Payette, ID

Payette Healthcare Of Cascadia

5-star overall rating with 4-star inspections with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1019 Third Avenue South, Payette, ID

(208) 642-4455

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

80

Certified beds

Average residents

48

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Cascadia Healthcare

Operator or chain grouping

Approved since

1977-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.30

Registered nurse staffing

LPN hours / resident day

0.24

Licensed practical nurse staffing

Aide hours / resident day

2.30

Nurse aide staffing

Weekend hours

3.13

Weekend nurse staffing

RN turnover

25%

Annual RN turnover

Total nurse turnover

37%

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 88.4%
96.2%
7.8 pts worse
95.5%
7.1 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.4%
2.7%
1.3 pts better
3.3%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 25.0%
13.6%
11.4 pts worse
11.4%
13.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 5.6%
5.4%
0.2 pts worse
5.4%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.9%
16.2%
4.3 pts better
19.6%
7.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 12.8%
20.5%
7.7 pts better
16.7%
3.9 pts better
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 27.0%
17.9%
9.1 pts worse
16.3%
10.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 18.6%
16.7%
1.9 pts worse
14.9%
3.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.7%
1.5%
3.2 pts worse
1.0%
3.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 2.1%
1.9%
0.2 pts worse
1.7%
0.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 28.9%
22.6%
6.3 pts worse
19.8%
9.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.6%
3.4%
3.2 pts worse
5.1%
1.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.7%
90.2%
8.5 pts better
81.7%
17 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 10.4%
11.6%
1.2 pts better
12.0%
1.6 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.1%
1.5%
0.4 pts better
1.6%
0.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 93.4%
86.5%
6.9 pts better
79.7%
13.7 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.7%
17.5%
8.2 pts worse
23.9%
1.8 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-12 · Fire 2024-08-09

10 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-08-09 · Fire 2019-09-06

8 health deficiencies

Top issue: Infection Control (2 deficiencies)

7 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 3 Health 2019-09-06 · Fire 2018-05-18

7 health deficiencies

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

5 fire-safety deficiencies

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

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-08-09

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-02-13

D · Potential for more than minimal harm 2024-08-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-02-13

F · Potential for more than minimal harm 2019-09-06

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2019-08-12

F · Potential for more than minimal harm 2019-09-06

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2019-08-12

F · Potential for more than minimal harm 2019-09-06

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-08-12

F · Potential for more than minimal harm 2019-09-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-08-12

E · Potential for more than minimal harm 2019-09-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-08-12

E · Potential for more than minimal harm 2019-09-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-08-12

D · Potential for more than minimal harm 2019-09-06

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2019-08-12

F · Potential for more than minimal harm 2018-05-18

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2017-09-11

E · Potential for more than minimal harm 2018-05-18

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2017-09-11

E · Potential for more than minimal harm 2018-05-18

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2017-09-11

E · Potential for more than minimal harm 2018-05-18

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2017-09-11

D · Potential for more than minimal harm 2018-05-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2017-09-11

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-12

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 2025-09-05

D · Potential for more than minimal harm 2025-09-12

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-12

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-12

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 2025-10-10

D · Potential for more than minimal harm 2025-09-12

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-12

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-12

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-12

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-12

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 2025-10-10

D · Potential for more than minimal harm 2025-09-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-10

E · Potential for more than minimal harm 2024-08-09

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 2024-09-10

E · Potential for more than minimal harm 2024-08-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-10

D · Potential for more than minimal harm 2024-08-09

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-09-10

D · Potential for more than minimal harm 2024-08-09

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-09-10

D · Potential for more than minimal harm 2024-08-09

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-10

D · Potential for more than minimal harm 2024-08-09

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-09-10

D · Potential for more than minimal harm 2024-08-09

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 2024-09-10

D · Potential for more than minimal harm 2024-08-09

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-09-10

D · Potential for more than minimal harm 2019-09-06

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 2019-10-11

D · Potential for more than minimal harm 2019-09-06

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2019-10-11

D · Potential for more than minimal harm 2019-09-06

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2019-10-11

D · Potential for more than minimal harm 2019-09-06

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 2019-10-11

D · Potential for more than minimal harm 2019-09-06

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-10-11

D · Potential for more than minimal harm 2019-09-06

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2019-10-11

D · Potential for more than minimal harm 2019-09-06

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2019-10-11

Penalties and ownership

What sits behind the stars

Ownership

Aldridge, Brandon

Operational/Managerial Control · Individual

0% 1 facilities 2020-04-01
Cascadia Hc Group LLC

Operational/Managerial Control · Organization

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

5% Or Greater Indirect Ownership Interest · Organization

0% 39 facilities 2016-06-22
Cascadia Holdco LLC

Operational/Managerial Control · Organization

0% 21 facilities 2025-06-05
Cascadia Idaho Operations LLC

Operational/Managerial Control · Organization

0% 16 facilities 2020-06-01
Cascadia Services LLC

Operational/Managerial Control · Organization

0% 43 facilities 2016-06-22
Hammond, Owen

Operational/Managerial Control · Individual

0% 44 facilities 2020-06-01
Laforte, Stephen

Operational/Managerial Control · Individual

0% 39 facilities 2025-06-05
Ludwig, Jason

Operational/Managerial Control · Individual

0% 2 facilities 2023-12-21
Nelson, Timothy

Operational/Managerial Control · Individual

0% 40 facilities 2025-06-05
Timberline Ohi Tenant LLC

5% Or Greater Security Interest · Organization

0% 8 facilities 2025-06-05
White Oak Healthcare Finance LLC

5% Or Greater Security Interest · Organization

0% 41 facilities 2022-08-11

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Staffing
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Health
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Staffing
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Fines
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#3

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3-star overall rating with 2-star inspections with 10 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
$0

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