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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D17 | E7 | F6 |
| 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 | |
|---|---|---|---|---|---|---|
| Nov 21, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Nov 21, 2025 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Oct 25, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Oct 25, 2024 | Health | Health Standard | 6 | Actual harm | — | Open → |
| Jun 29, 2023 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jun 29, 2023 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D17 | E7 | F6 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Nov 21, 2025 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 20, 2026 | |
| Nov 21, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 20, 2026 | |
| Nov 21, 2025 | F-0684 |
“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 Healthcare LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2020 |
| Owen Hammond | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2020 |
| 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 Healthcare LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2020 |
| Owen Hammond | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2020 |
| 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 |
| Facility | Beds | CMS overall | 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 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 135069 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 135069 | 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
| 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 Jan 5, 2026 |
| Complaint |
| Nov 21, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 5, 2026 | Complaint |
| Nov 21, 2025 | 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 Jan 5, 2026 | Complaint |
| Nov 21, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 5, 2026 | Complaint |
| Nov 21, 2025 | 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 Jan 5, 2026 |
| Nov 21, 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 | D · Potential harm Isolated | Corrected Jan 5, 2026 | Complaint |
| Oct 25, 2024 | 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 | G · Actual harm Isolated | Past non-compliance Sep 3, 2024 |
| Oct 25, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jul 8, 2024 |
| Oct 25, 2024 | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Jul 8, 2024 |
| Oct 25, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 8, 2024 |
| Oct 25, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 8, 2024 |
| Oct 25, 2024 | 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 Jul 8, 2024 |
| Oct 25, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 8, 2024 |
| Oct 25, 2024 | 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 | D · Potential harm Isolated | Past non-compliance Sep 5, 2024 |
| Oct 25, 2024 | 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 18, 2024 |
| Oct 25, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 18, 2024 |
| Oct 25, 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 Nov 18, 2024 |
| Oct 25, 2024 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 18, 2024 |
| Jun 29, 2023 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 9, 2023 |
| Jun 29, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Aug 9, 2023 |
| Jun 29, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 9, 2023 |
| Jun 29, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 9, 2023 |
| Jun 29, 2023 | 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 Aug 9, 2023 |
| Jun 29, 2023 | 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 Jul 19, 2023 |
| Jun 29, 2023 | 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 Jul 19, 2023 |
| Jun 29, 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 | D · Potential harm Isolated | Corrected Jul 19, 2023 |
| Jun 29, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 19, 2023 |
| Jun 29, 2023 | 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 Jul 19, 2023 |
| Jun 29, 2023 | F-0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jul 19, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.52 (case-mix index 1.82).
| Organization |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Feb 1, 2020 |
| Cascadia Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2020 |
| Owen Hammond | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2020 |
| Darwin Royeca | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2020 |
| Ryan Williams | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2020 |
| White Oak Healthcare Finance LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Aug 11, 2022 |
| Bellevue 620 Realty, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 5, 2025 |
| Cascadia Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2020 |
| Darwin Royeca | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 26, 2025 |
| Ryan Williams | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 26, 2025 |
| 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 |