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Cascadia of Lewiston
2852 Juniper Drive, Lewiston, ID 83501 (opens Google Maps) · Nez Perce County · (208) 748-7700· 34 certified beds · avg 31 residents/day · certified since Jun 28, 2018 · Medicare only — not Medicaid certified
Certified for Medicare only. Medicare pays for short rehabilitation stays, not for long-term care — and this facility cannot bill Medicaid, which is what most families rely on for a long stay. Ask what a long-term stay here would cost and how it would be paid for. Who pays for nursing home care →
Part of chain: CASCADIA HEALTHCARE (46 facilities, chain avg rating 3.0★)
4/5
Health inspection rating (on-site)
inspected May 21, 2026
1
Serious findings on record
most recent Apr 3, 2025
$0
Fines, last 3 years
3.03
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Apr 3, 2025 · F-0760
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
▲ Actual harm, isolated · Apr 3, 2025 · F-0760
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 3, 2024 (Past Non-Compliance)
Inspection findings in the public record
Showing the latest 3 of 21 inspection findings. Open the full record below to read every finding.
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. F-0760
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. · from a complaint F-0812
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. · from a complaint F-0695
View all 21 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 3, 2025 | ▲ G · Actual harm, isolated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760 |
| Apr 3, 2025 | F · Potential for more than minimal harm, widespread | 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. · from a complaint · F-0812 |
| Apr 3, 2025 | E · Potential for more than minimal harm, pattern | 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. · from a complaint · F-0695 |
| Apr 3, 2025 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint · F-0804 |
| Apr 3, 2025 | D · Potential for more than minimal harm, isolated | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint · F-0554 |
| Apr 3, 2025 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint · F-0561 |
| Apr 3, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0610 |
| Apr 3, 2025 | D · Potential for more than minimal harm, isolated | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint · F-0622 |
| May 3, 2024 | E · Potential for more than minimal harm, pattern | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint · F-0756 |
| May 3, 2024 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761 |
| May 3, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0880 |
| May 3, 2024 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · from a complaint · F-0883 |
| May 3, 2024 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint · F-0585 |
| May 3, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| May 3, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0610 |
| May 3, 2024 | D · Potential for more than minimal harm, isolated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint · F-0623 |
| May 3, 2024 | D · Potential for more than minimal harm, isolated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint · F-0625 |
| May 3, 2024 | D · Potential for more than minimal harm, isolated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint · F-0655 |
| May 3, 2024 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0656 |
| May 3, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| May 3, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
Inspection trend by year
All citationsSerious citations (G–L)
2024
All citations: 13
Serious citations (G–L): 0
2025
All citations: 8
Serious citations (G–L): 1
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 13 | 0 | E |
| 2025 | 8 | 1 | G ▲ |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIdaho averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.03
Idaho average: 4.03
U.S. average: 3.95
Registered Nurse hours
This facility: 0.59
Idaho average: 0.87
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.57
Idaho average: 3.48
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Idaho avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.03 | 4.03 | 3.95 | bottom 11% in Idaho; bottom 15% in the U.S. |
| Registered Nurse hours | 0.59 | 0.87 | 0.69 | bottom 27% in Idaho; top 50% in the U.S. |
| Weekend total nurse staffing | 2.57 | 3.48 | 3.50 | bottom 10% in Idaho; bottom 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.63 | 0.56 | 0.48 | top 29% in Idaho; top 20% in the U.S. |
| Total nursing staff turnover (%) | 68.4 | 50.3 | 45.8 | bottom 9% in Idaho; bottom 7% in the U.S. |
| RN turnover (%) | 62.5 | 41.0 | 42.9 | bottom 15% in Idaho; bottom 19% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 4.31, RN 0.84, weekend 3.66.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.31 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Cascadia of Lewiston. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cascadia HC Group LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/05/2025 |
| Cascadia Healthcare LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2022 |
| Cascadia Holdco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/05/2025 |
| Cascadia Idaho Operations LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/01/2022 |
| Hammond, Owen | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2022 |
| Laforte, Stephen | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/05/2025 |
| Nelson, Timothy | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/05/2025 |
| Burt, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/14/2025 |
| Burt, James | Individual | ADP of the SNF | NOT APPLICABLE | 07/17/2025 |
| Cascadia HC Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Cascadia Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2022 |
| Cascadia Holdco LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Cascadia Idaho Operations LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2022 |
| Cascadia Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2022 |
| Cascadia Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2022 |
| Hammond, Owen | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2022 |
| Laforte, Stephen | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Lewiston 2852 Realty, LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 06/05/2025 |
| Lewiston 2852 Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/05/2025 |
| Nelson, Timothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
Showing 20 of 23 parties CMS has on file for this facility; 3 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Cascadia Healthcare — 46 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Cascadia of Nampa — Nampa, ID · overall 2/5SFF
- Cherry Ridge of Cascadia — Emmett, ID · overall 1/5SFF
- Clearwater Health & Rehabilitation of Cascadia — Orofino, ID · overall 3/5
- Coeur D Alene Health of Cascadia — Coeur D'alene, ID · overall 1/5
- Cove of Cascadia, the — Bellevue, ID · overall 4/5
- Eagle Rock Health and Rehabilitation of Cascadia — Idaho Falls, ID · overall 1/5
- Grangeville Health & Rehabilitation of Cascadia — Grangeville, ID · overall 4/5
- Lewiston Transitional Care of Cascadia — Lewiston, ID · overall 4/5
Listed by state, then facility name — not a ranking. Showing 8 of the 45 others, continuing from this facility's own place in that list.
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 systems do you use to prevent medication errors, and what happens when one occurs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Idaho midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 68% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 23 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Royal Plaza Health and Rehabilitation of Cascadia | 0.0 mi | Lewiston, ID | ★★☆☆☆ | 2/5 | |
| Lewiston Transitional Care of Cascadia | 0.9 mi | Lewiston, ID | ★★★★☆ | 4/5 | |
| Life Care Center of Lewiston | 1.3 mi | Lewiston, ID | ★★★★★ | 5/5 | |
| Orchard View Post Acute | 1.4 mi | Lewiston, ID | ★★☆☆☆ | 2/5 | |
| Idaho State Veterans Home - Lewiston | 1.4 mi | Lewiston, ID | ★★★★★ | 4/5 | |
| Clarkston Health and Rehab of Cascadia | 3.0 mi | Clarkston, WA | ★★★☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 135145.
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