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Coeur D Alene Health of CascadiaCMS ratings, inspections and fines

Address
2514 North Seventh Street, Coeur D'Alene, ID 83814
CCN
135052
Ownership type
For-profit, limited liability company
Certified beds
117
Residents per day
74
CMS flags
None in the CMS record
CMS star ratings
Overall rating1 of 5
Health inspection rating2 of 5
Staffing rating1 of 5
Quality measure rating3 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Coeur D Alene Health of Cascadia an overall rating of 1 of 5 stars. The last standard survey was on 7 May 2026. The latest survey cycle has 7 health citations. The median for nursing homes in Idaho is 10. CMS lists 2 fines with a total of $33,815 for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Coeur D Alene Health of Cascadia, with medians
Rating (1 to 5 stars)This homeKootenai County medianIdaho medianUS average (CMS)
Overall rating11.03.03.0
Health inspection rating22.03.02.8
Staffing rating13.03.02.9
Quality measure rating33.04.03.6

A median is the middle value of the homes in the group: 7 homes in the county, 80 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Coeur D Alene Health of Cascadia in the last three survey cycles
Survey cycleStandard surveyCitationsIdaho median
Cycle 1 (latest)7 May 2026710
Cycle 220 Mar 2025127
Cycle 3No date168

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 35 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 7 citations

Standard survey of this cycle: .

Health citations of Coeur D Alene Health of Cascadia in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
7 May 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey11 Jun 2026
7 May 2026F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EComplaint investigation11 Jun 2026
7 May 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation11 Jun 2026
7 May 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation11 Jun 2026
7 May 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey11 Jun 2026
12 Nov 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation12 Dec 2025
12 Nov 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation12 Dec 2025

Survey cycle 2: 12 citations

Standard survey of this cycle: .

Health citations of Coeur D Alene Health of Cascadia in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
20 Mar 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation23 Apr 2025
20 Mar 2025F0641Ensure each resident receives an accurate assessment.DComplaint investigation23 Apr 2025
20 Mar 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation23 Apr 2025
20 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation23 Apr 2025
20 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation23 Apr 2025
20 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation23 Apr 2025
20 Mar 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation23 Apr 2025
20 Mar 2025F0727Have 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.DComplaint investigation23 Apr 2025
20 Mar 2025F0732Post nurse staffing information every day.DComplaint investigation23 Apr 2025
20 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint investigation23 Apr 2025
20 Mar 2025F0825Provide or get specialized rehabilitative services as required for a resident.EComplaint investigation23 Apr 2025
20 Mar 2025F0880Provide and implement an infection prevention and control program.FComplaint investigation23 Apr 2025

Survey cycle 3: 16 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Coeur D Alene Health of Cascadia in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
24 Jan 2020F0578Honor 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.EStandard survey24 Feb 2020
24 Jan 2020F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey24 Feb 2020
24 Jan 2020F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey24 Feb 2020
24 Jan 2020F0625Notify 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.DStandard survey24 Feb 2020
24 Jan 2020F0641Ensure each resident receives an accurate assessment.DStandard survey24 Feb 2020
24 Jan 2020F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey24 Feb 2020
24 Jan 2020F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey24 Feb 2020
24 Jan 2020F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey24 Feb 2020
24 Jan 2020F0692Provide enough food/fluids to maintain a resident's health.DStandard survey24 Feb 2020
24 Jan 2020F0700Try 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.DStandard survey24 Feb 2020
24 Jan 2020F0730Observe each nurse aide's job performance and give regular training.EStandard survey24 Feb 2020
24 Jan 2020F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey24 Feb 2020
24 Jan 2020F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard survey24 Feb 2020
24 Jan 2020F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard survey24 Feb 2020
24 Jan 2020F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey24 Feb 2020
24 Jan 2020F0880Provide and implement an infection prevention and control program.FStandard survey24 Feb 2020

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Coeur D Alene Health of Cascadia in the CMS penalties file
DateTypeFineDays without payment
20 Mar 2025Fine$19,513
6 Feb 2024Fine$14,302

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Coeur D Alene Health of Cascadia
StaffThis homeIdaho medianIdaho average (CMS)
All nurse staff3.613.804.04
Registered nurses (RN)0.560.800.86
Licensed practical nurses (LPN)1.010.74
Nurse aides2.042.44
All nurse staff, weekends3.343.303.49
Nurse staff turnover in a year
66.3%
Nurse staff turnover, Idaho median
50.0%
RN turnover in a year
63.6%
Administrators who left in a year
1

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Coeur D Alene Health of Cascadia, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeIdaho medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay20.4%15.5%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.8%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.4%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 Stay4.0%1.2%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay25.3%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.3%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.7%16.9%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
Coeur D Alene of Cascadia
Chain
Cascadia Healthcare (46 homes in the CMS chain file)
Organisations in the CMS ownership record of Coeur D Alene Health of Cascadia
OrganisationRole in the CMS recordInterestSince
Cda 2514 Realty, LLC5% or greater security interest5 Jun 2025
White Oak Healthcare Finance LLC5% or greater security interest11 Aug 2022
Cascadia HC Group LLCOperational/managerial control5 Jun 2025
Cascadia Healthcare LLCOperational/managerial control14 Jan 2025
Cascadia Holdco LLCOperational/managerial control5 Jun 2025
Cascadia Services LLCOperational/managerial control1 Jan 2017
Cascadia Services LLCAdp of the snf18 Jun 2025
Cda 2514 Realty, LLCAdp of the snf5 Jun 2025

The site shows organisations only. It does not show the names of persons.

Other homes in Kootenai County

The 6 nearest other nursing homes in Kootenai County, Idaho
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Lakeside Rehabilitation and Care CenterCoeur D'Alene1 of 52$220,83228 Aug 2025
Ironwood Rehabilitation and Care CenterCoeur D'Alene2 of 514$01 May 2026
Advanced Health Care of Coeur D'AleneCoeur D'Alene5 of 53$021 May 2026
Life Care Center of Coeur D'AleneCoeur D'Alene1 of 519$39,52020 Mar 2026
Life Care Center of Post FallsPost Falls5 of 55$014 Aug 2025
Idaho State Veterans Home - Post FallsPost Falls1 of 512$36,8551 Aug 2025

All 7 nursing homes in Kootenai County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Coeur D Alene Health of Cascadia (CCN 135052). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/coeur-d-alene-health-of-cascadia-coeur-d-alene-id-135052/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Coeur D Alene Health of Cascadia last inspected?
The latest inspection with a citation in the CMS record was on 7 May 2026. It was a standard survey and a complaint investigation. It gave 5 citations. The standard survey before the last one was on 20 Mar 2025.
Who operates Coeur D Alene Health of Cascadia?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Cascadia Healthcare. The CMS ownership file names 4 organisations for operational or managerial control. This site does not show the names of persons.
Is Coeur D Alene Health of Cascadia a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Idaho as a Special Focus Facility and 5 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.