Paradise Creek Health and Rehab of CascadiaCMS ratings, inspections and fines
- Address
- 640 North Eisenhower Street, Moscow, ID 83843
- CCN
- 135067
- Ownership type
- For-profit, limited liability company
- Certified beds
- 63
- Chain
- Cascadia Healthcare
- Residents per day
- 47
- 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 Paradise Creek Health and Rehab of Cascadia an overall rating of 4 of 5 stars. The last standard survey was on 7 May 2026. The latest survey cycle has 3 health citations. The median for nursing homes in Idaho is 10. CMS lists 7 fines with a total of $48,758 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 | Latah County median | Idaho median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 5.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 2 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.
| Survey cycle | Standard survey | Citations | Idaho median |
|---|---|---|---|
| Cycle 1 (latest) | 7 May 2026 | 3 | 10 |
| Cycle 2 | 29 Aug 2024 | 7 | 7 |
| Cycle 3 | No date | 17 | 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 | 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): 3 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 May 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 11 Jun 2026 |
| 7 May 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 11 Jun 2026 |
| 7 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Jun 2026 |
Survey cycle 2: 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 Aug 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 | Standard survey | 27 Sep 2024 |
| 29 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 27 Sep 2024 |
| 29 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 27 Sep 2024 |
| 29 Aug 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 27 Sep 2024 |
| 29 Aug 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. | D | Standard survey | 27 Sep 2024 |
| 29 Aug 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 27 Sep 2024 |
| 29 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Sep 2024 |
Survey cycle 3: 17 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 |
|---|---|---|---|---|---|
| 14 Jul 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 8 Aug 2023 |
| 14 Jul 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 8 Aug 2023 |
| 14 Jul 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 8 Aug 2023 |
| 14 Jul 2023 | 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 | 8 Aug 2023 |
| 14 Jul 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard survey | 8 Aug 2023 |
| 14 Jul 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 8 Aug 2023 |
| 14 Jul 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 8 Aug 2023 |
| 14 Jul 2023 | 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 | 8 Aug 2023 |
| 14 Jul 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 8 Aug 2023 |
| 14 Jul 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 8 Aug 2023 |
| 14 Jul 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 8 Aug 2023 |
| 14 Jul 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 8 Aug 2023 |
| 14 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 8 Aug 2023 |
| 14 Jul 2023 | F0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | D | Standard survey | 8 Aug 2023 |
| 14 Jul 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 8 Aug 2023 |
| 14 Jul 2023 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | Standard survey | 8 Aug 2023 |
| 14 Jul 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 8 Aug 2023 |
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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 29 Aug 2024 | Fine | $21,320 | |
| 25 Sep 2023 | Fine | $4,587 | |
| 18 Sep 2023 | Fine | $4,587 | |
| 11 Sep 2023 | Fine | $4,545 | |
| 5 Sep 2023 | Fine | $4,587 | |
| 28 Aug 2023 | Fine | $4,587 | |
| 21 Aug 2023 | Fine | $4,545 |
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 | 3.36 | 3.80 | 4.04 |
| Registered nurses (RN) | 0.67 | 0.80 | 0.86 |
| Licensed practical nurses (LPN) | 0.63 | 0.74 | |
| Nurse aides | 2.07 | 2.44 | |
| All nurse staff, weekends | 2.94 | 3.30 | 3.49 |
- Nurse staff turnover in a year
- 70.9%
- Nurse staff turnover, Idaho median
- 50.0%
- RN turnover in a year
- 75.0%
- Administrators who left in a year
- No data
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 | 22.4% | 15.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.8% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.4% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.5% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.6% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.7% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.8% | 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
- Moscow North of Cascadia LLC
- Chain
- Cascadia Healthcare (46 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Moscow 640 Realty, LLC | 5% or greater security interest | 5 Jun 2025 | |
| White Oak Healthcare Finance LLC | 5% or greater security interest | 11 Aug 2022 | |
| Cascadia Services LLC | Operational/managerial control | 21 Oct 2022 | |
| Cascadia Services LLC | Adp of the snf | 21 Oct 2022 | |
| Moscow 640 Realty, LLC | Adp of the snf | 5 Jun 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Latah County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Aspen Park of Cascadia | Moscow | 5 of 5 | 7 | $0 | 1 May 2025 |
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 Paradise Creek Health and Rehab of Cascadia (CCN 135067). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/paradise-creek-health-and-rehab-of-cascadia-moscow-id-135067/
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 Paradise Creek Health and Rehab of Cascadia last inspected?
- The latest inspection with a citation in the CMS record was on 7 May 2026. It was a standard survey. It gave 3 citations. The standard survey before the last one was on 29 Aug 2024.
- Who operates Paradise Creek Health and Rehab 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 Cascadia Services LLC for operational or managerial control. This site does not show the names of persons.
- Is Paradise Creek Health and Rehab 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.