely — isolated
    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 observation, policy review, and staff interview, it was determined the facility failed to ensure medications available for residents were dated and had not expired. This was true for 2 of 2 medication carts inspected. This failure created the potential for residents to receive expired medications with decreased efficacy. Findings include: The facility's Medication Management policy, revision date 10/15/22, documented medications are discarded by the expiration date unless indicated by the pharmacy and/or manufacturer's instructions to discard sooner. The facility's pharmacy Medication Storage and Administration Quick Reference Guide, revision date April 2024, documented injectable diabetes medications, pens, or vials, should have a label with resident identifiers, date opened, and expiration date. 1. On 9/23/24 at 10:29 AM, during the back hall medication cart audit, with RN #1 present, observed a box of Bisacodyl suppositories, with an expiration date of November 2023. On 9/23/24 at 10:31 AM, RN #1 stated the expired medication should have been taken off 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-26 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and staff interview, the facility failed to ensure adherence to infection control and prevention practices to provide a safe and sanitary environment. This failure had the potential to impact 25 of 26 residents that eat meals prepared in the kitchen, 2 of 2 residents (#35 and #200) for hand hygiene. Findings include: 1. On 9/22/24 at 1:01 PM, observed Activities Assistant #1 remove gloves but not wash hands, prior to pouring a resident a cup of lemonade. She did not sanitized her hands until after she delivered the lemonade to a resident in the dining room. On 9/22/24 at 1:04 PM, the Activities Assistant #1 stated she should have used hand sanitizer after removing gloves. 2. On 9/24/24 at 8:40 AM, observed Lead [NAME] #1 wipe down dirty counters in the kitchen and remove clean dishes from the washed area without changing gloves or washing her hands. On 9/24/24 at 9:01 AM, the Culinary Manager stated the lead cook should have removed her gloves, washed hands, and put on new gloves before handling the clean dishes. 3. On 9/23/24 at 8:10 AM, observed the Business…

    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 · D2024-09-26 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and staff interview, the facility failed to provide a functional environment for residents to meet their physical needs. This was true for 1 of 46 residents (Resident #12). This deficient practice had the potential to cause harm and distress for residents with loss of independence. Findings include: Resident #12 was admitted to the facility on [DATE] and readmitted [DATE], with multiple diagnoses including, Myasthenia Gravis (a chronic autoimmune disease that causes muscle weakness by interfering with the communication between nerves and muscles) and left pelvis fracture. On 9/24/24 at 12:08 PM, observed Resident #12, who uses a wheelchair, could not reach the sink faucet and handles, soap, or paper towel dispenser in her room. On 9/24/24 at 1:50 PM, the Administrator stated he never knew the sink faucet and handles, soap, and paper towel dispensers could not be reached by residents sitting in a wheelchair and this should have been corrected.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-10-04 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    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 residents' records included an Advanced Directive or documentation of discussion regarding Advance Directives and their decision not to formulate one. This was true for 2 of 12 residents (#1 and #30) reviewed for Advance Directives. The deficient practice created the potential for harm should residents' wishes regarding end of life care not be honored when they are unable to make or communicate their health care preference. Findings include: The State Operations Manual (SOM) defined an Advance Directive as a written instruction, such as a living will or durable power of attorney for health care, recognized under State law (whether statutory or as recognized by the courts of the State), relating to the provision of health care when the individual is incapacitated. The SOM defined a Physician Orders for Life-Sustaining Treatment (or POLST) as a form designed to improve patient care by creating a portable…

    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 · D2019-10-04 · 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 notice of their bed-hold policy was provided to residents or their representatives upon transfer to the hospital. This was true for 1 of 1 resident (Resident #17) 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 and may cause psychosocial distress if not informed they may be charged to reserve their bed/room. Findings include: The facility's Bed-Hold readmission policy and procedure, dated 11/28/17, documented the facility provided written information to the resident, or the resident's representative, about holding a resident's bed prior to or upon transfer to a hospital, and in cases of emergency transfer within 24 hours of transfer. This policy was not followed. Resident #17 was initially admitted to the facility on [DATE], and readmitted on [DATE], with…

    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 · D2019-10-04 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    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, and staff interview, it was determined the facility failed to ensure residents were assisted with hand hygiene. This was true for 1 of 12 residents (Resident #40) reviewed for ADL care. This failure created the potential for harm by potentially exposing residents to the risk of infection. Findings include: Resident #40 was admitted to the facility on [DATE], with multiple diagnoses which included diabetes mellitus. A quarterly MDS assessment, dated 9/18/19, documented Resident #40 was cognitively intact and she required extensive assistance from one person for most activities of daily living. On 10/2/19 at 1:22 PM, CNA #4 was observed as she provided pericare to Resident #40. CNA #4 unfastened Resident #40's incontinence brief and Resident #40 scratched her genitalia vigorously using her right hand. CNA #4 asked Resident #40 to stop scratching and gave the resident a wet wipe. Resident #40 held onto the wipe, but did not clean her hands. CNA #4 proceeded to clean Resident…

    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 before2019-10-04 · 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 observation, record review, policy review, and staff interview, it was determined the facility failed to ensure professional standards of nursing practice were followed for medication administration, bowel care, and skin care. This was true for 3 of 12 residents (#9, #16, and #30) reviewed for quality of care. These failed practices created the potential for harm should residents experience adverse effects from medications, constipation or fecal impaction, and skin breakdown. Findings include: 1. The facility's undated policy for Oral Inhalant Administration, directed staff to instruct residents receiving steroid inhalers to rinse their mouth thoroughly with water immediately following inhalation to wash away steroid residue in the mouth. This policy was not followed. Resident #9 was admitted to the facility on [DATE], with multiple diagnoses including dementia and COPD (a chronic inflammatory lung disease that causes obstructed airflow from the lungs). A quarterly MDS assessment, dated 7/22/19,…

    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

“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 3 of 53.0≈ chain avg
Health inspection 3 of 52.8+0.2 vs chain
Staffing 2 of 52.7-0.7 vs chain
Quality measures 3 of 53.9-0.9 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 4 of 5Canyon West of CascadiaCaldwell, ID 4 of 5Cascadia of LewistonLewiston, 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 INTERESTsince 10/01/2017
CASCADIA HC GROUP LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 06/05/2025
CASCADIA HEALTHCARE LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 10/01/2017
CASCADIA HOLDCO LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 06/05/2025
HAMMOND, OWENIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 10/01/2017
LAFORTE, STEPHENIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 06/05/2025
NELSON, TIMOTHYIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 06/05/2025
TIMBERLINE CTRE TENANT LLCOrganization5% OR GREATER SECURITY INTEREST; ADP OF THE SNFsince 06/05/2025
WHITE OAK HEALTHCARE FINANCE LLCOrganization5% OR GREATER SECURITY INTERESTsince 08/11/2022
CASCADIA SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/14/2025
JENSEN, SPENCERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/09/2026
WILLIAMS, RYANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/14/2025

CMS files one row per role, so the 19 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.

$5.4M
Net patient revenuemost recent cost report
+1.8%
Operating marginrevenue minus expenses
$271K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 74%Medicare 11%Other / private 16%

About 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $271K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

$354per resident / day
operating cost
$10,767per month
≈ monthly operating cost
$361per 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

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Idaho Medicaid page.

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 135010. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-20, 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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