Cove of Cascadia, the

Name: Cove of Cascadia, the
Address: 620 North Sixth Street, Bellevue, ID, 83313, US
Telephone: 2087887180

620 North Sixth Street, Bellevue, ID 83313 · Blaine County · 32 certified beds · avg 32 residents/day · certified since May 7, 1982

Part of chain: CASCADIA HEALTHCARE (46 facilities, chain avg rating 3.0★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.80

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Oct 25, 2024 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Sep 3, 2024 (Past Non-Compliance)

All citations in the current public record (18)

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
Nov 21, 2025	E · Potential for harm, repeated	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
Nov 21, 2025	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint
Nov 21, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Nov 21, 2025	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
Nov 21, 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.
Nov 21, 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. · from a complaint
Oct 25, 2024	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Oct 25, 2024	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.
Oct 25, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Oct 25, 2024	D · Potential for harm, one-off	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.
Oct 25, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Oct 25, 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.
Jun 29, 2023	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.
Jun 29, 2023	E · Potential for harm, repeated	The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location.
Jun 29, 2023	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.
Jun 29, 2023	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.
Jun 29, 2023	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Jun 29, 2023	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2023	6	0	E
2024	6	1	G ▲
2025	6	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)	3.80	4.03	3.95	top 42% in Idaho; top 48% in the U.S.
Registered Nurse hours	0.98	0.87	0.69	top 27% in Idaho; top 16% in the U.S.
Weekend total nurse staffing	3.20	3.48	3.50	top 49% in Idaho; bottom 42% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.92	0.56	0.48	top 11% in Idaho; top 8% in the U.S.
Total nursing staff turnover (%)	39.5	50.3	45.8	top 20% in Idaho; top 35% 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 4.46, RN 1.15, weekend 3.75. Staffing rating: 4/5.

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: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Cascadia Healthcare LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/01/2020
Hammond, Owen	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/01/2020
Laforte, Stephen	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/05/2025
Nelson, Timothy	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/05/2025
Bellevue 620 Realty, LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/05/2025
Cascadia Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2020
Cascadia Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2020
Cascadia Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2020
Hammond, Owen	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2020
Royeca, Darwin	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2020
Royeca, Darwin	Individual	ADP of the SNF	NOT APPLICABLE	11/26/2025
White Oak Healthcare Finance LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	08/11/2022
Williams, Ryan	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2020
Williams, Ryan	Individual	ADP of the SNF	NOT APPLICABLE	11/26/2025

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 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?"
"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
Lincoln County Care Center	37.5 mi	Shoshone, ID	★★★☆☆	3/5

Compare this facility with the 1 closest →

All facilities in Bellevue →

Facility data as of CMS processing date 2026-08-01. CCN 135069.

The Care File

Visit checklist — Cove of Cascadia, the

620 North Sixth Street, Bellevue, ID 83313 · 2087887180

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Most serious findings on record:

▲ Oct 25, 2024 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "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?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 135069 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)