Cascades at Desert View
820 Sprague Avenue · Buhl, ID · 83316 · 2085436401
57 certified beds For profit - Limited Liability company Chain: Cascades Healthcare
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.17 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 3.58 | ≈ weekday level |
| Nursing turnover / year | 34% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (38 in the current record)
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Potential for harm · F November 19, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 26, 2025 · Nutrition and Dietary
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Potential for harm · F November 19, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected November 26, 2025 · Environmental
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Potential for harm · D April 3, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 8, 2025 · Resident Rights
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Potential for harm · D April 3, 2025
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.
Corrected May 8, 2025 · Resident Rights
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Potential for harm · D April 3, 2025
Ensure each resident receives an accurate assessment.
Corrected May 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 3, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 3, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 3, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 8, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 8, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 8, 2025 · Pharmacy Service
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Potential for harm · D April 3, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 8, 2025 · Pharmacy Service
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Potential for harm · D April 3, 2025
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.
Corrected May 8, 2025 · Pharmacy Service
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Potential for harm · D April 3, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected May 8, 2025 · Pharmacy Service
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Potential for harm · D April 3, 2025
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.
Corrected May 8, 2025 · Pharmacy Service
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Potential for harm · D April 3, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 8, 2025 · Nutrition and Dietary
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Potential for harm · D April 3, 2025
Provide and implement an infection prevention and control program.
Corrected May 8, 2025 · Infection Control
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Potential for harm · E April 3, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected May 8, 2025 · Nursing and Physician Services
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Actual harm · G May 31, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 31, 2024 · found via complaint
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.
Corrected July 3, 2024 · Resident Rights
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Potential for harm · D May 31, 2024 · found via complaint
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.
Corrected July 3, 2024 · Resident Rights
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Potential for harm · E May 31, 2024 · found via complaint
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.
Corrected July 3, 2024 · Resident Rights
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Potential for harm · D May 31, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected July 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 31, 2024 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected July 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 31, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 3, 2024 · Quality of Life and Care
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Potential for harm · D May 31, 2024 · found via complaint
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected July 3, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 135089 · certified since October 1, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.