How to file a complaint about care →

No fines or payment denials in the published 3-year window.

What these staffing numbers mean →

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 3.27, RN 0.85, weekend 2.66.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.27 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

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

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.

• 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
• Mountain Valley of Cascadia — Kellogg, ID · overall 4/5
• Orchards of Cascadia, the — Nampa, ID · overall 1/5
• Paradise Creek Health and Rehab of Cascadia — Moscow, 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.

Full visit checklist →

Print visit checklist

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?"

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 54% 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?"

Compare this facility with the 3 closest →

All facilities in Orofino →