Cove of Cascadia, the

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 4.46, RN 1.15, weekend 3.75.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.46 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

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

All 14 owning or managing parties CMS has on file are shown — none excluded.

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.

• 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
• Payette Healthcare of Cascadia — Payette, ID · overall 5/5
• Royal Plaza Health and Rehabilitation of Cascadia — Lewiston, ID · overall 2/5

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.

• "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
• "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
• "Where do you post your daily staffing numbers, and can I see today's?"
• "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
• "What systems do you use to prevent medication errors, and what happens when one occurs?"
• "Can you show me how medications are stored and secured on the units, including controlled drugs?"
• "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
• "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"

Also worth asking anywhere

• "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 40% total nursing staff turnover here — who on the care team has been with you longest?"
• "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

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