Arbor Valley of Cascadia
8211 Ustick Road, Boise, ID 83704 · Ada County · 148 certified beds · avg 137 residents/day · certified since Jan 28, 1980
Part of chain: CASCADIA HEALTHCARE (46 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (25)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 16, 2025 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Apr 5, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint |
| Apr 5, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Apr 5, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · from a complaint |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · from a complaint |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Dec 2, 2022 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 2, 2022 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Dec 2, 2022 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 0 | E |
| 2024 | 11 | 0 | E |
| 2025 | 11 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Idaho avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.72 | 4.03 | 3.95 | bottom 4% in Idaho; bottom 7% in the U.S. |
| Registered Nurse hours | 0.49 | 0.87 | 0.69 | bottom 14% in Idaho; bottom 37% in the U.S. |
| Weekend total nurse staffing | 2.31 | 3.48 | 3.50 | bottom 4% in Idaho; bottom 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.56 | 0.48 | bottom 35% in Idaho; top 44% in the U.S. |
| Total nursing staff turnover (%) | 53.7 | 50.3 | 45.8 | bottom 32% in Idaho; bottom 28% in the U.S. |
| RN turnover (%) | 42.9 | 41.0 | 42.9 | bottom 45% in Idaho; bottom 49% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.50, RN 0.63, weekend 2.97. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cascadia Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2020 |
| Cascadia Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/09/2025 |
| Hammond, Owen | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2020 |
| Hopkins, Nicholas | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/11/2025 |
| Hopkins, Nicholas | Individual | ADP of the SNF | NOT APPLICABLE | 08/07/2025 |
| Timberline Ohi Tenant LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/05/2025 |
| White Oak Healthcare Finance LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2020 |
| Williams, Ryan | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2021 |
| Williams, Ryan | Individual | ADP of the SNF | NOT APPLICABLE | 02/18/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you handle room assignments and roommate requests, and do residents get advance written notice before any move?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Timber Springs Transitional Care | 1.6 mi | Boise, ID | ★☆☆☆☆ | 1/5 | abuseSFF |
| Cascadia of Boise | 1.9 mi | Boise, ID | ★☆☆☆☆ | 2/5 | |
| Life Care Center of Treasure Valley | 2.0 mi | Boise, ID | ★★★★☆ | 3/5 | |
| Life Care Center of Boise | 2.1 mi | Boise, ID | ★★★★★ | 4/5 | |
| Skyline Transitional Care Center | 3.0 mi | Boise, ID | ★★★★☆ | 4/5 | |
| Sunterra Springs Riverview | 3.3 mi | Boise, ID | ★★★★☆ | 3/5 | |
| Idaho State Veterans Home - Boise | 4.6 mi | Boise, ID | ★★☆☆☆ | 1/5 | |
| Meridian Meadows Transitional Care | 4.6 mi | Meridian, ID | ★☆☆☆☆ | 1/5 | abuse |
| Aspen Transitional Rehabilitation | 4.9 mi | Meridian, ID | ★★★☆☆ | 2/5 | abuse |
| Shaw Mountain of Cascadia | 5.2 mi | Boise, ID | ★★★☆☆ | 2/5 | |
| Creekside Transitional Care and Rehabilitation | 6.7 mi | Meridian, ID | ★★★★☆ | 3/5 | |
| Terraces of Boise, the | 9.2 mi | Boise, ID | ★★☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 135079.