Cascadia of Lewiston — nursing home in Lewiston, ID

Facility type: Skilled nursing facility · Medicare only
CMS provider type: Medicare
Certified beds: 34 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: 30.3 CMS, MDS-derived
CMS Certification Number: 135145
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 28, 2018
Ownership type: For profit - Limited Liability company
Operator (legal business name): Lewiston North of Cascadia, LLC
CMS chain: Cascadia Healthcare 47 facilities
Phone: (208) 748-7700
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest May 21, 2026

Citations

29

21 health · 8 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D16	E6	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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

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: 135145
Program: Medicare
Medicare (SNF): Certified
Medicaid (NF): No
Certified beds: 34
First approved: Jun 28, 2018
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
May 21, 2026	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
May 21, 2026	Health	Health Standard	0	No citations	—	Open →
Apr 3, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Apr 3, 2025	Health	Health Complaint, Health Standard	8	Actual harm	—	Open →
May 3, 2024	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
May 3, 2024	Health	Health Complaint, Health Standard	13	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	D16	E6	F6
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 21, 2026	E-0030	List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Sep 28, 2025
May 21, 2026	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Sep 28, 2025
May 21, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 28, 2025
May 21, 2026	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 28, 2025
May 21, 2026	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 28, 2025
Apr 3, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	G · Actual harm Isolated	Past non-compliance Dec 3, 2024
Apr 3, 2025	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	D · Potential harm Isolated	Corrected Oct 11, 2024
Apr 3, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 12, 2024
Apr 3, 2025	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 18, 2025	Complaint
Apr 3, 2025	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 18, 2025	Complaint
Apr 3, 2025	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 18, 2025	Complaint
Apr 3, 2025	F-0622	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 18, 2025	Complaint
Apr 3, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 18, 2025	Complaint
Apr 3, 2025	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 18, 2025	Complaint
Apr 3, 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	F · Potential harm Widespread	Corrected May 18, 2025	Complaint
May 3, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 18, 2023
May 3, 2024	F-0585	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 11, 2024	Complaint
May 3, 2024	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 11, 2024	Complaint
May 3, 2024	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 11, 2024	Complaint
May 3, 2024	F-0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 11, 2024	Complaint
May 3, 2024	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 Jun 11, 2024	Complaint
May 3, 2024	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 11, 2024	Complaint
May 3, 2024	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 Jun 11, 2024	Complaint
May 3, 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 Jun 11, 2024	Complaint
May 3, 2024	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	E · Potential harm Pattern	Corrected Jun 11, 2024	Complaint
May 3, 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	E · Potential harm Pattern	Corrected Jun 11, 2024	Complaint
May 3, 2024	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 Jun 11, 2024	Complaint
May 3, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jun 11, 2024	Complaint
May 3, 2024	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jun 11, 2024	Complaint

“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

Overallstate 3.1

Health inspectionsstate 2.6

Staffingstate 3

Quality measuresstate 4.2

Long-stay QMNot rated

Short-stay QM

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 staffing4.31

State avg 3.99US avg 3.90

Registered nurse (RN)0.91

State avg 0.84US avg 0.69

Licensed practical nurse0.91

State avg 0.73US avg 0.86

Nurse aide2.49

State avg 2.41US avg 2.35

Weekend total nurse3.36

State avg 3.39US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.11 (case-mix index 1.94).

Staff turnover

Total nursing staff turnover59.0%

State avg 49.5%US avg 45.3%

Registered nurse turnover70.0%

State avg 40.7%US avg 42.5%

Administrators who leftNot reported

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: May 21, 2026
Cycle 1 health score: 0
Total weighted score: 34

Operating entity

Lewiston North 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

23

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, 2022
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, 2022
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, 2022
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, 2022
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, 2022
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, 2022
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 Hc Group LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 5, 2025
Cascadia Healthcare LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2022
Cascadia Holdco LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 5, 2025
Cascadia Idaho Operations LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2022
Cascadia Services LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2022
James Burt	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 14, 2025
Owen Hammond	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2022
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
John Rudolph	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 3, 2025
Lewiston 2852 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	Mar 1, 2022
Cascadia Services LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2022
Lewiston 2852 Realty, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 5, 2025
James Burt	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 17, 2025
John Rudolph	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 17, 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: 2852 Juniper Drive, Lewiston, ID 83501
ZIP: 83501
County: Nez Perce County FIPS 16069
State: Idaho
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Royal Plaza Health and Rehabilitation of Cascadia 2930 Juniper Drive, Lewiston, ID 83501 CCN 135116	0 km	78	Jun 26, 2026	32	—
Lewiston Transitional Care of Cascadia 3315 8th Street, Lewiston, ID 83501 CCN 135021	1.5 km	96	Aug 21, 2025	31	—
Life Care Center of Lewiston 325 Warner Drive, Lewiston, ID 83501 CCN 135128	2.1 km	121	Aug 1, 2025	17	—
Orchard View Post Acute 1014 Burrell Avenue, Lewiston, ID 83501 CCN 135103	2.3 km	127	Aug 15, 2025	511 harm	$17k
Idaho State Veterans Home - Lewiston 821 21st Avenue, Lewiston, ID 83501 CCN 135133	2.3 km	66	Sep 3, 2026	281 IJ1 harm12 open	$206k
Clarkston Health and Rehab of Cascadia 1242 Eleventh Street, Clarkston, WA 99403 CCN 505283	4.7 km	90	Aug 18, 2025	861 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	135145	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	135145	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 135145

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