Royal Plaza Health and Rehabilitation of Cascadia – Nursing Home, Lewiston, Idaho
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Last cited survey: 17 April 2025 · 81 health and 39 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Explore nursing home Royal Plaza Health and Rehabilitation of Cascadia performance based on staff quality, resident satisfaction, safety measures, and care effectiveness in Lewiston. Get insights into Medicare and Medicaid and facility-specific standards, along with comparisons to national benchmarks. Ideal for families, healthcare providers, and researchers seeking quality long-term care information.
Main info
Name
Royal Plaza Health and Rehabilitation of Cascadia
Address
2870 Juniper Drive, Lewiston, ID 83501
Federal Provider Number
135116
Phone
(208) 746-2855
Ownership Type
For profit - Partnership
Certified Beds
76
Residents in Certified Beds
66.8
Nursing Home Type
Medicare and Medicaid
Residence in Hospital
Legal Business Name
LEWISTON CENTER OF CASCADIA, LLC
Date of First Medicare/Medicaid Approval
1993-12-01
Continuing Care Retirement Community
Data current as of
31 May 2026
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Location
2870 Juniper Drive
Lewiston, ID 83501
Phone: (208) 746-2855
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 | 4 | 3.17 | 5 |
| Health inspection | 4 | 2.7 | 5 |
| Staffing | 3 | 3.04 | 5 |
| Quality measures | 2 | 4.23 | 5 |
| Certified beds | 76 | 75.9 | — |
| Citations on file (health + fire) | 120 | ~9.6 health* | — |
- Cascadia of Lewiston — 2★ overall
- 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
* 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 | - | 01/23/2025 |
| CASCADIA SERVICES LLC | ADP OF THE SNF | Organization | - | 01/23/2025 |
| 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 | - | 07/04/2025 |
| RUDOLPH, JOHN BRADLEY | ADP OF THE SNF | Individual | - | 07/29/2025 |
| CASCADIA HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | - | 12/27/2021 |
| CASCADIA HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 02/01/2022 |
| CASCADIA HEALTHCARE LLC | INDIRECT OWNERSHIP INTEREST | Organization | 100.00 | 02/01/2022 |
| LAFORTE, STEPHEN J | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 06/05/2025 |
| LAFORTE, STEPHEN J | INDIRECT OWNERSHIP INTEREST | Individual | 33.33 | 06/05/2025 |
| FLEMMING, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 02/05/2024 |
| FLEMMING, THOMAS | ADP OF THE SNF | Individual | - | 06/19/2025 |
| HAMMOND, OWEN C | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 02/01/2022 |
| HAMMOND, OWEN C | INDIRECT OWNERSHIP INTEREST | Individual | 33.34 | 02/01/2022 |
| TIMBERLINE OHI TENANT LLC | 5% OR GREATER SECURITY INTEREST | Organization | 100.00 | 06/05/2025 |
| TIMBERLINE OHI TENANT LLC | ADP OF THE SNF | Organization | - | 06/05/2025 |
| WHITE OAK HEALTHCARE FINANCE LLC | 5% OR GREATER SECURITY INTEREST | Organization | 100.00 | 08/11/2022 |
| 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 | DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 02/01/2022 |
| NELSON, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 06/05/2025 |
| NELSON, TIMOTHY | INDIRECT OWNERSHIP INTEREST | Individual | 33.33 | 06/05/2025 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
120 citations on file · Latest survey: 17 April 2025 · 81 health · 39 fire safety
D: 60
F: 24
E: 21
J: 6
G: 6
H: 3
All
Health
Fire safety
Last 24 months
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-04-17 | 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. |
| 2025-04-17 | 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. |
| 2025-04-17 | 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. |
| 2025-04-17 | F760 | D — Minimal harm, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2025-04-17 | F760 | D — Minimal harm, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2025-04-17 | F760 | D — Minimal harm, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2025-04-17 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-04-17 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-04-17 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2024-11-08 | F908 | E — Minimal harm, pattern | Health | Keep all essential equipment working safely. |
| 2024-11-08 | F908 | E — Minimal harm, pattern | Health | Keep all essential equipment working safely. |
| 2024-11-08 | F908 | E — Minimal harm, pattern | Health | Keep all essential equipment working safely. |
