Federal inspection record · CMS data as of October 1, 2026
Cascadia of Lewiston
2852 Juniper Drive, Lewiston, ID · (208) 748-7700
- Certified beds
- 34
- Residents per day
- 30
- Ownership
- For-Profit
- Chain
- Cascadia Healthcare
- Medicare / Medicaid
- Medicare
- Certified since
- June 28, 2018
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Idaho.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Idaho homes
Cascadia of Lewiston carries 34 inspection points. That is fewer than 82% of Idaho's 79 rated homes.
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
21 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Resident Rights6D
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning3D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Quality of Life and Care2E
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service2E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspection history
2026-05-21
0 health deficiencies · 5 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2025-04-03
8 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2024-05-03
13 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 19 min of nursing staff time a day, 54 min of it from a registered nurse.
This home
4 h 19 min
Idaho average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 70% 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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.2 pts better | 100.0% | 91.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.9 pts worse | 12.8% | 11.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.6% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14 pts better | 99.4% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.2 pts better | 14.1% | 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
| Name | Role | Share | Homes |
|---|---|---|---|
| Burt, James | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Burt, James | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cascadia Hc Group LLC | Indirect Ownership Interest · Organization | 0% | 42 facilities |
| Cascadia Hc Group LLC | Operational/Managerial Control · Organization | 0% | 42 facilities |
| Cascadia Healthcare LLC | Indirect Ownership Interest · Organization | 0% | 42 facilities |
| Cascadia Healthcare LLC | Operational/Managerial Control · Organization | 0% | 42 facilities |
| Cascadia Holdco LLC | Indirect Ownership Interest · Organization | 0% | 41 facilities |
| Cascadia Holdco LLC | Operational/Managerial Control · Organization | 0% | 41 facilities |
| Cascadia Idaho Operations LLC | Direct Ownership Interest · Organization | 0% | 17 facilities |
| Cascadia Idaho Operations LLC | Operational/Managerial Control · Organization | 0% | 17 facilities |
| Cascadia Services LLC | Operational/Managerial Control · Organization | 0% | 47 facilities |
| Cascadia Services LLC | Adp Of The SNF · Organization | 0% | 47 facilities |
| Hammond, Owen | Indirect Ownership Interest · Individual | 0% | 46 facilities |
| Hammond, Owen | Operational/Managerial Control · Individual | 0% | 46 facilities |
| Laforte, Stephen | Indirect Ownership Interest · Individual | 0% | 42 facilities |
| Laforte, Stephen | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Lewiston 2852 Realty, LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Lewiston 2852 Realty, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Nelson, Timothy | Indirect Ownership Interest · Individual | 0% | 46 facilities |
| Nelson, Timothy | Operational/Managerial Control · Individual | 0% | 46 facilities |
| Rudolph, John | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Rudolph, John | Adp Of The SNF · Individual | 0% | 6 facilities |
| White Oak Healthcare Finance LLC | 5% Or Greater Security Interest · Organization | 0% | 48 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3D
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Emergency Preparedness2F
- F
List the names and contact information of those in the facility.
- F
Conduct testing and exercise requirements.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
-
Royal Plaza Health and Rehabilitation of Cascadia
Lewiston, ID · Cascadia Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 25 min
- Fines
- $0
-
Lewiston Transitional Care of Cascadia
Lewiston, ID · Cascadia Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 19 min
- Fines
- $0
-
Life Care Center of Lewiston
Lewiston, ID · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 44 min
- Fines
- $0