Clearwater Health & Rehabilitation of Cascadia
1204 Shriver Road, Orofino, ID 83544 · Clearwater County · 60 certified beds · avg 39 residents/day · certified since Nov 19, 1969
Part of chain: CASCADIA HEALTHCARE (46 facilities, chain avg rating 3.0★)
3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.36
Nurse hours/resident/day (adjusted)
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 (24)
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 |
|---|---|---|
| Jun 26, 2026 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. · from a complaint |
| Jun 26, 2026 | 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. · from a complaint |
| Jun 26, 2026 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint |
| Jun 26, 2026 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jun 26, 2026 | 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 |
| Jun 26, 2026 | 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 |
| Jun 26, 2026 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint |
| Jun 26, 2026 | 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 |
| Jun 26, 2026 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · from a complaint |
| Jun 26, 2026 | 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. · from a complaint |
| Jun 26, 2026 | 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. · from a complaint |
| Jun 26, 2026 | D · Potential for harm, one-off | The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training. · from a complaint |
| Jun 26, 2026 | D · Potential for harm, one-off | 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. · from a complaint |
| Jun 26, 2026 | D · Potential for harm, one-off | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · from a complaint |
| Apr 17, 2025 | 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. · from a complaint |
| Apr 17, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Apr 17, 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 |
| Apr 17, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint |
| Apr 17, 2025 | D · Potential for harm, one-off | 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 |
| Apr 17, 2025 | 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 17, 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. · from a complaint |
| Feb 4, 2022 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Feb 4, 2022 | 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. |
| Feb 4, 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 14).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 0 | E |
| 2025 | 7 | 0 | E |
| 2026 | 14 | 0 | F |
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) | 3.36 | 4.03 | 3.95 | bottom 29% in Idaho; bottom 29% in the U.S. |
| Registered Nurse hours | 0.88 | 0.87 | 0.69 | top 39% in Idaho; top 22% in the U.S. |
| Weekend total nurse staffing | 2.73 | 3.48 | 3.50 | bottom 19% in Idaho; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.56 | 0.48 | bottom 33% in Idaho; top 44% in the U.S. |
| Total nursing staff turnover (%) | 54.1 | 50.3 | 45.8 | bottom 31% in Idaho; bottom 27% in the U.S. |
| RN turnover (%) | 22.2 | 41.0 | 42.9 | top 11% in Idaho; top 17% 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 3.27, RN 0.85, weekend 2.66. Staffing rating: 3/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
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 | 01/01/2017 |
| Cascadia Holdco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/05/2025 |
| Cascadia Idaho Operations LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 01/01/2017 |
| Hammond, Owen | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2017 |
| Laforte, Stephen | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/05/2025 |
| Nelson, Timothy | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/05/2025 |
| Bowen, Andrea | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/11/2023 |
| Bowen, Andrea | Individual | ADP of the SNF | NOT APPLICABLE | 07/02/2025 |
| Cascadia HC Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Cascadia Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Cascadia Holdco LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Cascadia Idaho Operations LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Cascadia Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/13/2025 |
| Cascadia Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/13/2025 |
| Hammond, Owen | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Laforte, Stephen | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Nelson, Timothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Orofino 1204 Realty, LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 06/05/2025 |
| Orofino 1204 Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/05/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can I see where garbage is stored and how often it's removed?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "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 |
|---|---|---|---|---|---|
| Orchard View Post Acute | 34.8 mi | Lewiston, ID | ★★☆☆☆ | 2/5 | |
| Royal Plaza Health and Rehabilitation of Cascadia | 34.9 mi | Lewiston, ID | ★★☆☆☆ | 2/5 | |
| Cascadia of Lewiston | 34.9 mi | Lewiston, ID | ★★★★☆ | 4/5 | |
| Lewiston Transitional Care of Cascadia | 35.1 mi | Lewiston, ID | ★★★★☆ | 4/5 | |
| Life Care Center of Lewiston | 36.0 mi | Lewiston, ID | ★★★★★ | 5/5 | |
| Idaho State Veterans Home - Lewiston | 36.3 mi | Lewiston, ID | ★★★★★ | 4/5 | |
| Paradise Creek Health and Rehab of Cascadia | 37.3 mi | Moscow, ID | ★★★★☆ | 4/5 | |
| Clarkston Health and Rehab of Cascadia | 37.6 mi | Clarkston, WA | ★★★☆☆ | 2/5 | |
| Aspen Park of Cascadia | 37.6 mi | Moscow, ID | ★★★★★ | 4/5 | |
| Grangeville Health & Rehabilitation of Cascadia | 39.9 mi | Grangeville, ID | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 135048.