Silverton Health and Rehabilitation of CascadiaCMS ratings, inspections and fines
- Address
- 405 West Seventh Street, Silverton, ID 83867
- CCN
- 135058
- Ownership type
- For-profit, corporation
- Certified beds
- 55
- Chain
- Cascadia Healthcare
- Residents per day
- 48
- CMS flags
- Special Focus Facility
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 Silverton Health and Rehabilitation of Cascadia no star ratings, because the home is in the Special Focus Facility program. The last standard survey was on 10 Jul 2026. The latest survey cycle has 3 health citations. The median for nursing homes in Idaho is 10. CMS lists 1 fine of $41,954 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 | Shoshone County median | Idaho median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | No data | 4.0 | 3.0 | 3.0 |
| Health inspection rating | No data | 4.0 | 3.0 | 2.8 |
| Staffing rating | No data | 4.0 | 3.0 | 2.9 |
| Quality measure rating | No data | 4.0 | 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) | 10 Jul 2026 | 3 | 10 |
| Cycle 2 | 9 Jan 2026 | 9 | 7 |
| Cycle 3 | No date | 20 | 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 |
|---|---|---|---|---|---|
| 10 Jul 2026 | 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 | 10 Aug 2026 |
| 10 Jul 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Aug 2026 |
| 10 Jul 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Aug 2026 |
Survey cycle 2: 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 9 Jan 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Complaint investigation | 6 Feb 2026 |
| 9 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 6 Feb 2026 |
| 9 Jan 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 6 Feb 2026 |
| 9 Jan 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 6 Feb 2026 |
| 9 Jan 2026 | 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 | Complaint investigation | 6 Feb 2026 |
| 9 Jan 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Complaint investigation | 6 Feb 2026 |
| 9 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 6 Feb 2026 |
| 9 Jan 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 6 Feb 2026 |
| 9 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 6 Feb 2026 |
Survey cycle 3: 20 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 |
|---|---|---|---|---|---|
| 27 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 9 Aug 2025 |
| 27 Jun 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Complaint investigation | 9 Aug 2025 |
| 27 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 9 Aug 2025 |
| 27 Jun 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 | Complaint investigation | 9 Aug 2025 |
| 27 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 9 Aug 2025 |
| 27 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 9 Aug 2025 |
| 27 Jun 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 9 Aug 2025 |
| 27 Jun 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 | 9 Aug 2025 |
| 27 Jun 2025 | 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. | D | Complaint investigation | 9 Aug 2025 |
| 27 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 9 Aug 2025 |
| 27 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 9 Aug 2025 |
| 27 Jun 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Complaint investigation | 9 Aug 2025 |
| 27 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 9 Aug 2025 |
| 4 Oct 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 10 Nov 2023 |
| 4 Oct 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 | Complaint investigation | 10 Nov 2023 |
| 4 Oct 2023 | 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. | F | Complaint investigation | 10 Nov 2023 |
| 4 Oct 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 10 Nov 2023 |
| 4 Oct 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 10 Nov 2023 |
| 4 Oct 2023 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 10 Nov 2023 |
| 4 Oct 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 10 Nov 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 |
|---|---|---|---|
| 4 Oct 2023 | Fine | $41,954 |
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 | 3.29 | 3.80 | 4.04 |
| Registered nurses (RN) | 0.56 | 0.80 | 0.86 |
| Licensed practical nurses (LPN) | 0.59 | 0.74 | |
| Nurse aides | 2.13 | 2.44 | |
| All nurse staff, weekends | 2.75 | 3.30 | 3.49 |
- Nurse staff turnover in a year
- 51.1%
- Nurse staff turnover, Idaho median
- 50.0%
- RN turnover in a year
- 66.7%
- 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 | 20.5% | 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 | 2.4% | 1.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.0% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.8% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.5% | 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
- Silverton of Cascadia LLC
- Chain
- Cascadia Healthcare (46 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cascadia Idaho Operations LLC | Direct ownership interest | 1 Mar 2023 | |
| Cascadia HC Group LLC | Indirect ownership interest | 5 Jun 2025 | |
| Cascadia Healthcare LLC | Indirect ownership interest | 1 Mar 2023 | |
| Cascadia Holdco LLC | Indirect ownership interest | 5 Jun 2025 | |
| Silverton 405 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 | 12 Feb 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Shoshone County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Mountain Valley of Cascadia | Kellogg | 4 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 Silverton Health and Rehabilitation of Cascadia (CCN 135058). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/silverton-health-and-rehabilitation-of-cascadia-silverton-id-135058/
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 Silverton Health and Rehabilitation of Cascadia last inspected?
- The latest inspection with a citation in the CMS record was on 10 Jul 2026. It was a standard survey. It gave 3 citations. The standard survey before the last one was on 9 Jan 2026.
- Who operates Silverton Health and 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 Cascadia Services LLC for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for Silverton Health and Rehabilitation of Cascadia?
- CMS lists the home as a Special Focus Facility. The State Survey Agency inspects a Special Focus Facility every six months. CMS gives no star ratings to a home in the program.
- 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.