Bellevue, ID

Cove Of Cascadia, The

4-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

620 North Sixth Street, Bellevue, ID

(208) 788-7180

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

32

Certified beds

Average residents

31

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Cascadia Healthcare

Operator or chain grouping

Approved since

1982-05-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.23

Registered nurse staffing

LPN hours / resident day

0.37

Licensed practical nurse staffing

Aide hours / resident day

3.05

Nurse aide staffing

Weekend hours

3.93

Weekend nurse staffing

RN turnover

13%

Annual RN turnover

Total nurse turnover

38%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
96.8%
3.2 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
96.2%
3.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.6%
2.7%
0.1 pts better
3.3%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 3.7%
13.6%
9.9 pts better
11.4%
7.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 13.3%
5.4%
7.9 pts worse
5.4%
7.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.7%
16.2%
0.5 pts better
19.6%
3.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 18.5%
20.5%
2 pts better
16.7%
1.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 13.6%
17.9%
4.3 pts better
16.3%
2.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 10.2%
16.7%
6.5 pts better
14.9%
4.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.5%
1.5 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 5.3%
1.9%
3.4 pts worse
1.7%
3.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 34.6%
22.6%
12 pts worse
19.8%
14.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 0.7%
3.4%
2.7 pts better
5.1%
4.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 80.0%
90.2%
10.2 pts worse
81.7%
1.7 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 16.1%
11.6%
4.5 pts worse
12.0%
4.1 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.8%
17.5%
5.3 pts worse
23.9%
1.1 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-21 · Fire 2024-10-25

6 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-10-25 · Fire 2023-06-29

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

7 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 3 Health 2023-06-29 · Fire 2019-01-18

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

10 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-25

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-07-08

F · Potential for more than minimal harm 2024-10-25

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-07-08

E · Potential for more than minimal harm 2024-10-25

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2024-07-08

E · Potential for more than minimal harm 2024-10-25

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-07-08

D · Potential for more than minimal harm 2024-10-25

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-07-08

D · Potential for more than minimal harm 2024-10-25

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-07-08

F · Potential for more than minimal harm 2023-06-29

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-08-09

F · Potential for more than minimal harm 2023-06-29

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-08-09

F · Potential for more than minimal harm 2023-06-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-08-09

E · Potential for more than minimal harm 2023-06-29

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-08-09

D · Potential for more than minimal harm 2023-06-29

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2023-08-09

F · Potential for more than minimal harm 2019-01-18

E1 · Emergency Preparedness Deficiencies

Fire Safety

Establish an Emergency Preparedness Program (EP).

Corrected 2018-03-09

F · Potential for more than minimal harm 2019-01-18

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2018-03-26

F · Potential for more than minimal harm 2019-01-18

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2018-03-26

F · Potential for more than minimal harm 2019-01-18

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2018-03-30

F · Potential for more than minimal harm 2019-01-18

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2018-03-09

F · Potential for more than minimal harm 2019-01-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2018-03-09

F · Potential for more than minimal harm 2019-01-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2018-03-09

D · Potential for more than minimal harm 2019-01-18

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2018-03-09

D · Potential for more than minimal harm 2019-01-18

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2018-03-09

D · Potential for more than minimal harm 2019-01-18

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2018-03-09

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-11-21

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-05

D · Potential for more than minimal harm 2025-11-21

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2026-01-05

D · Potential for more than minimal harm 2025-11-21

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2026-01-05

D · Potential for more than minimal harm 2025-11-21

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2026-01-05

D · Potential for more than minimal harm 2025-11-21

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2026-01-05

D · Potential for more than minimal harm 2025-11-21

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2026-01-05

G · Actual harm 2024-10-25

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-09-03

E · Potential for more than minimal harm 2024-10-25

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-11-18

D · Potential for more than minimal harm 2024-10-25

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-09-05

D · Potential for more than minimal harm 2024-10-25

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-11-18

D · Potential for more than minimal harm 2024-10-25

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-11-18

D · Potential for more than minimal harm 2024-10-25

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2024-11-18

E · Potential for more than minimal harm 2023-06-29

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-07-19

E · Potential for more than minimal harm 2023-06-29

F848 · Administration Deficiencies

Health

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Corrected 2023-07-19

D · Potential for more than minimal harm 2023-06-29

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-19

D · Potential for more than minimal harm 2023-06-29

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-19

D · Potential for more than minimal harm 2023-06-29

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2023-07-19

D · Potential for more than minimal harm 2023-06-29

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-07-19

Penalties and ownership

What sits behind the stars

Ownership

Cascadia Idaho Operations LLC

5% Or Greater Direct Ownership Interest · Organization

100% 16 facilities 2020-02-02
Cascadia Hc Group LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 21 facilities 2025-06-05
Cascadia Healthcare LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 39 facilities 2020-02-01
Cascadia Healthcare LLC

Operational/Managerial Control · Organization

0% 39 facilities 2020-02-01
Cascadia Holdco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 21 facilities 2025-06-05
Cascadia Services LLC

Operational/Managerial Control · Organization

0% 43 facilities 2020-02-01
Hammond, Owen

Operational/Managerial Control · Individual

0% 44 facilities 2020-02-01
Royeca, Darwin

Operational/Managerial Control · Individual

0% 1 facilities 2020-02-01
White Oak Healthcare Finance LLC

5% Or Greater Security Interest · Organization

0% 41 facilities 2022-08-11
Williams, Ryan

Operational/Managerial Control · Individual

0% 21 facilities 2020-04-01

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Overall
5 / 5
Health
4 / 5
Staffing
2 / 5
Fines
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#3

Serenity Transitional Care

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4-star overall rating with 3-star inspections with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
3 / 5
Staffing
2 / 5
Fines
$0

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