Twin Falls Transitional Care of CascadiaCMS ratings, inspections and fines
- Address
- 674 Eastland Drive, Twin Falls, ID 83301
- CCN
- 135104
- Ownership type
- For-profit, limited liability company
- Certified beds
- 116
- Chain
- Cascadia Healthcare
- Residents per day
- 79
- 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 Twin Falls Transitional Care of Cascadia an overall rating of 5 of 5 stars. The last standard survey was on 12 Jun 2025. The latest survey cycle has 10 health citations. The median for nursing homes in Idaho is 10. CMS lists no fines 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 | Twin Falls County median | Idaho median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 5 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 5 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) | 12 Jun 2025 | 10 | 10 |
| Cycle 2 | 5 Jul 2024 | 7 | 7 |
| Cycle 3 | No date | 16 | 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 | 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 |
Survey cycle 1 (latest): 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 Jun 2025 | 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 | Complaint investigation | 11 Jul 2025 |
| 12 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 11 Jul 2025 |
| 12 Jun 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 11 Jul 2025 |
| 12 Jun 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 11 Jul 2025 |
| 12 Jun 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 11 Jul 2025 |
| 12 Jun 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 11 Jul 2025 |
| 12 Jun 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 11 Jul 2025 |
| 12 Jun 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 | 11 Jul 2025 |
| 12 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 11 Jul 2025 |
| 12 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 | 11 Jul 2025 |
Survey cycle 2: 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 2 Aug 2024 |
| 5 Jul 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 2 Aug 2024 |
| 5 Jul 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 2 Aug 2024 |
| 5 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 2 Aug 2024 |
| 5 Jul 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 2 Aug 2024 |
| 5 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 2 Aug 2024 |
| 5 Jul 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 | 2 Aug 2024 |
Survey cycle 3: 16 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 |
|---|---|---|---|---|---|
| 1 Apr 2019 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 21 May 2019 |
| 1 Apr 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 | 21 May 2019 |
| 1 Apr 2019 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard survey | 21 May 2019 |
| 1 Apr 2019 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 21 May 2019 |
| 1 Apr 2019 | F0610 | Respond appropriately to all alleged violations. | G | Standard survey | 21 May 2019 |
| 1 Apr 2019 | 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 | 21 May 2019 |
| 1 Apr 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. | E | Standard survey | 21 May 2019 |
| 1 Apr 2019 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Standard survey | 21 May 2019 |
| 1 Apr 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 May 2019 |
| 1 Apr 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 21 May 2019 |
| 1 Apr 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 21 May 2019 |
| 1 Apr 2019 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 21 May 2019 |
| 1 Apr 2019 | F0732 | Post nurse staffing information every day. | C | Standard survey | 21 May 2019 |
| 1 Apr 2019 | 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 | 21 May 2019 |
| 1 Apr 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. | E | Standard survey | 21 May 2019 |
| 1 Apr 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 21 May 2019 |
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.
CMS lists no fine and no payment denial for this home in its penalties file.
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 | 3.70 | 3.80 | 4.04 |
| Registered nurses (RN) | 0.70 | 0.80 | 0.86 |
| Licensed practical nurses (LPN) | 0.64 | 0.74 | |
| Nurse aides | 2.36 | 2.44 | |
| All nurse staff, weekends | 3.35 | 3.30 | 3.49 |
- Nurse staff turnover in a year
- 44.9%
- Nurse staff turnover, Idaho median
- 50.0%
- RN turnover in a year
- 46.2%
- 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 | 11.5% | 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 | 0.9% | 1.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.7% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.7% | 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 | 27.6% | 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
- Twin 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 Jun 2020 | |
| Cascadia HC Group LLC | Indirect ownership interest | 5 Jun 2025 | |
| Cascadia Healthcare LLC | Indirect ownership interest | 1 Jun 2020 | |
| 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 Services LLC | Operational/managerial control | 13 May 2016 | |
| Cascadia Services LLC | Adp of the snf | 14 Jul 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 Twin Falls County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Serenity Transitional Care | Twin Falls | 3 of 5 | 16 | $0 | 26 Jun 2026 | |
| Oak Creek Rehabilitation Center of Kimberly | Kimberly | 1 of 5 | 14 | $13,627 | 5 Dec 2025 | |
| Bridgeview Estates | Twin Falls | 3 of 5 | 12 | $0 | 9 Jul 2025 | |
| Cascades at Desert ViewSpecial Focus candidate | Buhl | 1 of 5 | 24 | $0 | 15 May 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 Twin Falls Transitional Care of Cascadia (CCN 135104). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/twin-falls-transitional-care-of-cascadia-twin-falls-id-135104/
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 Twin Falls Transitional Care of Cascadia last inspected?
- The latest inspection with a citation in the CMS record was on 12 Jun 2025. It was a complaint investigation. It gave 10 citations. The standard survey before the last one was on 5 Jul 2024.
- Who operates Twin Falls Transitional Care 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 Twin Falls Transitional Care 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.