Elder Care Record

Idaho › Twin Falls County › Buhl

Cascades At Desert View

820 Sprague Avenue, Buhl, ID 83316

CCN 135089 · For-profit, limited liability company · 57 certified beds · chain Cascades Healthcare

Special Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Cascades At Desert View is a For-profit, limited liability company nursing home in Buhl, Idaho, certified for 57 beds and caring for about 36 residents a day.

CMS gives it 1 of 5 stars overall, below the Idaho median of 3; the health inspection rating is 1, staffing 2 and quality measures 4.

Inspectors recorded 52 health deficiencies across the three most recent survey cycles (24, 15, 13 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 91.2 per 100 beds, more than the state median of 34.8.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.0 hours per resident per day (0.6 RN), close to the Idaho median of 3.8; nursing staff turnover is 34.1%.

CMS flags that the facility is a Special Focus Facility candidate.

52health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
4.0nurse hours per resident per daystate median 3.8
63%occupancy (residents ÷ beds)36 residents a day

Compared with county, state and nation

MeasureThis facilityTwin Falls Co. medianIdaho medianUS average
Overall star rating1333.0
Health citations, 3 cycles52312628.7
Citations per 100 beds91.228.434.826.8
Total nurse hours per resident day4.03.93.83.9
RN hours per resident day0.60.60.80.7
Nursing staff turnover34.1%44.9%50.0%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (5 in the county, 80 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)24
Cycle 215
Cycle 313

Dark bar: this facility. Grey bar: Idaho average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 May 2026, 3 Apr 2025.

Severity mix: G ×1 D ×35 E ×8 F ×8

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
15 May 2026F0585Honor 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.FComplaint investigation18 Jun 2026
15 May 2026F0727Have 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.FComplaint investigation18 Jun 2026
15 May 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FComplaint investigation18 Jun 2026
15 May 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation18 Jun 2026
15 May 2026F0880Provide and implement an infection prevention and control program.FComplaint investigation18 Jun 2026
15 May 2026F0680Ensure the activities program is directed by a qualified professional.EComplaint investigation18 Jun 2026
15 May 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation18 Jun 2026
15 May 2026F0732Post nurse staffing information every day.EComplaint investigation18 Jun 2026
15 May 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation18 Jun 2026
15 May 2026F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation18 Jun 2026
15 May 2026F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey18 Jun 2026
15 May 2026F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint investigation18 Jun 2026
15 May 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint investigation18 Jun 2026
15 May 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation18 Jun 2026
15 May 2026F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint investigation18 Jun 2026
15 May 2026F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation18 Jun 2026
15 May 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation18 Jun 2026
15 May 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation18 Jun 2026
15 May 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation18 Jun 2026
15 May 2026F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DComplaint investigation18 Jun 2026
15 May 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation18 Jun 2026
15 May 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation18 Jun 2026
19 Nov 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation26 Nov 2025
19 Nov 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint investigation26 Nov 2025
3 Apr 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey8 May 2025
3 Apr 2025F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard survey8 May 2025
3 Apr 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey8 May 2025
3 Apr 2025F0584Honor 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.DStandard survey8 May 2025
3 Apr 2025F0641Ensure each resident receives an accurate assessment.DStandard survey8 May 2025
3 Apr 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey8 May 2025
3 Apr 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey8 May 2025
3 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey8 May 2025
3 Apr 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey8 May 2025
3 Apr 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey8 May 2025
3 Apr 2025F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey8 May 2025
3 Apr 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey8 May 2025
3 Apr 2025F0761Ensure 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.DStandard survey8 May 2025
3 Apr 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey8 May 2025
3 Apr 2025F0880Provide and implement an infection prevention and control program.DStandard survey8 May 2025
31 May 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation14 Feb 2024
31 May 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation3 Jul 2024
31 May 2024F0578Honor 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.EComplaint investigation3 Jul 2024
31 May 2024F0625Notify 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.EComplaint investigation3 Jul 2024
31 May 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation3 Jul 2024
31 May 2024F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint investigation3 Jul 2024
31 May 2024F0641Ensure each resident receives an accurate assessment.DComplaint investigation3 Jul 2024
31 May 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint investigation3 Jul 2024
31 May 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation3 Jul 2024
31 May 2024F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DComplaint investigation3 Jul 2024
31 May 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint investigation3 Jul 2024
31 May 2024F0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.DComplaint investigation3 Jul 2024
31 May 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint investigation3 Jul 2024

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.98 h
Nurse aides2.66 h
LPN0.71 h
RN0.61 h
Weekend total3.5 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Idaho average. Turnover: nursing staff 34.1%, RNs —; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityIdaho medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay12.6%15.5%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay7.5%1.4%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.6%2.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay8.1%1.2%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay4.3%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.8%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay45.9%16.9%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Cascades At Desert View Llc. Chain: Cascades Healthcare (19 facilities).

OrganisationRole in the CMS recordInterestSince
Cascades At Desert View LLC5% or greater direct ownership interestNO PERCENTAGE PROVIDED01/01/2023
Desert View Holdings of Buhl, LLC5% or greater direct ownership interestNO PERCENTAGE PROVIDED01/01/2023
Cascades At Desert View LLCAdp of the snfNOT APPLICABLE03/27/2025
Desert View Holdings of Buhl, LLCAdp of the snfNOT APPLICABLE01/01/2023
Kirei Kazoku, LLCAdp of the snfNOT APPLICABLE01/01/2023
Nadroj LLCAdp of the snfNOT APPLICABLE01/01/2023
Oxford Assets LLCAdp of the snfNOT APPLICABLE01/01/2023
Pippin LLCAdp of the snfNOT APPLICABLE01/01/2023

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Twin Falls County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Twin Falls Transitional Care of CascadiaTwin Falls1165423328.4—12 Jun 2025
Bridgeview EstatesTwin Falls1163233126.7—9 Jul 2025
Serenity Transitional CareTwin Falls603232745.0—26 Jun 2026
Oak Creek Rehabilitation Center of Kimberlyabuse iconKimberly571211628.1$14K5 Dec 2025

All 5 facilities in Twin Falls County

Questions and answers

How many deficiencies has Cascades At Desert View been cited for?

52 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Idaho median is 26 per facility.

Has Cascades At Desert View been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Cascades At Desert View compare?

Reported total nurse staffing is 4.0 hours per resident per day against a Idaho median of 3.8 and a national average of 3.9.

Who operates Cascades At Desert View?

It is part of the Cascades Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Cascades At Desert View LLC and Desert View Holdings of Buhl, LLC. Individual owners and managers are not listed on this site.

When was Cascades At Desert View last inspected?

The most recent survey or investigation in the CMS record is dated 15 May 2026; the most recent standard health survey was 15 May 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.