Teton Healthcare of CascadiaCMS ratings, inspections and fines
- Address
- 3111 Channing Way, Idaho Falls, ID 83404
- CCN
- 135138
- Ownership type
- For-profit, limited liability company
- Certified beds
- 88
- Chain
- Cascadia Healthcare
- Residents per day
- 70
- 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 Teton Healthcare of Cascadia an overall rating of 1 of 5 stars. The last standard survey was on 6 Mar 2026. The latest survey cycle has 17 health citations. The median for nursing homes in Idaho is 10. CMS lists 2 fines with a total of $36,190 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 | Bonneville County median | Idaho median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 4.0 | 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: 4 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) | 6 Mar 2026 | 17 | 10 |
| Cycle 2 | 20 Dec 2024 | 19 | 7 |
| Cycle 3 | No date | 1 | 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): 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 6 Mar 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 31 Mar 2026 |
| 6 Mar 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 31 Mar 2026 |
| 6 Mar 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 31 Mar 2026 |
| 6 Mar 2026 | 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 | 31 Mar 2026 |
| 6 Mar 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 31 Mar 2026 |
| 6 Mar 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 31 Mar 2026 |
| 6 Mar 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 | 31 Mar 2026 |
| 6 Mar 2026 | F0732 | Post nurse staffing information every day. | D | Standard survey | 31 Mar 2026 |
| 6 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 31 Mar 2026 |
| 6 Mar 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 31 Mar 2026 |
| 6 Mar 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. | D | Standard survey | 31 Mar 2026 |
| 6 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 31 Mar 2026 |
| 6 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 31 Mar 2026 |
| 15 Aug 2025 | 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 | Complaint investigation | 12 Sep 2025 |
| 15 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 | Complaint investigation | 12 Sep 2025 |
| 15 Aug 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 | Complaint investigation | 12 Sep 2025 |
| 15 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 12 Sep 2025 |
Survey cycle 2: 19 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Dec 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint investigation | 24 Jan 2025 |
| 20 Dec 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 24 Jan 2025 |
| 20 Dec 2024 | 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 | Complaint investigation | 24 Jan 2025 |
| 20 Dec 2024 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Complaint investigation | 24 Jan 2025 |
| 20 Dec 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 24 Jan 2025 |
| 20 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 24 Jan 2025 |
| 20 Dec 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 24 Jan 2025 |
| 20 Dec 2024 | 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 | Complaint investigation | 24 Jan 2025 |
| 20 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 24 Jan 2025 |
| 20 Dec 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 24 Jan 2025 |
| 20 Dec 2024 | 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. | G | Complaint investigation | 24 Jan 2025 |
| 20 Dec 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Complaint investigation | 24 Jan 2025 |
| 20 Dec 2024 | F0732 | Post nurse staffing information every day. | D | Complaint investigation | 24 Jan 2025 |
| 20 Dec 2024 | 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 | Complaint investigation | 24 Jan 2025 |
| 20 Dec 2024 | 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 | Complaint investigation | 24 Jan 2025 |
| 20 Dec 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 24 Jan 2025 |
| 20 Dec 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 24 Jan 2025 |
| 20 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 24 Jan 2025 |
| 20 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 24 Jan 2025 |
Survey cycle 3: 1 citation
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 |
|---|---|---|---|---|---|
| 4 Aug 2022 | 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 | 2 Sep 2022 |
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 |
|---|---|---|---|
| 20 Dec 2024 | Fine | $25,604 | |
| 11 Dec 2023 | Fine | $10,586 |
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 | 3.78 | 3.80 | 4.04 |
| Registered nurses (RN) | 1.31 | 0.80 | 0.86 |
| Licensed practical nurses (LPN) | 0.45 | 0.74 | |
| Nurse aides | 2.03 | 2.44 | |
| All nurse staff, weekends | 3.14 | 3.30 | 3.49 |
- Nurse staff turnover in a year
- 60.8%
- Nurse staff turnover, Idaho median
- 50.0%
- RN turnover in a year
- 54.2%
- 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 | 25.1% | 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 | 3.0% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.9% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.0% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.7% | 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
- Idaho Falls 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 Feb 2022 | |
| Cascadia HC Group LLC | Indirect ownership interest | 5 Jun 2025 | |
| Cascadia Healthcare LLC | Indirect ownership interest | 1 Feb 2022 | |
| Cascadia Holdco LLC | Indirect ownership interest | 5 Jun 2025 | |
| Timberline Ohi Tenant 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 | 1 Feb 2022 | |
| Cascadia Holdco LLC | Operational/managerial control | 5 Jun 2025 | |
| Cascadia Idaho Operations LLC | Operational/managerial control | 1 Feb 2022 | |
| Cascadia Services LLC | Operational/managerial control | 23 Jan 2025 | |
| Cascadia Services LLC | Adp of the snf | 23 Jan 2025 | |
| Timberline Ohi Tenant LLC | Adp of the snf | 5 Jun 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Bonneville County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Life Care Center of Idaho Falls | Idaho Falls | 3 of 5 | 16 | $13,247 | 19 Mar 2026 | |
| Promontory Point Rehabilitation | Ammon | 5 of 5 | 8 | $0 | 28 May 2026 | |
| Eagle Rock Health and Rehabilitation of Cascadia | Idaho Falls | 1 of 5 | 23 | $8,018 | 2 Apr 2026 |
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 Teton Healthcare of Cascadia (CCN 135138). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/teton-healthcare-of-cascadia-idaho-falls-id-135138/
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 Teton Healthcare of Cascadia last inspected?
- The latest inspection with a citation in the CMS record was on 6 Mar 2026. It was a standard survey. It gave 13 citations. The standard survey before the last one was on 20 Dec 2024.
- Who operates Teton Healthcare 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 5 organisations for operational or managerial control. This site does not show the names of persons.
- Is Teton Healthcare 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.