Silverton Health and Rehabilitation of Cascadia — nursing home in Silverton, ID

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 55 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 47.6 CMS, MDS-derived
CMS Certification Number: 135058
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Oct 1, 1974
Ownership type: For profit - Corporation
Operator (legal business name): Silverton of Cascadia LLC
CMS chain: Cascadia Healthcare 47 facilities
Phone: (208) 556-1147
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Jul 10, 2026

Citations

44

32 health · 12 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D25	E6	F12
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.

CMS Five-Star ratings

Federal · CMS

OverallNot ratedfn 18

Health inspectionsNot ratedfn 18

StaffingNot ratedfn 18

Quality measuresNot ratedfn 18

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 135058
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 55
First approved: Oct 1, 1974
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Idaho.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 10, 2026	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Jul 10, 2026	Health	Health Standard	3	Potential harm	—	Open →
Jan 9, 2026	Health	Health Complaint, Health Standard	9	Potential harm	—	Open →
Jun 27, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jun 27, 2025	Health	Health Complaint, Health Standard	13	Potential harm	—	Open →
Oct 4, 2023	Health	Health Complaint	7	Actual harm	—	Open →
Aug 6, 2021	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D25	E6	F12
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 10, 2026	E-0036	Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Oct 14, 2025
Jul 10, 2026	E-0037	Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Oct 14, 2025
Jul 10, 2026	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Oct 14, 2025
Jul 10, 2026	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 14, 2025
Jul 10, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 14, 2025
Jul 10, 2026	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 14, 2025
Jul 10, 2026	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 10, 2026
Jul 10, 2026	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 Aug 10, 2026
Jul 10, 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 Aug 10, 2026
Jan 9, 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	E · Potential harm Pattern	Corrected Feb 6, 2026	Complaint
Jan 9, 2026	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 Feb 6, 2026	Complaint
Jan 9, 2026	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 6, 2026	Complaint
Jan 9, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 6, 2026	Complaint
Jan 9, 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	E · Potential harm Pattern	Corrected Feb 6, 2026	Complaint
Jan 9, 2026	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Feb 6, 2026	Complaint
Jan 9, 2026	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	F · Potential harm Widespread	Corrected Feb 6, 2026	Complaint
Jan 9, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 6, 2026	Complaint
Jan 9, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Feb 6, 2026	Complaint
Jun 27, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 9, 2025
Jun 27, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Aug 9, 2025	Complaint
Jun 27, 2025	F-0605	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 9, 2025	Complaint
Jun 27, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 9, 2025	Complaint
Jun 27, 2025	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 9, 2025	Complaint
Jun 27, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Aug 9, 2025	Complaint
Jun 27, 2025	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 Aug 9, 2025	Complaint
Jun 27, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 9, 2025	Complaint
Jun 27, 2025	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 Aug 9, 2025	Complaint
Jun 27, 2025	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	D · Potential harm Isolated	Corrected Aug 9, 2025	Complaint
Jun 27, 2025	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 Aug 9, 2025	Complaint
Jun 27, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 9, 2025	Complaint
Jun 27, 2025	F-0865	Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Aug 9, 2025	Complaint
Jun 27, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Aug 9, 2025	Complaint
Oct 4, 2023	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	G · Actual harm Isolated	Corrected Nov 10, 2023	Complaint
Oct 4, 2023	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 10, 2023	Complaint
Oct 4, 2023	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 10, 2023	Complaint
Oct 4, 2023	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	F · Potential harm Widespread	Corrected Nov 10, 2023	Complaint
Oct 4, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 10, 2023	Complaint
Oct 4, 2023	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 10, 2023	Complaint
Oct 4, 2023	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 10, 2023	Complaint
Aug 6, 2021	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 1, 2021
Aug 6, 2021	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 2, 2021
Aug 6, 2021	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 9, 2021
Aug 6, 2021	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 8, 2021
Aug 6, 2021	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 22, 2021

“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.

Five-Star ratings

Federal · CMS

OverallNot ratedstate 3.1

Health inspectionsNot ratedstate 2.6

StaffingNot ratedstate 3

Quality measuresNot ratedstate 4.2

Long-stay QMNot rated

Short-stay QMNot rated

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.12

State avg 3.99US avg 3.90

Registered nurse (RN)0.56

State avg 0.84US avg 0.69

Licensed practical nurse0.39

State avg 0.73US avg 0.86

Nurse aide2.17

State avg 2.41US avg 2.35

Weekend total nurse2.66

State avg 3.39US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.35 (case-mix index 1.31).

Staff turnover

Total nursing staff turnover44.7%

State avg 49.5%US avg 45.3%

Registered nurse turnover44.4%

State avg 40.7%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jul 10, 2026
Cycle 1 health score: 12
Total weighted score: 56

Operating entity

Silverton of Cascadia LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Cascadia Healthcare

47 facilities in 5 states. CMS chain ID 118.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.2

Ownership disclosures

Disclosures

18

Organizations

7

Individuals

10

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Cascadia Idaho Operations LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2023
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	Mar 1, 2023
Cascadia Holdco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 5, 2025
Owen Hammond	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2023
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

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Cascadia Idaho Operations LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2023
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	Mar 1, 2023
Cascadia Holdco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 5, 2025
Owen Hammond	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2023
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	Oct 21, 2022
Owen Hammond	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2023
Stephen Laforte	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 5, 2025
Michael Meza	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2023
Robert Nahmensen	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 24, 2023
Timothy Nelson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 5, 2025
Silverton 405 Realty, 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 12, 2025
Michael Meza	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 12, 2025
Robert Nahmensen	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 12, 2025

Same chain in Idaho

All 46 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Weiser Care of Cascadia 331 East Park Street, Weiser, ID 83672 CCN 135010	76	Feb 20, 2026	27	—
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	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

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 405 West Seventh Street, Silverton, ID 83867
ZIP: 83867
County: Shoshone County FIPS 16079
State: Idaho
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Mountain Valley of Cascadia 601 West Cameron Avenue, Kellogg, ID 83837 CCN 135065	13.8 km	68		Aug 21, 2026	238 open	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	135058	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	135058	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

Record-level source links for CCN 135058

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction