Grangeville Health & Rehabilitation of Cascadia
410 East North Second Street, Grangeville, ID 83530 · Idaho County · 60 certified beds · avg 43 residents/day · certified since Jan 1, 1980
Part of chain: CASCADIA HEALTHCARE (46 facilities, chain avg rating 3.0★)
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.
All citations in the current public record (13)
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 |
|---|---|---|
| Aug 8, 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. · from a complaint |
| Aug 8, 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 |
| Aug 8, 2025 | 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. · from a complaint |
| Aug 8, 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 |
| Aug 8, 2025 | 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 |
| Aug 8, 2025 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · from a complaint |
| Oct 25, 2024 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint |
| Oct 25, 2024 | 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 |
| Feb 6, 2020 | 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 6, 2020 | 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. |
| Feb 6, 2020 | 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. |
| Feb 6, 2020 | 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. |
| Feb 6, 2020 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 5 | 0 | F |
| 2024 | 2 | 0 | F |
| 2025 | 6 | 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) | 3.69 | 4.03 | 3.95 | bottom 47% in Idaho; bottom 46% in the U.S. |
| Registered Nurse hours | 0.76 | 0.87 | 0.69 | top 46% in Idaho; top 31% in the U.S. |
| Weekend total nurse staffing | 3.32 | 3.48 | 3.50 | top 42% in Idaho; bottom 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.47 | 0.56 | 0.48 | bottom 42% in Idaho; top 37% in the U.S. |
| Total nursing staff turnover (%) | 75.0 | 50.3 | 45.8 | bottom 4% in Idaho; bottom 3% in the U.S. |
| RN turnover (%) | 28.6 | 41.0 | 42.9 | top 26% in Idaho; top 26% 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 3.43, RN 0.71, weekend 3.09. 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 - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Hammond, Owen | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2022 |
| 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 | 09/17/2021 |
| Cascadia Holdco LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Cascadia Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/21/2025 |
| Cascadia Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/21/2025 |
| Grangeville 410 Realty, LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 06/05/2025 |
| Grangeville 410 Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/05/2025 |
| Hammond, Owen | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2022 |
| Jenkins, Adam | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/17/2024 |
| Jenkins, Adam | Individual | ADP of the SNF | NOT APPLICABLE | 02/26/2025 |
| Laforte, Stephen | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Nelson, Timothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Rudolph, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/04/2025 |
| Rudolph, John | Individual | ADP of the SNF | NOT APPLICABLE | 08/07/2025 |
| White Oak Healthcare Finance LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 08/11/2022 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "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 |
|---|---|---|---|---|---|
| Clearwater Health & Rehabilitation of Cascadia | 39.9 mi | Orofino, ID | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 135080.