Lewiston Transitional Care of Cascadia

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 3.51, RN 0.42, weekend 3.10.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.51 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

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 19 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.

• 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
• Shaw Mountain of Cascadia — Boise, ID · overall 3/5
• Silverton Health and Rehabilitation of Cascadia — Silverton, ID · overall —/5SFF
• Teton Healthcare of Cascadia — Idaho Falls, ID · overall 1/5

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 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?"

Also worth asking anywhere

• "Your weekend nurse staffing is reported below the Idaho midpoint — how does the weekend schedule differ from a weekday?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 48% total nursing staff turnover here — who on the care team has been with you longest?"
• "The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

All facilities in Lewiston →