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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D22 | E2 | F3 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Feb 20, 2026 | Health | Health Complaint, Health Standard | 12 | Potential harm | — | Open → |
| Sep 26, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Sep 26, 2024 | Health | Health Complaint, Health Standard | 10 | Potential harm | — | Open → |
| Oct 4, 2019 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Oct 4, 2019 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Jun 15, 2018 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D22 | E2 | F3 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 20, 2026 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 23, 2026 | Complaint |
| Feb 20, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 23, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
47 facilities in 5 states. CMS chain ID 118.
Chain average overall rating (CMS): 3.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Cascadia Idaho Operations LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2017 |
| Cascadia Hc Group LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 5, 2025 |
| Cascadia Healthcare LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2017 |
| Cascadia Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 5, 2025 |
| Owen Hammond | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2017 |
| Stephen Laforte | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 5, 2025 |
| Timothy Nelson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 5, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Cascadia Idaho Operations LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2017 |
| Cascadia Hc Group LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 5, 2025 |
| Cascadia Healthcare LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2017 |
| Cascadia Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Caldwell Care of Cascadia 210 Cleveland Boulevard, Caldwell, ID 83605 CCN 135014 | 68 | Mar 6, 2026 | 47 | — | |
| Payette Healthcare of Cascadia 1019 Third Avenue South, Payette, ID 83661 CCN 135015 | 80 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 135010 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 135010 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Feb 20, 2026 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 23, 2026 | Complaint |
| Feb 20, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 23, 2026 | Complaint |
| Feb 20, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 23, 2026 | Complaint |
| Feb 20, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 23, 2026 | Complaint |
| Feb 20, 2026 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 23, 2026 | Complaint |
| Feb 20, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 23, 2026 | Complaint |
| Feb 20, 2026 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 23, 2026 | Complaint |
| Feb 20, 2026 | F-0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 23, 2026 | Complaint |
| Feb 20, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Mar 23, 2026 | Complaint |
| Feb 20, 2026 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 23, 2026 | Complaint |
| Sep 26, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 30, 2024 | Complaint |
| Sep 26, 2024 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 30, 2024 | Complaint |
| Sep 26, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 30, 2024 | Complaint |
| Sep 26, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Oct 30, 2024 | Complaint |
| Sep 26, 2024 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Oct 30, 2024 | Complaint |
| Sep 26, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Oct 30, 2024 | Complaint |
| Sep 26, 2024 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 30, 2024 | Complaint |
| Sep 26, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 30, 2024 | Complaint |
| Sep 26, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 30, 2024 | Complaint |
| Sep 26, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 30, 2024 | Complaint |
| Oct 4, 2019 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 5, 2019 |
| Oct 4, 2019 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 5, 2019 |
| Oct 4, 2019 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 5, 2019 |
| Oct 4, 2019 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 5, 2019 |
| Jun 15, 2018 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 22, 2017 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.21 (case-mix index 1.48).
| not provided |
| Jun 5, 2025 |
| Owen Hammond | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2017 |
| Stephen Laforte | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 5, 2025 |
| Timothy Nelson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 5, 2025 |
| Cascadia Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 30, 2017 |
| Owen Hammond | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2017 |
| Spencer Jensen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2025 |
| Stephen Laforte | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 5, 2025 |
| Timothy Nelson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 5, 2025 |
| Ryan Williams | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 30, 2017 |
| Timberline Ctre Tenant LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Jun 5, 2025 |
| White Oak Healthcare Finance LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Aug 11, 2022 |
| Cascadia Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 14, 2025 |
| Timberline Ctre Tenant LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 5, 2025 |
| Spencer Jensen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 9, 2026 |
| Ryan Williams | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 14, 2025 |
| Sep 12, 2025 |
34 |
| — |
| The Orchards of Cascadia 404 North Horton Street, Nampa, ID 83651 CCN 135019SFF Candidate | 100 | Aug 5, 2026 | 341 IJ1 harm | $26k |
| Lewiston Transitional Care of Cascadia 3315 8th Street, Lewiston, ID 83501 CCN 135021 | 96 | Aug 21, 2025 | 31 | — |
| Clearwater Health & Rehabilitation of Cascadia 1204 Shriver Road, Orofino, ID 83544 CCN 135048 | 60 | Jun 26, 2026 | 30 | — |
| Canyon West of Cascadia 2814 South Indiana Avenue, Caldwell, ID 83605 CCN 135051 | 103 | Apr 16, 2026 | 29 | — |
| Coeur D Alene Health of Cascadia 2514 North Seventh Street, Coeur D'alene, ID 83814 CCN 135052 | 117 | May 7, 2026 | 591 harm | $34k |
| Silverton Health and Rehabilitation of Cascadia 405 West Seventh Street, Silverton, ID 83867 CCN 135058SFF | 55 | Not rated | Jul 10, 2026 | 441 harm | — |