Federal inspection record · CMS data as of October 1, 2026
Coeur d Alene Health of Cascadia
2514 North Seventh Street, Coeur d'Alene, ID · (208) 664-8128
- Certified beds
- 117
- Residents per day
- 78
- Ownership
- For-Profit
- Chain
- Cascadia Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1978
1
How this home got 1 star
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
★★★★★no change
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
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Idaho homes
Coeur d Alene Health of Cascadia carries 68 inspection points. That is fewer than 37% 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
35 health citations on record since 2020. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care8E
- E
Provide or get specialized rehabilitative services as required for a resident.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Nutrition and Dietary6F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights6E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
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.
- 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
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.
Resident Assessment and Care Planning5D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nursing and Physician Services3E
- 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.
- D
Post nurse staffing information every day.
- E
Observe each nurse aide's job performance and give regular training.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Administration2F
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pharmacy Service1D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspection history
2026-05-07
7 health deficiencies · 7 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2025-03-20
12 health deficiencies · 13 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2020-01-24
16 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 40 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 40 min
Idaho average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 64% of nursing staff and 62% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$33,815 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-20 | Fine | $19,513 |
| 2024-02-06 | Fine | $14,302 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 0.6 | 1.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better | 0.3 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.9 pts worse | 95.9% | 97.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.6 pts worse | 89.6% | 96.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts better | 2.4% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.1 pts worse | 18.8% | 15.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight7.6 pts worse | 12.7% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.6 pts worse | 20.0% | 16.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.2 pts better | 7.1% | 20.3% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened14.2 pts worse | 30.0% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.2 pts worse | 21.6% | 15.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.8% | 1.0% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2 pts better | 0.0% | 2.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.1 pts worse | 26.3% | 21.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.8 pts worse | 6.2% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.5 pts worse | 77.3% | 91.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.2 pts worse | 13.1% | 11.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts worse | 2.7% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.2 pts worse | 65.2% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.8 pts worse | 20.1% | 17.3% | 23.4% |
·
Who owns and runs it
15 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 |
|---|---|---|---|
| Cascadia Hc Group LLC | Operational/Managerial Control · Organization | 0% | 42 facilities |
| Cascadia Healthcare LLC | Operational/Managerial Control · Organization | 0% | 42 facilities |
| Cascadia Holdco LLC | Operational/Managerial Control · Organization | 0% | 41 facilities |
| Cascadia Services LLC | Operational/Managerial Control · Organization | 0% | 47 facilities |
| Cascadia Services LLC | Adp Of The SNF · Organization | 0% | 47 facilities |
| Cda 2514 Realty, LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Cda 2514 Realty, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Hammond, Owen | Operational/Managerial Control · Individual | 0% | 46 facilities |
| Laforte, Stephen | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Meza, Michael | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Meza, Michael | Adp Of The SNF · Individual | 0% | 8 facilities |
| Nelson, Timothy | Operational/Managerial Control · Individual | 0% | 46 facilities |
| Toland, Rachel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Toland, Rachel | Adp Of The SNF · Individual | 0% | 1 facilities |
| White Oak Healthcare Finance LLC | 5% Or Greater Security Interest · Organization | 0% | 48 facilities |
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Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Egress5F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- D
Have properly located and lighted "Exit" signs.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Meet requirements for the use of electrical equipment.
- E
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Emergency Preparedness2E
- E
Create arrangements with other facilities to receive patients.
- E
Develop and maintain an Emergency Preparedness Program (EP).
Construction1D
- D
Use approved construction type or materials.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Lakeside Rehabilitation and Care Center
Coeur d'Alene, ID · The Ensign Group
★★★★★- Worst citation, 3 yrs
- H
- Nursing / resident / day
- 3 h 39 min
- Fines
- $220,832
-
Ironwood Rehabilitation and Care Center
Coeur d'Alene, ID · The Ensign Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 39 min
- Fines
- $0
-
Advanced Health Care of Coeur d'Alene
Coeur d'Alene, ID · Advanced Health Care
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 38 min
- Fines
- $0