Federal inspection record · CMS data as of October 1, 2026
Orchards of Cascadia, The
404 North Horton Street, Nampa, ID · (208) 466-9292
- Special Focus Facility
- Certified beds
- 100
- Residents per day
- 93
- Ownership
- For-Profit
- Chain
- Cascadia Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 1970
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
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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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
Orchards of Cascadia, The carries 127.75 inspection points. That is fewer than 5% 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
24 health citations on record since 2019. 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 (2)
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J
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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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
Resident Rights9E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
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.
- D
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
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
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.
Quality of Life and Care4D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate foot care.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service3F
- D
Ensure that residents are free from significant medication errors.
- D
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.
- F
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.
Freedom from Abuse, Neglect, and Exploitation2D
- 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.
Infection Control2F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspection history
2025-12-01
8 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2024-06-06
3 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2019-02-15
13 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 39 min of nursing staff time a day, 43 min of it from a registered nurse.
This home
3 h 39 min
Idaho average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% of nursing staff and 69% of registered nurses left in the past year, along with 1 administrator.
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
$25,809 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-11-14 | Fine | $16,985 |
| 2024-06-06 | Fine | $8,824 |
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 days0.5 pts worse | 1.5 | 1.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.1 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.3 pts better | 98.1% | 97.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts worse | 95.6% | 96.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better | 1.9% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.4 pts better | 7.3% | 15.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.9 pts better | 3.2% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.4 pts worse | 20.8% | 16.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.7 pts worse | 22.0% | 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 worsened8.2 pts worse | 24.0% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.1 pts worse | 16.5% | 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 infection0.1 pts better | 1.9% | 2.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.6 pts better | 12.6% | 21.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts worse | 4.4% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.1 pts better | 96.9% | 91.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.4 pts worse | 16.3% | 11.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.7 pts better | 0.0% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.3 pts better | 95.7% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission10.9 pts better | 6.4% | 17.3% | 23.4% |
·
Who owns and runs it
17 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 |
|---|---|---|---|
| Allen, Daniel | Operational/Managerial Control · Individual | 0% | 20 facilities |
| Allen, Daniel | Adp Of The SNF · Individual | 0% | 20 facilities |
| Cascadia Hc Group LLC | Indirect Ownership Interest · Organization | 0% | 42 facilities |
| Cascadia Healthcare LLC | Indirect Ownership Interest · Organization | 0% | 42 facilities |
| Cascadia Holdco LLC | Indirect Ownership Interest · Organization | 0% | 41 facilities |
| Cascadia Idaho Operations LLC | Direct Ownership Interest · 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 |
| Drucker, Chanel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Drucker, Chanel | Adp Of The SNF · Individual | 0% | 1 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 |
| Nelson, Timothy | Indirect Ownership Interest · Individual | 0% | 46 facilities |
| Timberline Ctre Tenant LLC | 5% Or Greater Security Interest · Organization | 0% | 12 facilities |
| Timberline Ctre Tenant LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| White Oak Healthcare Finance LLC | 5% Or Greater Security Interest · Organization | 0% | 48 facilities |
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Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- 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.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Walls that prevent smoke from passing through and would resist fire for at least one hour.
Egress2F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Exits that are accessible at all times.
Emergency Preparedness1F
- F
Establish policies and procedures for volunteers.
Gas, Vacuum, and Electrical Systems1F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
Miscellaneous1D
- D
Have other fire safety features required by fire safety codes.
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Other homes nearby
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Meadow View Nursing and Rehabilitation
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 52 min
- Fines
- $8,018
-
Karcher Post Acute
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 51 min
- Fines
- $41,603
-
Sunny Ridge
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 38 min
- Fines
- $0