Idaho ›Payette

Payette Healthcare of Cascadia

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1019 Third Avenue South, Payette, ID 83661 (opens Google Maps) · Payette County · (208) 642-4455· 80 certified beds · avg 51 residents/day · certified since Jul 1, 1977 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

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

4/5
Health inspection rating (on-site)
inspected Sep 12, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.71
Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 25 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    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. · from a complaint F-0600

  2. D · Potential for more than minimal harm, isolated

    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 F-0628

  3. D · Potential for more than minimal harm, isolated

    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 F-0641

View all 25 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Sep 12, 2025D · Potential for more than minimal harm, isolatedThe 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. · from a complaint · F-0600
Sep 12, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0628
Sep 12, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0641
Sep 12, 2025D · Potential for more than minimal harm, isolatedThe 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. · from a complaint · F-0657
Sep 12, 2025D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658
Sep 12, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0684
Sep 12, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0695
Sep 12, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint · F-0757
Sep 12, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0761
Sep 12, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0880
Aug 9, 2024E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Aug 9, 2024E · Potential for more than minimal harm, patternThe 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 · F-0880
Aug 9, 2024D · Potential for more than minimal harm, isolatedThe 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. · from a complaint · F-0554
Aug 9, 2024D · Potential for more than minimal harm, isolatedThe 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. · from a complaint · F-0693
Aug 9, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0695
Aug 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint · F-0730
Aug 9, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0761
Aug 9, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · from a complaint · F-0883
Sep 6, 2019D · Potential for more than minimal harm, isolatedThe 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. · F-0623
Sep 6, 2019D · Potential for more than minimal harm, isolatedThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625
Sep 6, 2019D · Potential for more than minimal harm, isolatedThe facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636
Sep 6, 2019D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Sep 6, 2019D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Sep 6, 2019D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Sep 6, 2019D · Potential for more than minimal harm, isolatedThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 10).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2019
All citations: 7
Serious citations (G–L): 0
2024
All citations: 8
Serious citations (G–L): 0
2025
All citations: 10
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
201970D
202480E
2025100D

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityIdaho averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.71
Idaho average: 4.03
U.S. average: 3.95
Registered Nurse hours
This facility: 1.12
Idaho average: 0.87
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.18
Idaho average: 3.48
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityIdaho avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.714.033.95top 49% in Idaho; bottom 47% in the U.S.
Registered Nurse hours1.120.870.69top 18% in Idaho; top 11% in the U.S.
Weekend total nurse staffing3.183.483.50bottom 47% in Idaho; bottom 41% in the U.S.
Weekend RN hours (not acuity-adjusted)0.620.560.48top 32% in Idaho; top 21% in the U.S.
Total nursing staff turnover (%)55.850.345.8bottom 27% in Idaho; bottom 23% in the U.S.
RN turnover (%)35.741.042.9top 37% in Idaho; top 39% in the U.S.

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 3.58, RN 1.08, weekend 3.08.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.58 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Payette Healthcare of Cascadia. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

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

Owner / managerTypeRoleStakeSince
Cascadia HC Group LLCOrganizationIndirect Ownership InterestNOT APPLICABLE06/05/2025
Cascadia Healthcare LLCOrganizationIndirect Ownership InterestNOT APPLICABLE06/01/2020
Cascadia Holdco LLCOrganizationIndirect Ownership InterestNOT APPLICABLE06/05/2025
Cascadia Idaho Operations LLCOrganizationDirect Ownership InterestNOT APPLICABLE06/01/2020
Hammond, OwenIndividualIndirect Ownership InterestNOT APPLICABLE06/01/2020
Laforte, StephenIndividualIndirect Ownership InterestNOT APPLICABLE06/05/2025
Nelson, TimothyIndividualIndirect Ownership InterestNOT APPLICABLE06/05/2025
Aldridge, BrandonIndividualOperational/Managerial ControlNOT APPLICABLE04/01/2020
Aldridge, BrandonIndividualADP of the SNFNOT APPLICABLE07/15/2025
Cascadia HC Group LLCOrganizationOperational/Managerial ControlNOT APPLICABLE06/05/2025
Cascadia Holdco LLCOrganizationOperational/Managerial ControlNOT APPLICABLE06/05/2025
Cascadia Idaho Operations LLCOrganizationOperational/Managerial ControlNOT APPLICABLE06/01/2020
Cascadia Services LLCOrganizationOperational/Managerial ControlNOT APPLICABLE06/22/2016
Cascadia Services LLCOrganizationADP of the SNFNOT APPLICABLE07/15/2025
Hammond, OwenIndividualOperational/Managerial ControlNOT APPLICABLE06/01/2020
Laforte, StephenIndividualOperational/Managerial ControlNOT APPLICABLE06/05/2025
Ludwig, JasonIndividualOperational/Managerial ControlNOT APPLICABLE12/21/2023
Ludwig, JasonIndividualADP of the SNFNOT APPLICABLE07/15/2025
Nelson, TimothyIndividualOperational/Managerial ControlNOT APPLICABLE06/05/2025
Timberline Ohi Tenant LLCOrganization5% or Greater Security InterestNOT APPLICABLE06/05/2025

Showing 20 of 22 parties CMS has on file for this facility; 2 are not displayed. The full list is in the CMS Ownership dataset.

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.

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.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"
  • "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
  • "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
  • "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"

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 56% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 22 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Weiser Care of Cascadia12.4 miWeiser, ID★★★☆☆3/5
Pioneer Nursing Home17.1 miVale, OR★★★★☆4/5

Compare this facility with the 2 closest →

All facilities in Payette →

Facility data as of CMS processing date 2026-08-01. CCN 135015.

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