Idaho › Nez Perce County › Lewiston
Cascadia of Lewiston
2852 Juniper Drive, Lewiston, ID 83501
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.
Cascadia of Lewiston is a For-profit, limited liability company nursing home in Lewiston, Idaho, certified for 34 beds and caring for about 31 residents a day.
CMS gives it 4 of 5 stars overall, above the Idaho median of 3; the health inspection rating is 4, staffing 1 and quality measures 5.
Inspectors recorded 21 health deficiencies across the three most recent survey cycles (0, 8, 13 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 61.8 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 4.3 hours per resident per day (0.8 RN), close to the Idaho median of 3.8; nursing staff turnover is 68.4%.
Compared with county, state and nation
| Measure | This facility | Nez Perce Co. median | Idaho median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 21 | 21 | 26 | 28.7 |
| Citations per 100 beds | 61.8 | 26.0 | 34.8 | 26.8 |
| Total nurse hours per resident day | 4.3 | 3.5 | 3.8 | 3.9 |
| RN hours per resident day | 0.8 | 0.9 | 0.8 | 0.7 |
| Nursing staff turnover | 68.4% | 50.6% | 50.0% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (6 in the county, 80 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Idaho average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 May 2026, 3 Apr 2025.
Severity mix: G ×1 D ×13 E ×6 F ×1
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 3 Apr 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Standard survey | 3 Dec 2024 |
| 3 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 18 May 2025 |
| 3 Apr 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 18 May 2025 |
| 3 Apr 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 18 May 2025 |
| 3 Apr 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 18 May 2025 |
| 3 Apr 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 18 May 2025 |
| 3 Apr 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 18 May 2025 |
| 3 Apr 2025 | F0622 | 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. | D | Complaint investigation | 18 May 2025 |
| 3 May 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Complaint investigation | 11 Jun 2024 |
| 3 May 2024 | F0761 | 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. | E | Complaint investigation | 11 Jun 2024 |
| 3 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 11 Jun 2024 |
| 3 May 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Complaint investigation | 11 Jun 2024 |
| 3 May 2024 | F0585 | 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. | D | Complaint investigation | 11 Jun 2024 |
| 3 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 11 Jun 2024 |
| 3 May 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 11 Jun 2024 |
| 3 May 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 11 Jun 2024 |
| 3 May 2024 | F0625 | 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. | D | Complaint investigation | 11 Jun 2024 |
| 3 May 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 11 Jun 2024 |
| 3 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 11 Jun 2024 |
| 3 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 11 Jun 2024 |
| 3 May 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 11 Jun 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Idaho average. Turnover: nursing staff 68.4%, RNs 62.5%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Idaho median | US median |
|---|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 1.2% | 1.0% |
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: Lewiston North Of Cascadia, Llc. Chain: Cascadia Healthcare (46 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cascadia Idaho Operations LLC | Direct ownership interest | NOT APPLICABLE | 03/01/2022 |
| Cascadia Hc Group LLC | Indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| Cascadia Healthcare LLC | Indirect ownership interest | NOT APPLICABLE | 03/01/2022 |
| Cascadia Holdco LLC | Indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| Lewiston 2852 Realty, LLC | 5% or greater security interest | NOT APPLICABLE | 06/05/2025 |
| White Oak Healthcare Finance LLC | 5% or greater security interest | NOT APPLICABLE | 03/01/2022 |
| Cascadia Hc Group LLC | Operational/managerial control | NOT APPLICABLE | 06/05/2025 |
| Cascadia Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2022 |
| Cascadia Holdco LLC | Operational/managerial control | NOT APPLICABLE | 06/05/2025 |
| Cascadia Idaho Operations LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2022 |
| Cascadia Services LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2022 |
| Cascadia Services LLC | Adp of the snf | NOT APPLICABLE | 03/01/2022 |
| Lewiston 2852 Realty, LLC | Adp of the snf | NOT APPLICABLE | 06/05/2025 |
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 Nez Perce County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Idaho State Veterans Home - Lewiston | Lewiston | 66 | 5 | 4 | 5 | 15 | 22.7 | $187K | 17 Jul 2025 |
| Life Care Center of Lewiston | Lewiston | 121 | 5 | 5 | 3 | 16 | 13.2 | — | 1 Aug 2025 |
| Lewiston Transitional Care of Cascadia | Lewiston | 96 | 4 | 4 | 2 | 20 | 20.8 | — | 21 Aug 2025 |
| Orchard View Post Acute | Lewiston | 127 | 2 | 2 | 4 | 33 | 26.0 | $17K | 15 Aug 2025 |
| Royal Plaza Health and Rehabilitation of Cascadia | Lewiston | 76 | 2 | 2 | 3 | 25 | 32.9 | — | 26 Jun 2026 |
All 6 facilities in Nez Perce County
Questions and answers
How many deficiencies has Cascadia of Lewiston been cited for?
21 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 Cascadia of Lewiston been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Cascadia of Lewiston compare?
Reported total nurse staffing is 4.3 hours per resident per day against a Idaho median of 3.8 and a national average of 3.9.
Who operates Cascadia of Lewiston?
It is part of the Cascadia Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Cascadia Idaho Operations LLC, Cascadia Hc Group LLC and Cascadia Healthcare LLC. Individual owners and managers are not listed on this site.
When was Cascadia of Lewiston last inspected?
The most recent survey or investigation in the CMS record is dated 3 Apr 2025; the most recent standard health survey was 21 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.