Cycle 1
Health 2025-08-21 · Fire 2025-08-21
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Lewiston, ID
Lewiston Transitional Care Of Cascadia
4-star overall rating with 4-star inspections with 6 recent health deficiencies
3315 8th Street, Lewiston, ID
(208) 743-9543
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
96
Certified beds
Average residents
66
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cascadia Healthcare
Operator or chain grouping
Approved since
1972-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
44 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.50
Registered nurse staffing · state 0.83 · national 0.68
LPN hours / resident day
0.61
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.36
Nurse aide staffing · state 2.47 · national 2.35
Total nurse hours
3.47
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.12
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.06
Weekend nurse staffing · state 3.47 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
3.20
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
14%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,333
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
50.16
Composite VBP score used to determine payment impact.
Payment multiplier
1.0042
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
9.47
Baseline 17.91% · Performance 17.04% · Measure score 9.47 · Achievement 9.47 · Improvement 9
Healthcare-associated infections
1.94
Baseline 6.55% · Performance 7.25% · Measure score 1.94 · Achievement 1.94 · Improvement 0
Total nurse turnover
7.57
Baseline 33.33% · Performance 32.73% · Measure score 7.57 · Achievement 7.57 · Improvement 0.21
Adjusted total nurse staffing
1.07
Baseline 3.93 hours · Performance 3.38 hours · Measure score 1.07 · Achievement 1.07 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.55% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 158 · Observed rate 12.66% · Lower 95% interval 8.83% |
| Discharge to community | 46.54% |
50.57%
4 pts worse
|
No Different than the National Rate · Eligible stays 164 · Observed rate 43.29% · Lower 95% interval 40.09% |
| Medicare spending per beneficiary | 1.19 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 122 · Denominator 122 |
| Falls with major injury | 0.82% |
0.77%
About the same
|
Numerator 1 · Denominator 122 |
| Discharge self-care score | 34.41% |
53.69%
19.3 pts worse
|
Numerator 32 · Denominator 93 |
| Discharge mobility score | 34.41% |
50.94%
16.5 pts worse
|
Numerator 32 · Denominator 93 |
| Pressure ulcers or injuries, new or worsened | 2.46% |
2.29%
0.2 pts worse
|
Numerator 3 · Denominator 122 · Adjusted rate 2.52% |
| Healthcare-associated infections requiring hospitalization | 7.25% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 104 · Observed rate 6.73% · Lower 95% interval 4.63% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 79 |
| Staff flu vaccination coverage | 18.95% |
42%
23.1 pts worse
|
Numerator 18 · Denominator 95 |
| Discharge function score | 38.71% |
56.45%
17.7 pts worse
|
Numerator 36 · Denominator 93 |
| Transfer of health information to provider | 96.55% |
95.95%
0.6 pts better
|
Numerator 28 · Denominator 29 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 57 · Denominator 57 |
| Resident COVID-19 vaccinations up to date | 16.42% |
25.2%
8.8 pts worse
|
Numerator 11 · Denominator 67 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.1
0.1 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.1 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
1.6
0.8 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.6 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.1% |
96.8%
0.7 pts worse
|
93.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 98.0% · Q3 93.6% · Q4 96.2% · 4Q avg 96.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.4% |
96.2%
4.8 pts worse
|
95.5%
4.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
2.7%
1.2 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.9% · Q3 4.3% · Q4 5.8% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 38.1% |
13.6%
24.5 pts worse
|
11.4%
26.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.0% · Q2 42.2% · Q3 37.8% · Q4 40.8% · 4Q avg 38.1% |
| Percentage of long-stay residents who lose too much weight | 12.6% |
5.4%
7.2 pts worse
|
5.4%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 4.4% · Q3 19.6% · Q4 17.4% · 4Q avg 12.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.0% |
16.2%
1.8 pts worse
|
19.6%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 19.6% · Q3 17.4% · Q4 16.3% · 4Q avg 18.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 31.5% |
20.5%
11 pts worse
|
16.7%
14.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 35.3% · Q3 32.4% · Q4 31.0% · 4Q avg 31.5% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 35.6% |
17.9%
17.7 pts worse
|
16.3%
19.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 35.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.8% |
16.7%
0.9 pts better
|
14.9%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 20.8% · Q3 11.4% · Q4 21.3% · 4Q avg 15.8% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
1.9%
0.8 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.1% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.0% |
22.6%
0.6 pts better
|
19.8%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 29.9% · Q3 18.8% · Q4 21.1% · 4Q avg 22.0% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
3.4%
0.7 pts worse
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.5% · Q3 5.0% · Q4 6.8% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 74.4% |
90.2%
15.8 pts worse
|
81.7%
