Cascadia of Lewiston – Nursing Home, Lewiston, Idaho
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Last cited survey: 3 April 2025 · 78 health and 9 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
2852 Juniper Drive
Lewiston, ID 83501
Phone: (208) 748-7700
Compare to ID average
See how this facility compares to the ID state average among rated nursing homes (82 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | ID average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 2 | 3.17 | 5 |
| Health inspection | 2 | 2.7 | 5 |
| Staffing | 1 | 3.04 | 5 |
| Quality measures | 5 | 4.23 | 5 |
| Certified beds | 34 | 75.9 | — |
| Citations on file (health + fire) | 87 | ~9.6 health* | — |
- Idaho State Veterans Home - Lewiston — 5★ overall
- Lewiston Transitional Care of Cascadia — 4★ overall
- Life Care Center of Lewiston — 5★ overall
- Orchard View Post Acute — 2★ overall
- Royal Plaza Health and Rehabilitation of Cascadia — 4★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| CASCADIA SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 03/01/2022 |
| CASCADIA SERVICES LLC | ADP OF THE SNF | Organization | - | 03/01/2022 |
| CASCADIA HC GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 06/05/2025 |
| CASCADIA HC GROUP LLC | INDIRECT OWNERSHIP INTEREST | Organization | 100.00 | 06/05/2025 |
| RUDOLPH, JOHN BRADLEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 07/03/2025 |
| RUDOLPH, JOHN BRADLEY | ADP OF THE SNF | Individual | - | 07/17/2025 |
| CASCADIA HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 03/01/2022 |
| CASCADIA HEALTHCARE LLC | INDIRECT OWNERSHIP INTEREST | Organization | 100.00 | 03/01/2022 |
| LAFORTE, STEPHEN J | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 06/05/2025 |
| LAFORTE, STEPHEN J | INDIRECT OWNERSHIP INTEREST | Individual | 33.33 | 06/05/2025 |
| HAMMOND, OWEN C | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 03/01/2022 |
| HAMMOND, OWEN C | INDIRECT OWNERSHIP INTEREST | Individual | 33.34 | 03/01/2022 |
| LEWISTON 2852 REALTY, LLC | 5% OR GREATER SECURITY INTEREST | Organization | 100.00 | 06/05/2025 |
| LEWISTON 2852 REALTY, LLC | ADP OF THE SNF | Organization | - | 06/05/2025 |
| WHITE OAK HEALTHCARE FINANCE LLC | 5% OR GREATER SECURITY INTEREST | Organization | 100.00 | 03/01/2022 |
| CASCADIA HOLDCO LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 06/05/2025 |
| CASCADIA HOLDCO LLC | INDIRECT OWNERSHIP INTEREST | Organization | 100.00 | 06/05/2025 |
| CASCADIA IDAHO OPERATIONS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 03/01/2022 |
| CASCADIA IDAHO OPERATIONS LLC | DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 03/01/2022 |
| NELSON, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 06/05/2025 |
| NELSON, TIMOTHY | INDIRECT OWNERSHIP INTEREST | Individual | 33.33 | 06/05/2025 |
| BURT, JAMES R | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 06/14/2025 |
| BURT, JAMES R | ADP OF THE SNF | Individual | - | 07/17/2025 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
87 citations on file · Latest survey: 3 April 2025 · 78 health · 9 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-04-03 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2025-04-03 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2025-04-03 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2025-04-03 | F804 | E — Minimal harm, pattern | Health | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| 2025-04-03 | F804 | E — Minimal harm, pattern | Health | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| 2025-04-03 | F804 | E — Minimal harm, pattern | Health | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| 2025-04-03 | F760 | G — Actual harm, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2025-04-03 | F760 | G — Actual harm, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2025-04-03 | F760 | G — Actual harm, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2025-04-03 | F695 | E — Minimal harm, pattern | Health | Provide safe and appropriate respiratory care for a resident when needed. |
| 2025-04-03 | F695 | E — Minimal harm, pattern | Health | Provide safe and appropriate respiratory care for a resident when needed. |
| 2025-04-03 | F695 | E — Minimal harm, pattern | Health | Provide safe and appropriate respiratory care for a resident when needed. |
| 2025-04-03 | F622 | D — Minimal harm, isolated | Health | 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. |
| 2025-04-03 | F622 | D — Minimal harm, isolated | Health | 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. |
| 2025-04-03 | F622 | D — Minimal harm, isolated | Health | 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. |
| 2025-04-03 | F610 | D — Minimal harm, isolated | Health | Respond appropriately to all alleged violations. |
| 2025-04-03 | F610 | D — Minimal harm, isolated | Health | Respond appropriately to all alleged violations. |
| 2025-04-03 | F610 | D — Minimal harm, isolated | Health | Respond appropriately to all alleged violations. |
| 2025-04-03 | F561 | D — Minimal harm, isolated | Health | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. |
| 2025-04-03 | F561 | D — Minimal harm, isolated | Health | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-04-03 | K321 | D — Minimal harm, isolated | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2025-04-03 | K345 | D — Minimal harm, isolated | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2025-04-03 | K345 | D — Minimal harm, isolated | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2025-04-03 | K321 | D — Minimal harm, isolated | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2025-04-03 | K345 | D — Minimal harm, isolated | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2025-04-03 | K321 | D — Minimal harm, isolated | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2024-05-03 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2024-05-03 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2024-05-03 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| Quality of Resident Care Rating | 5 |
| Quality of Resident Care Rating (Long Stay) (Footnote) | 2 |
| Quality of Resident Care Rating (Short Stay) | 5 |
| Staffing Rating | 1 |
| RN Staffing Rating | 5 |
| Reported CNA Staffing Hours per Resident per Day | 4.99027 |
| Reported LPN Staffing Hours per Resident per Day | 0.88979 |
| Reported RN Staffing Hours per Resident per Day | 1.10152 |
| Reported Licensed Staffing Hours per Resident per Day | 1.9913 |
| Reported Total Nurse Staffing Hours per Resident per Day | 4.06863 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.23035 |
| Casemix CNA Staffing Hours per Resident per Day | 2.16012 |
| Casemix LPN Staffing Hours per Resident per Day | 0.94085 |
| Casemix RN Staffing Hours per Resident per Day | 0.52151 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.62248 |
| Adjusted CNA Staffing Hours per Resident per Day | 4.7692 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.60628 |
| Adjusted RN Staffing Hours per Resident per Day | 0.75054 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 2.77226 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-10-18 |
Date of Standard Health Survey (Cycle 2) | 2018-06-28 |
Total Number of Health Deficiencies (Cycle 1) | 5 |
Number of Standard Health Deficiencies (Cycle 1) | 5 |
Health Deficiency Score (Cycle 1) | 28 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 28 |
Health Deficiency Score (Cycle 2) | 0 |
Total Weighted Health Survey Score | 68 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | None |
Automatic Sprinkler Systems in All Required Areas | Yes |
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