Wellspring Health & Rehabilitation of Cascadia
2105 12th Avenue Road, Nampa, ID 83686 · Canyon County · 120 certified beds · avg 97 residents/day · certified since Sep 9, 1983
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: ★★★☆☆3/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, facility-wide · Jul 26, 2024 · F-0880 · triggered by a complaint
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.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Aug 27, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 26, 2024 · F-0693 · triggered by a complaint
The 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.
Why it matters: Unnecessary or poorly managed feeding tubes can cause serious complications like lung infections and take away the ability to eat normally.
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: Aug 27, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (19)
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 |
|---|---|---|
| Sep 18, 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. |
| Jul 26, 2024 | ▲ L · Immediate jeopardy, facility-wide | 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 |
| Jul 26, 2024 | ▲ G · Actual harm, one-off | The 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 |
| Jul 26, 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 |
| Jul 26, 2024 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint |
| Jul 26, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint |
| Jul 26, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Jul 26, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Jul 26, 2024 | D · Potential for harm, one-off | 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 |
| Jul 26, 2024 | D · Potential for harm, one-off | The 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. · from a complaint |
| Jul 26, 2024 | D · Potential for harm, one-off | The 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 |
| Jul 26, 2024 | 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 |
| Nov 15, 2019 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Nov 15, 2019 | 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. |
| Nov 15, 2019 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Nov 15, 2019 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Nov 15, 2019 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Nov 15, 2019 | 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. |
| Nov 15, 2019 | 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 decreased between the last two inspection cycles (11 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 7 | 0 | D |
| 2024 | 11 | 2 | L ▲ |
| 2025 | 1 | 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)
1 fine totaling $30,927.
| Date | Type | Amount / length |
|---|---|---|
| Jul 26, 2024 | Fine | $30,927 |
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) | 2.96 | 4.03 | 3.95 | bottom 8% in Idaho; bottom 12% in the U.S. |
| Registered Nurse hours | 0.67 | 0.87 | 0.69 | bottom 43% in Idaho; top 40% in the U.S. |
| Weekend total nurse staffing | 2.30 | 3.48 | 3.50 | bottom 3% in Idaho; bottom 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.56 | 0.48 | bottom 38% in Idaho; top 43% in the U.S. |
| Total nursing staff turnover (%) | 51.4 | 50.3 | 45.8 | bottom 43% in Idaho; bottom 33% in the U.S. |
| RN turnover (%) | 46.7 | 41.0 | 42.9 | bottom 40% in Idaho; bottom 41% 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 3.73, RN 0.85, weekend 2.90. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
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 | 05/01/2017 |
| Cascadia Holdco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/05/2025 |
| Cascadia Idaho Operations LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 05/01/2017 |
| Hammond, Owen | Individual | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2017 |
| Laforte, Stephen | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/05/2025 |
| Nelson, Timothy | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/05/2025 |
| Allen, Daniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2018 |
| Allen, Daniel | Individual | ADP of the SNF | NOT APPLICABLE | 02/18/2025 |
| Cascadia HC Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Cascadia Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Cascadia Holdco LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Cascadia Idaho Operations LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Cascadia Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/05/2017 |
| Cascadia Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/28/2025 |
| Hammond, Owen | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Hintz, Jesse | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/18/2023 |
| Hintz, Jesse | Individual | ADP of the SNF | NOT APPLICABLE | 02/18/2025 |
| Laforte, Stephen | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Nelson, Timothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "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 |
|---|---|---|---|---|---|
| Sunny Ridge | 0.8 mi | Nampa, ID | ★★★☆☆ | 2/5 | |
| Meadow View Nursing and Rehabilitation | 3.4 mi | Nampa, ID | ★★★★☆ | 3/5 | |
| Orchards of Cascadia, the | 3.9 mi | Nampa, ID | ★☆☆☆☆ | 1/5 | |
| Karcher Post Acute | 4.9 mi | Nampa, ID | ★☆☆☆☆ | 1/5 | abuseSFF |
| Cascadia of Nampa | 5.1 mi | Nampa, ID | ★★☆☆☆ | 1/5 | SFF |
| Canyon West of Cascadia | 9.2 mi | Caldwell, ID | ★★★★☆ | 3/5 | |
| Creekside Transitional Care and Rehabilitation | 9.7 mi | Meridian, ID | ★★★★☆ | 3/5 | |
| Caldwell Care of Cascadia | 11.4 mi | Caldwell, ID | ★☆☆☆☆ | 1/5 | |
| Meridian Meadows Transitional Care | 11.5 mi | Meridian, ID | ★☆☆☆☆ | 1/5 | abuse |
| Aspen Transitional Rehabilitation | 11.6 mi | Meridian, ID | ★★★☆☆ | 2/5 | abuse |
| Life Care Center of Treasure Valley | 14.5 mi | Boise, ID | ★★★★☆ | 3/5 | |
| Timber Springs Transitional Care | 15.9 mi | Boise, ID | ★☆☆☆☆ | 1/5 | abuseSFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 135094.