7.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 58.5% · Q2 80.4% · Q3 79.8% · Q4 79.0% · 4Q avg 74.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.3% |
11.6%
6.7 pts worse
|
12.0%
6.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.3% · Observed 21.6% · Expected 13.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.5%
0.6 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 2.2% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 59.4% |
86.5%
27.1 pts worse
|
79.7%
20.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 59.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.4% |
17.5%
0.9 pts worse
|
23.9%
5.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.4% · Observed 21.6% · Expected 28.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-13 · Fire 2024-06-13
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2020-01-09 · Fire 2020-01-09
11 health deficiencies
Top issue: Resident Rights (3 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-06-13
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2023-09-18
F · Potential for more than minimal harm
2024-06-13
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-09-18
D · Potential for more than minimal harm
2024-06-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-18
F · Potential for more than minimal harm
2020-01-09
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2020-01-27
F · Potential for more than minimal harm
2020-01-09
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-01-27
E · Potential for more than minimal harm
2020-01-09
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-01-27
D · Potential for more than minimal harm
2020-01-09
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2020-01-27
D · Potential for more than minimal harm
2020-01-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-01-27
D · Potential for more than minimal harm
2020-01-09
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2020-01-27
D · Potential for more than minimal harm
2020-01-09
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2020-01-27
D · Potential for more than minimal harm
2020-01-09
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2020-01-27
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-08-21
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 2025-09-22
D · Potential for more than minimal harm
2025-08-21
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 2025-09-22
D · Potential for more than minimal harm
2025-08-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-22
D · Potential for more than minimal harm
2025-08-21
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-09-22
D · Potential for more than minimal harm
2025-08-21
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-09-22
D · Potential for more than minimal harm
2025-08-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-22
E · Potential for more than minimal harm
2024-06-13
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 2024-07-12
D · Potential for more than minimal harm
2024-06-13
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-07-12
D · Potential for more than minimal harm
2024-06-13
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-12
E · Potential for more than minimal harm
2020-01-09
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2020-02-13
E · Potential for more than minimal harm
2020-01-09
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 2020-02-13
D · Potential for more than minimal harm
2020-01-09
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2020-02-13
D · Potential for more than minimal harm
2020-01-09
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2020-02-13
D · Potential for more than minimal harm
2020-01-09
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-02-13
D · Potential for more than minimal harm
2020-01-09
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 2020-02-13
D · Potential for more than minimal harm
2020-01-09
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-02-13
D · Potential for more than minimal harm
2020-01-09
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2020-02-13
D · Potential for more than minimal harm
2020-01-09
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2020-02-13
D · Potential for more than minimal harm
2020-01-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-02-13
C · Minimal harm
2020-01-09
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2020-02-13
Penalties and ownership
What sits behind the stars
Ownership
Cascadia Healthcare LLC
5% Or Greater Indirect Ownership Interest · Organization
Cascadia Services LLC
Operational/Managerial Control · Organization
Hammond, Owen
Operational/Managerial Control · Individual
Laforte, Stephen
Operational/Managerial Control · Individual
Mckay, Breanna
Operational/Managerial Control · Individual
Nelson, Timothy
Operational/Managerial Control · Individual
Rudolph, John
Operational/Managerial Control · Individual
Timberline Ctre Tenant LLC
5% Or Greater Security Interest · Organization
White Oak Healthcare Finance LLC
5% Or Greater Security Interest · Organization
Nearby options
Other facilities in reach
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Orchard View Post Acute
Lewiston, ID
2-star overall rating with 2-star inspections with $16,790 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Cascadia Of Lewiston
Lewiston, ID
2-star overall rating with 2-star inspections with $2,098 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Royal Plaza Health And Rehabilitation Of Cascadia
Lewiston, ID
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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