Lewiston Transitional Care of Cascadia

Name: Lewiston Transitional Care of Cascadia
Address: 3315 8th Street, Lewiston, ID, 83501, US
Telephone: 2087439543

3315 8th Street, Lewiston, ID 83501 · Nez Perce County · 96 certified beds · avg 66 residents/day · certified since Sep 1, 1972

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

3.34

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.

All citations in the current public record (20)

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 21, 2025	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.
Aug 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.
Aug 21, 2025	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.
Aug 21, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Aug 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 21, 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.
Jun 13, 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. · from a complaint
Jun 13, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint
Jun 13, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Jan 9, 2020	E · Potential for harm, repeated	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.
Jan 9, 2020	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.
Jan 9, 2020	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.
Jan 9, 2020	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Jan 9, 2020	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.
Jan 9, 2020	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.
Jan 9, 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.
Jan 9, 2020	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jan 9, 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.
Jan 9, 2020	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.
Jan 9, 2020	C · Minimal risk, facility-wide	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 6).

Year	Citations	Worst severity that year
2020	11	E
2024	3	E
2025	6	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)	3.34	4.03	3.95	bottom 25% in Idaho; bottom 28% in the U.S.
Registered Nurse hours	0.40	0.87	0.69	bottom 8% in Idaho; bottom 23% in the U.S.
Weekend total nurse staffing	2.95	3.48	3.50	bottom 29% in Idaho; bottom 28% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.24	0.56	0.48	bottom 5% in Idaho; bottom 19% in the U.S.
Total nursing staff turnover (%)	48.1	50.3	45.8	top 45% in Idaho; bottom 42% in the U.S.
RN turnover (%)	55.6	41.0	42.9	bottom 23% in Idaho; bottom 28% 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 3.51, RN 0.42, weekend 3.10. Staffing rating: 2/5.

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: 2/5 · long-stay residents: 2/5 · short-stay residents: 1/5

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	02/01/2022
Cascadia Holdco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/05/2025
Cascadia Idaho Operations LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	02/01/2022
Hammond, Owen	Individual	Indirect Ownership Interest	NOT APPLICABLE	10/01/2017
Laforte, Stephen	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/05/2025
Nelson, Timothy	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/05/2025
Cascadia Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/23/2025
Cascadia Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/23/2025
Hammond, Owen	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2017
Laforte, Stephen	Individual	Operational/Managerial Control	NOT APPLICABLE	06/05/2025
McKay, Breanna	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2017
McKay, Breanna	Individual	ADP of the SNF	NOT APPLICABLE	06/19/2025
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	07/11/2025
Timberline Ctre Tenant LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	06/05/2025
Timberline Ctre Tenant LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/05/2025
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 is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"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
Orchard View Post Acute	0.6 mi	Lewiston, ID	★★☆☆☆	2/5
Cascadia of Lewiston	0.9 mi	Lewiston, ID	★★★★☆	4/5
Royal Plaza Health and Rehabilitation of Cascadia	0.9 mi	Lewiston, ID	★★☆☆☆	2/5
Life Care Center of Lewiston	0.9 mi	Lewiston, ID	★★★★★	5/5
Idaho State Veterans Home - Lewiston	1.8 mi	Lewiston, ID	★★★★★	4/5
Clarkston Health and Rehab of Cascadia	3.3 mi	Clarkston, WA	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Lewiston →

Facility data as of CMS processing date 2026-08-01. CCN 135021.

The Care File

Visit checklist — Lewiston Transitional Care of Cascadia

3315 8th Street, Lewiston, ID 83501 · 2087439543

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

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "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 135021 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)