Idaho › Canyon County › Nampa
Orchards of Cascadia, The
404 North Horton Street, Nampa, ID 83651
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.
Orchards of Cascadia, The is a For-profit, limited liability company nursing home in Nampa, Idaho, certified for 100 beds and caring for about 92 residents a day.
CMS gives it 1 of 5 stars overall, below the Idaho median of 3; the health inspection rating is 1, staffing 3 and quality measures 4.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (7, 3, 13 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 23.0 per 100 beds, fewer than the state median of 34.8.
CMS lists 2 penalties in the period covered: fines totalling $26K.
Reported nurse staffing is 3.9 hours per resident per day (0.7 RN), close to the Idaho median of 3.8; nursing staff turnover is 47.4%.
Compared with county, state and nation
| Measure | This facility | Canyon Co. median | Idaho median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 23 | 24 | 26 | 28.7 |
| Citations per 100 beds | 23.0 | 23.3 | 34.8 | 26.8 |
| Total nurse hours per resident day | 3.9 | 3.8 | 3.8 | 3.9 |
| RN hours per resident day | 0.7 | 0.6 | 0.8 | 0.7 |
| Nursing staff turnover | 47.4% | 47.4% | 50.0% | 45.8% |
| Fines listed | $25,809 | $8,018 | $0 | — |
County and state figures are medians across facilities (7 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: 1 Dec 2025, 6 Jun 2024.
Severity mix: J ×1 G ×1 D ×17 E ×2 F ×2
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 |
|---|---|---|---|---|---|
| 8 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 29 Jan 2026 |
| 1 Dec 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 29 Jan 2026 |
| 1 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 29 Jan 2026 |
| 1 Dec 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 29 Jan 2026 |
| 1 Dec 2025 | 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. | D | Standard survey | 29 Jan 2026 |
| 1 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 18 Dec 2025 |
| 14 Nov 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | J | Complaint investigation | 17 Dec 2025 |
| 6 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 9 Jul 2024 |
| 6 Jun 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 9 Jul 2024 |
| 6 Jun 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 | Standard survey | 9 Jul 2024 |
| 15 Feb 2019 | 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. | F | Standard survey | 5 Apr 2019 |
| 15 Feb 2019 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 5 Apr 2019 |
| 15 Feb 2019 | 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. | E | Standard survey | 5 Apr 2019 |
| 15 Feb 2019 | 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. | D | Standard survey | 5 Apr 2019 |
| 15 Feb 2019 | 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 | Standard survey | 5 Apr 2019 |
| 15 Feb 2019 | 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 | Standard survey | 5 Apr 2019 |
| 15 Feb 2019 | 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 | 5 Apr 2019 |
| 15 Feb 2019 | 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 | Standard survey | 5 Apr 2019 |
| 15 Feb 2019 | 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 | 5 Apr 2019 |
| 15 Feb 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 5 Apr 2019 |
| 15 Feb 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 5 Apr 2019 |
| 15 Feb 2019 | F0687 | Provide appropriate foot care. | D | Standard survey | 5 Apr 2019 |
| 15 Feb 2019 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 5 Apr 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Nov 2025 | Fine | $16,985 | |
| 6 Jun 2024 | Fine | $8,824 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Idaho average. Turnover: nursing staff 47.4%, RNs 58.8%; 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 | 14.6% | 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 | 2.0% | 1.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.2% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.9% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.0% | 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: Nampa West 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 | 10/01/2017 |
| Cascadia Hc Group LLC | Indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| Cascadia Healthcare LLC | Indirect ownership interest | NOT APPLICABLE | 10/01/2017 |
| 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 | 06/30/2017 |
| Cascadia Services LLC | Adp of the snf | NOT APPLICABLE | 02/11/2025 |
| 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 Canyon County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Canyon West of Cascadia | Caldwell | 103 | 4 | 3 | 2 | 24 | 23.3 | — | 16 Apr 2026 |
| Meadow View Nursing and Rehabilitation | Nampa | 122 | 4 | 3 | 3 | 20 | 16.4 | $8K | 19 Nov 2025 |
| Wellspring Health & Rehabilitation of Cascadia | Nampa | 120 | 4 | 3 | 2 | 19 | 15.8 | $31K | 18 Sep 2025 |
| Sunny Ridge | Nampa | 43 | 3 | 2 | 2 | 34 | 79.1 | — | 23 Jan 2026 |
| Caldwell Care of Cascadia | Caldwell | 68 | 1 | 1 | 3 | 38 | 55.9 | — | 6 Mar 2026 |
| Karcher Post Acuteabuse iconSFF Candidate | Nampa | 66 | 1 | 1 | 2 | 39 | 59.1 | $42K | 29 May 2026 |
All 7 facilities in Canyon County
Questions and answers
How many deficiencies has Orchards of Cascadia, The been cited for?
23 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Idaho median is 26 per facility.
Has Orchards of Cascadia, The been fined?
Yes. CMS lists fines totalling $26K in the period covered.
How does staffing at Orchards of Cascadia, The compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Idaho median of 3.8 and a national average of 3.9.
Who operates Orchards of Cascadia, The?
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 Orchards of Cascadia, The last inspected?
The most recent survey or investigation in the CMS record is dated 8 Jan 2026; the most recent standard health survey was 1 Dec 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.