Idaho › Nez Perce County › Lewiston
Lewiston Transitional Care of Cascadia
3315 8th Street, 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.
Certified for 96 beds, Lewiston Transitional Care of Cascadia serves Lewiston in Nez Perce County, Idaho and has taken Medicare and Medicaid residents since 1972.
CMS gives it 4 of 5 stars overall, above the Idaho median of 3; the health inspection rating is 4, staffing 2 and quality measures 2.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (6, 3, 11 by cycle, most recent first), none at the actual-harm level. That is 20.8 per 100 beds, fewer 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 3.5 hours per resident per day (0.4 RN), close to the Idaho median of 3.8; nursing staff turnover is 48.1%.
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 | 20 | 21 | 26 | 28.7 |
| Citations per 100 beds | 20.8 | 26.0 | 34.8 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.5 | 3.8 | 3.9 |
| RN hours per resident day | 0.4 | 0.9 | 0.8 | 0.7 |
| Nursing staff turnover | 48.1% | 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 Aug 2025, 13 Jun 2024.
Severity mix: D ×15 E ×4 C ×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 |
|---|---|---|---|---|---|
| 21 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 22 Sep 2025 |
| 21 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 22 Sep 2025 |
| 21 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 22 Sep 2025 |
| 21 Aug 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 22 Sep 2025 |
| 21 Aug 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 22 Sep 2025 |
| 21 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 Sep 2025 |
| 13 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 12 Jul 2024 |
| 13 Jun 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 12 Jul 2024 |
| 13 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 12 Jul 2024 |
| 9 Jan 2020 | F0578 | Honor 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. | E | Standard survey | 13 Feb 2020 |
| 9 Jan 2020 | 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 | Standard survey | 13 Feb 2020 |
| 9 Jan 2020 | F0584 | Honor 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. | D | Standard survey | 13 Feb 2020 |
| 9 Jan 2020 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 13 Feb 2020 |
| 9 Jan 2020 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 13 Feb 2020 |
| 9 Jan 2020 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 13 Feb 2020 |
| 9 Jan 2020 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 13 Feb 2020 |
| 9 Jan 2020 | F0688 | Provide 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. | D | Standard survey | 13 Feb 2020 |
| 9 Jan 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 | 13 Feb 2020 |
| 9 Jan 2020 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 13 Feb 2020 |
| 9 Jan 2020 | F0732 | Post nurse staffing information every day. | C | Standard survey | 13 Feb 2020 |
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 48.1%, RNs 55.6%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Idaho median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.0% | 15.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.6% | 1.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.9% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.9% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.9% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.3% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 29.7% | 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: Lewiston 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 | 02/01/2022 |
| Cascadia Hc Group LLC | Indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| Cascadia Healthcare LLC | Indirect ownership interest | NOT APPLICABLE | 02/01/2022 |
| Cascadia Holdco LLC | Indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| Timberline Ctre Tenant LLC | 5% or greater security interest | NOT APPLICABLE | 06/05/2025 |
| White Oak Healthcare Finance LLC | 5% or greater security interest | NOT APPLICABLE | 08/11/2022 |
| Cascadia Services LLC | Operational/managerial control | NOT APPLICABLE | 01/23/2025 |
| Cascadia Services LLC | Adp of the snf | NOT APPLICABLE | 01/23/2025 |
| Timberline Ctre Tenant 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 |
| Cascadia of Lewiston | Lewiston | 34 | 4 | 4 | 1 | 21 | 61.8 | — | 3 Apr 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 Lewiston Transitional Care of Cascadia been cited for?
20 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Idaho median is 26 per facility.
Has Lewiston Transitional Care of Cascadia been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Lewiston Transitional Care of Cascadia compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Idaho median of 3.8 and a national average of 3.9.
Who operates Lewiston Transitional Care of Cascadia?
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 Lewiston Transitional Care of Cascadia last inspected?
The most recent survey or investigation in the CMS record is dated 21 Aug 2025; the most recent standard health survey was 21 Aug 2025.
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.