| 2024-11-08 | F760 | D — Minimal harm, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2024-11-08 | F760 | D — Minimal harm, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2024-11-08 | F760 | D — Minimal harm, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2024-11-08 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2024-11-08 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2024-11-08 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2024-11-08 | F657 | D — Minimal harm, isolated | Health | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2024-11-08 | F657 | D — Minimal harm, isolated | Health | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-04-17 | K211 | D — Minimal harm, isolated | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2025-04-17 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-04-17 | E36 | E — Minimal harm, pattern | Fire Safety | Establish emergency prep training and testing. |
| 2025-04-17 | E37 | E — Minimal harm, pattern | Fire Safety | Establish staff and initial training requirements. |
| 2025-04-17 | K211 | D — Minimal harm, isolated | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2025-04-17 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-04-17 | K927 | D — Minimal harm, isolated | Fire Safety | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. |
| 2025-04-17 | K927 | D — Minimal harm, isolated | Fire Safety | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. |
| 2025-04-17 | E37 | E — Minimal harm, pattern | Fire Safety | Establish staff and initial training requirements. |
| 2025-04-17 | K211 | D — Minimal harm, isolated | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2025-04-17 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-04-17 | K927 | D — Minimal harm, isolated | Fire Safety | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. |
| 2025-04-17 | E36 | E — Minimal harm, pattern | Fire Safety | Establish emergency prep training and testing. |
| 2025-04-17 | E37 | E — Minimal harm, pattern | Fire Safety | Establish staff and initial training requirements. |
| 2025-04-17 | E36 | E — Minimal harm, pattern | Fire Safety | Establish emergency prep training and testing. |
| 2021-07-24 | K914 | F — Minimal harm, widespread | Fire Safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. |
| 2021-07-24 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2021-07-24 | E15 | F — Minimal harm, widespread | Fire Safety | Address subsistence needs for staff and patients. |
| 2021-07-24 | E36 | F — Minimal harm, widespread | Fire Safety | Establish emergency prep training and testing. |
| 2021-07-24 | E37 | F — Minimal harm, widespread | Fire Safety | Establish staff and initial training requirements. |
Additional information
Get more details on Royal Plaza Health and Rehabilitation of Cascadia, including health inspection results, staffing levels, and facility amenities.
Discover how the home meets care standards and ensures residents' well-being.
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| Quality of Resident Care Rating | 2 |
| Quality of Resident Care Rating (Long Stay) | 5 |
| Quality of Resident Care Rating (Short Stay) | 2 |
| Staffing Rating | 3 |
| RN Staffing Rating | 5 |
| Reported CNA Staffing Hours per Resident per Day | 2.07686 |
| Reported LPN Staffing Hours per Resident per Day | 0.40756 |
| Reported RN Staffing Hours per Resident per Day | 0.89026 |
| Reported Licensed Staffing Hours per Resident per Day | 1.29782 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.33499 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.05192 |
| Casemix CNA Staffing Hours per Resident per Day | 2.05583 |
| Casemix LPN Staffing Hours per Resident per Day | 0.66945 |
| Casemix RN Staffing Hours per Resident per Day | 0.29961 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.02488 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.08555 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.40858 |
| Adjusted RN Staffing Hours per Resident per Day | 0.89249 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.34334 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-10-18 |
Date of Standard Health Survey (Cycle 2) | 2018-06-29 |
Total Number of Health Deficiencies (Cycle 1) | 12 |
Number of Standard Health Deficiencies (Cycle 1) | 12 |
Health Deficiency Score (Cycle 1) | 84 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 84 |
Total Number of Health Deficiencies (Cycle 2) | 8 |
Number of Standard Health Deficiencies (Cycle 2) | 8 |
Health Deficiency Score (Cycle 2) | 76 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 76 |
Date of Standard Health Survey (Cycle 3) | 2017-04-20 |
Total Number of Health Deficiencies (Cycle 3) | 3 |
Number of Standard Health Deficiencies (Cycle 3) | 3 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 12 |
Total Health Score (Cycle 3) | 12 |
Total Weighted Health Survey Score | 31 |
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 | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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