Grangeville Health & Rehabilitation of CascadiaCMS ratings, inspections and fines
- Address
- 410 East North Second Street, Grangeville, ID 83530
- CCN
- 135080
- Ownership type
- For-profit, corporation
- Certified beds
- 60
- Chain
- Cascadia Healthcare
- Residents per day
- 43
- CMS flags
- None in the CMS record
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 Grangeville Health & Rehabilitation of Cascadia an overall rating of 4 of 5 stars. The last standard survey was on 8 Aug 2025. The latest survey cycle has 6 health citations. The median for nursing homes in Idaho is 10. CMS lists no fines 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.
| Rating (1 to 5 stars) | This home | Idaho median | US average (CMS) |
|---|---|---|---|
| Overall rating | 4 | 3.0 | 3.0 |
| Health inspection rating | 4 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 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.
| Survey cycle | Standard survey | Citations | Idaho median |
|---|---|---|---|
| Cycle 1 (latest) | 8 Aug 2025 | 6 | 10 |
| Cycle 2 | 25 Oct 2024 | 2 | 7 |
| Cycle 3 | No date | 5 | 8 |
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.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 10 Sep 2025 |
| 8 Aug 2025 | F0726 | 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. | D | Complaint investigation | 10 Sep 2025 |
| 8 Aug 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 | 10 Sep 2025 |
| 8 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 10 Sep 2025 |
| 8 Aug 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 10 Sep 2025 |
| 8 Aug 2025 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Complaint investigation | 10 Sep 2025 |
Survey cycle 2: 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Oct 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 18 Nov 2024 |
| 25 Oct 2024 | F0727 | Have 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. | F | Complaint investigation | 18 Nov 2024 |
Survey cycle 3: 5 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 6 Feb 2020 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 10 Mar 2020 |
| 6 Feb 2020 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Mar 2020 |
| 6 Feb 2020 | F0758 | Implement 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. | D | Standard survey | 10 Mar 2020 |
| 6 Feb 2020 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 Mar 2020 |
| 6 Feb 2020 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Mar 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.
CMS lists no fine and no payment denial for this home in its penalties file.
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.
| Staff | This home | Idaho median | Idaho average (CMS) |
|---|---|---|---|
| All nurse staff | 3.43 | 3.80 | 4.04 |
| Registered nurses (RN) | 0.71 | 0.80 | 0.86 |
| Licensed practical nurses (LPN) | 0.41 | 0.74 | |
| Nurse aides | 2.31 | 2.44 | |
| All nurse staff, weekends | 3.09 | 3.30 | 3.49 |
- Nurse staff turnover in a year
- 75.0%
- Nurse staff turnover, Idaho median
- 50.0%
- RN turnover in a year
- 28.6%
- Administrators who left in a year
- 0
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.
| Measure (CMS text) | Residents | This home | Idaho median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.1% | 15.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.2% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | 1.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.7% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.4% | 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, corporation
- Legal business name
- Grangeville of Cascadia, LLC
- Chain
- Cascadia Healthcare (46 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Grangeville 410 Realty, LLC | 5% or greater security interest | 5 Jun 2025 | |
| White Oak Healthcare Finance LLC | 5% or greater security interest | 11 Aug 2022 | |
| Cascadia HC Group LLC | Operational/managerial control | 5 Jun 2025 | |
| Cascadia Healthcare LLC | Operational/managerial control | 17 Sep 2021 | |
| Cascadia Holdco LLC | Operational/managerial control | 5 Jun 2025 | |
| Cascadia Services LLC | Operational/managerial control | 21 Jan 2025 | |
| Cascadia Services LLC | Adp of the snf | 21 Jan 2025 | |
| Grangeville 410 Realty, LLC | Adp of the snf | 5 Jun 2025 |
The site shows organisations only. It does not show the names of persons.
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Grangeville Health & Rehabilitation of Cascadia (CCN 135080). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/grangeville-health-rehabilitation-of-cascadia-grangeville-id-135080/
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 Grangeville Health & Rehabilitation of Cascadia last inspected?
- The latest inspection with a citation in the CMS record was on 8 Aug 2025. It was a complaint investigation. It gave 6 citations. The standard survey before the last one was on 25 Oct 2024.
- Who operates Grangeville Health & Rehabilitation of Cascadia?
- The CMS record gives the ownership type as for-profit, corporation. 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 Grangeville Health & Rehabilitation 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.