Eagle Rock Health and Rehabilitation of Cascadia

Name: Eagle Rock Health and Rehabilitation of Cascadia
Address: 840 East Elva Street, Idaho Falls, ID, 83401, US
Telephone: 2085234795

840 East Elva Street, Idaho Falls, ID 83401 · Bonneville County · 113 certified beds · avg 82 residents/day · certified since Nov 1, 1981

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

1/5

Health inspection rating (on-site)

Serious findings on record

$8,018

Fines, last 3 years

3.32

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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 · Aug 14, 2024 · F-0760 · triggered by a complaint

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

Corrected: Nov 13, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (35)

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
Apr 2, 2026	E · Potential for harm, repeated	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).
Apr 2, 2026	E · Potential for harm, repeated	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.
Apr 2, 2026	E · Potential for harm, repeated	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.
Apr 2, 2026	E · Potential for harm, repeated	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.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Apr 2, 2026	D · Potential for harm, one-off	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.
Apr 2, 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.
Apr 2, 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.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Apr 2, 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.
Apr 2, 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.
Apr 2, 2026	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.
Apr 2, 2026	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.
Apr 2, 2026	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Apr 2, 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.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Apr 2, 2026	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.
Apr 2, 2026	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.
Sep 15, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. · from a complaint
Sep 15, 2025	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
Sep 15, 2025	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint
Feb 21, 2025	F · Potential for harm, facility-wide	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.
Feb 21, 2025	E · Potential for harm, repeated	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 21, 2025	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.
Feb 21, 2025	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.
Feb 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.
Aug 14, 2024	▲ G · Actual 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
Aug 14, 2024	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. · from a complaint
Aug 14, 2024	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
Aug 14, 2024	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
Jan 11, 2024	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
Jan 11, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · from a complaint
Jan 11, 2024	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

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 20).

Year	Citations	Serious (G–L)	Worst severity that year
2024	7	1	G ▲
2025	8	0	F
2026	20	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)

1 fine totaling $8,018.

Date	Type	Amount / length
Aug 14, 2024	Fine	$8,018

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)	3.32	4.03	3.95	bottom 24% in Idaho; bottom 27% in the U.S.
Registered Nurse hours	1.11	0.87	0.69	top 19% in Idaho; top 12% in the U.S.
Weekend total nurse staffing	2.93	3.48	3.50	bottom 27% in Idaho; bottom 27% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.90	0.56	0.48	top 13% in Idaho; top 8% in the U.S.
Total nursing staff turnover (%)	42.6	50.3	45.8	top 25% in Idaho; top 43% in the U.S.
RN turnover (%)	31.3	41.0	42.9	top 29% in Idaho; top 32% 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 3.67, RN 1.23, weekend 3.24. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5

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	03/01/2023
Cascadia Holdco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/05/2025
Cascadia Idaho Operations LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	03/01/2023
Hammond, Owen	Individual	Indirect Ownership Interest	NOT APPLICABLE	03/01/2023
Laforte, Stephen	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/05/2025
Nelson, Timothy	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/05/2025
Cascadia HC Group LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/05/2025
Cascadia Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/01/2023
Cascadia Holdco LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/05/2025
Cascadia Idaho Operations LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/01/2023
Cascadia Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/21/2022
Cascadia Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/17/2025
Davis, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	03/03/2025
Davis, Michael	Individual	ADP of the SNF	NOT APPLICABLE	07/02/2025
Hammond, Owen	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2023
Idaho Falls 840 Realty, LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	06/05/2025
Idaho Falls 840 Realty, LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/05/2025
Laforte, Stephen	Individual	Operational/Managerial Control	NOT APPLICABLE	06/05/2025
Nelson, Timothy	Individual	Operational/Managerial Control	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.

"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How do you explain health changes and treatment options to residents and their families?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"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
Life Care Center of Idaho Falls	2.5 mi	Idaho Falls, ID	★★★☆☆	2/5
Teton Healthcare of Cascadia	2.8 mi	Idaho Falls, ID	★☆☆☆☆	1/5
Promontory Point Rehabilitation	4.5 mi	Ammon, ID	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Idaho Falls →

Facility data as of CMS processing date 2026-08-01. CCN 135092.

The Care File

Visit checklist — Eagle Rock Health and Rehabilitation of Cascadia

840 East Elva Street, Idaho Falls, ID 83401 · 2085234795

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $8,018

Most serious findings on record:

▲ Aug 14, 2024 (F-0760, Actual 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.

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "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 135092 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)