Teton Healthcare of Cascadia

Name: Teton Healthcare of Cascadia
Address: 3111 Channing Way, Idaho Falls, ID, 83404, US
Telephone: 2085290067

3111 Channing Way, Idaho Falls, ID 83404 · Bonneville County · 88 certified beds · avg 70 residents/day · certified since Sep 5, 2013

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

1/5

Health inspection rating (on-site)

Serious findings on record

$36,190

Fines, last 3 years

3.76

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 · Dec 20, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

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: Jan 24, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Dec 20, 2024 · F-0726 · triggered by a complaint

The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.

Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.

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: Jan 24, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (37)

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
Mar 6, 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.
Mar 6, 2026	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Mar 6, 2026	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Mar 6, 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.
Mar 6, 2026	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).
Mar 6, 2026	D · Potential for harm, one-off	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.
Mar 6, 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.
Mar 6, 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.
Mar 6, 2026	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.
Mar 6, 2026	D · Potential for harm, one-off	The 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.
Mar 6, 2026	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.
Mar 6, 2026	D · Potential for harm, one-off	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.
Mar 6, 2026	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.
Aug 15, 2025	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. · from a complaint
Aug 15, 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. · from a complaint
Aug 15, 2025	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
Aug 15, 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
Dec 20, 2024	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 20, 2024	▲ G · Actual 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
Dec 20, 2024	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
Dec 20, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Dec 20, 2024	E · Potential for harm, repeated	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
Dec 20, 2024	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. · from a complaint
Dec 20, 2024	E · Potential for harm, repeated	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. · from a complaint
Dec 20, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Dec 20, 2024	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. · from a complaint
Dec 20, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint
Dec 20, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Dec 20, 2024	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. · from a complaint
Dec 20, 2024	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. · from a complaint
Dec 20, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Dec 20, 2024	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint
Dec 20, 2024	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. · from a complaint
Dec 20, 2024	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. · from a complaint
Dec 20, 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
Dec 20, 2024	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
Aug 4, 2022	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (19 → 13).

Year	Citations	Serious (G–L)	Worst severity that year
2022	1	0	D
2024	19	2	G ▲
2025	4	0	D
2026	13	0	D

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)

2 fines totaling $36,190.

Date	Type	Amount / length
Dec 20, 2024	Fine	$25,604
Dec 11, 2023	Fine	$10,586

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)	3.76	4.03	3.95	top 44% in Idaho; bottom 49% in the U.S.
Registered Nurse hours	1.30	0.87	0.69	top 14% in Idaho; top 7% in the U.S.
Weekend total nurse staffing	3.12	3.48	3.50	bottom 41% in Idaho; bottom 38% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.83	0.56	0.48	top 15% in Idaho; top 10% in the U.S.
Total nursing staff turnover (%)	60.8	50.3	45.8	bottom 20% in Idaho; bottom 15% in the U.S.
RN turnover (%)	54.2	41.0	42.9	bottom 25% in Idaho; bottom 30% 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 3.78, RN 1.31, weekend 3.14. 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: 3/5 · 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	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	02/01/2022
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	02/01/2022
Cascadia Holdco LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/05/2025
Cascadia Idaho Operations LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2022
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, James	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2024
Hammond, James	Individual	ADP of the SNF	NOT APPLICABLE	02/26/2025
Hammond, Owen	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2022
Laforte, Stephen	Individual	Operational/Managerial Control	NOT APPLICABLE	06/05/2025
Nelson, Timothy	Individual	Operational/Managerial Control	NOT APPLICABLE	06/05/2025
Thomson, James	Individual	Operational/Managerial Control	NOT APPLICABLE	04/16/2023
Thomson, James	Individual	ADP of the SNF	NOT APPLICABLE	02/26/2025

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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"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?"
"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	1.0 mi	Idaho Falls, ID	★★★☆☆	2/5
Promontory Point Rehabilitation	1.7 mi	Ammon, ID	★★★★★	4/5
Eagle Rock Health and Rehabilitation of Cascadia	2.8 mi	Idaho Falls, ID	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Idaho Falls →

Facility data as of CMS processing date 2026-08-01. CCN 135138.

The Care File

Visit checklist — Teton Healthcare of Cascadia

3111 Channing Way, Idaho Falls, ID 83404 · 2085290067

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $36,190

Most serious findings on record:

▲ Dec 20, 2024 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Dec 20, 2024 (F-0726, Actual 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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "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?"
☐ "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 135138 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)