Federal inspection record · CMS data as of October 1, 2026

Canyon West of Cascadia

2814 South Indiana Avenue, Caldwell, ID · (208) 459-0808

CMS overall rating

4 of 5

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Certified beds
103
Residents per day
72
Ownership
For-Profit
Chain
Cascadia Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 1, 1972

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Idaho.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Idaho homes

Canyon West of Cascadia carries 55 inspection points. That is fewer than 52% of Idaho's 79 rated homes.

5★4★3★2★1★+3 homes above 13605102550100inspection points → fewer is better on the leftThis home · 55 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Idaho: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–30.5 pts
  • 4★ 30.5–46 pts
  • 3★ 46–63 pts
  • 2★ 63–85 pts
  • 1★ over 85 pts

Bars show every rated home in Idaho by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

24 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 14 4 pts
E 7 8 pts
F 3 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Infection Control6E
  1. D

    Provide and implement an infection prevention and control program.

    April 16, 2026 · Complaint · F880 · Corrected May 12, 2026

  2. E

    Provide and implement an infection prevention and control program.

    February 7, 2025 · Complaint · F880 · Corrected March 12, 2025

  3. E

    Report COVID19 data to residents and families.

    September 24, 2021 · Standard · F885 · Corrected November 2, 2021

  4. E

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    September 24, 2021 · Standard · F887 · Corrected November 2, 2021

  5. D

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    September 24, 2021 · Standard · F882 · Corrected November 2, 2021

  6. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    September 24, 2021 · Standard · F883 · Corrected November 2, 2021

Quality of Life and Care5E
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    April 16, 2026 · Complaint · F684 · Corrected May 12, 2026

  2. D

    Provide safe and appropriate respiratory care for a resident when needed.

    April 16, 2026 · Complaint · F695 · Corrected May 12, 2026

  3. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    February 7, 2025 · Complaint · F684 · Corrected March 12, 2025

  4. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    September 24, 2021 · Standard · F677 · Corrected November 2, 2021

  5. D

    Provide safe and appropriate respiratory care for a resident when needed.

    September 24, 2021 · Standard · F695 · Corrected November 2, 2021

Nursing and Physician Services3F
  1. E

    Post nurse staffing information every day.

    April 16, 2026 · Complaint · F732 · Corrected May 12, 2026

  2. D

    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.

    April 16, 2026 · Complaint · F727 · Corrected May 12, 2026

  3. F

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    February 7, 2025 · Complaint · F725 · Corrected March 12, 2025

Resident Rights3D
  1. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    April 16, 2026 · Complaint · F554 · Corrected May 12, 2026

  2. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    February 7, 2025 · Complaint · F550 · Corrected March 12, 2025

  3. D

    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.

    February 7, 2025 · Complaint · F584 · Corrected March 12, 2025

Resident Assessment and Care Planning3E
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    April 16, 2026 · Complaint · F656 · Corrected May 12, 2026

  2. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    April 16, 2026 · Complaint · F657 · Corrected May 12, 2026

  3. E

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    September 24, 2021 · Standard · F636 · Corrected November 2, 2021

Nutrition and Dietary2F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 16, 2026 · Complaint · F812 · Corrected May 12, 2026

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    February 7, 2025 · Complaint · F812 · Corrected March 12, 2025

Pharmacy Service1D
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    April 16, 2026 · Complaint · F755 · Corrected May 12, 2026

Freedom from Abuse, Neglect, and Exploitation1E
  1. E

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    September 24, 2021 · Standard · F600 · Corrected November 2, 2021

Inspection history

  1. 2026-04-16

    10 health deficiencies · 3 fire-safety deficiencies

    Top issue: Nursing and Physician Services (2 deficiencies)

  2. 2025-02-07

    6 health deficiencies · 1 fire-safety deficiencies

    Top issue: Resident Rights (2 deficiencies)

  3. 2021-09-24

    8 health deficiencies · 1 fire-safety deficiencies

    Top issue: Infection Control (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 8 min of nursing staff time a day, 46 min of it from a registered nurse.

This home

3 h 8 min

Idaho average

3 h 59 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 53% of nursing staff and 42% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts better100.0%97.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.8 pts better100.0%96.2%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.7 pts better0.4%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms6.7 pts better9.0%15.7%13.5%
Percentage of long-stay residents who lose too much weight2 pts better3.1%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.3 pts better11.1%16.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication5.4 pts worse25.7%20.3%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened9.7 pts better6.1%15.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased9.3 pts better6.1%15.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts better0.0%1.0%0.7%
Percentage of long-stay residents with a urinary tract infection1 pts worse3.0%2.0%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence16.8 pts better4.4%21.2%18.3%
Percentage of long-stay residents with pressure ulcers0.5 pts worse3.9%3.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.2 pts better100.0%91.8%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit6.7 pts better5.2%11.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse1.8%1.7%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.3 pts better97.7%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.1 pts worse21.4%17.3%23.4%

·

Who owns and runs it

23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Cascadia Hc Group LLCIndirect Ownership Interest · Organization0%42 facilities
Cascadia Hc Group LLCOperational/Managerial Control · Organization0%42 facilities
Cascadia Healthcare LLCIndirect Ownership Interest · Organization0%42 facilities
Cascadia Healthcare LLCOperational/Managerial Control · Organization0%42 facilities
Cascadia Holdco LLCIndirect Ownership Interest · Organization0%41 facilities
Cascadia Holdco LLCOperational/Managerial Control · Organization0%41 facilities
Cascadia Idaho Operations LLCDirect Ownership Interest · Organization0%17 facilities
Cascadia Idaho Operations LLCOperational/Managerial Control · Organization0%17 facilities
Cascadia Services LLCOperational/Managerial Control · Organization0%47 facilities
Cascadia Services LLCAdp Of The SNF · Organization0%47 facilities
Hammond, OwenIndirect Ownership Interest · Individual0%46 facilities
Hammond, OwenOperational/Managerial Control · Individual0%46 facilities
Hoopes, BartonOperational/Managerial Control · Individual0%1 facilities
Hoopes, BartonAdp Of The SNF · Individual0%1 facilities
Laforte, StephenIndirect Ownership Interest · Individual0%42 facilities
Laforte, StephenOperational/Managerial Control · Individual0%42 facilities
Nelson, TimothyIndirect Ownership Interest · Individual0%46 facilities
Nelson, TimothyOperational/Managerial Control · Individual0%46 facilities
Timberline Ctre Tenant LLC5% Or Greater Security Interest · Organization0%12 facilities
Timberline Ctre Tenant LLCAdp Of The SNF · Organization0%12 facilities
White Oak Healthcare Finance LLC5% Or Greater Security Interest · Organization0%48 facilities
Williams, RyanOperational/Managerial Control · Individual0%28 facilities
Williams, RyanAdp Of The SNF · Individual0%28 facilities

·

Fire safety

5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3D
  1. D

    Provide properly protected cooking facilities.

    April 16, 2026 · K324 · Corrected February 12, 2026

  2. D

    Inspect, test, and maintain automatic sprinkler systems.

    April 16, 2026 · K353 · Corrected February 12, 2026

  3. D

    Provide properly protected cooking facilities.

    February 7, 2025 · K324 · Corrected March 14, 2024

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    April 16, 2026 · K712 · Corrected February 12, 2026

Gas, Vacuum, and Electrical Systems1D
  1. D

    Have generator or other power source capable of supplying service within 10 seconds.

    September 24, 2021 · K918 · Corrected January 21, 2021

·

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