Cascadia of Lewiston
2852 Juniper Drive · Lewiston, ID · 83501 · 2087487700
34 certified beds For profit - Limited Liability company Chain: Cascadia Healthcare
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
Red flags
72% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.07 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.10 | 0.55–0.75 |
| Weekend hours / resident-day | 3.51 | ≈ weekday level |
| Nursing turnover / year | 72% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (21 in the current record)
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Actual harm · G April 3, 2025
Ensure that residents are free from significant medication errors.
Corrected December 3, 2024 · Pharmacy Service
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Potential for harm · D April 3, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 18, 2025 · Resident Rights
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Potential for harm · D April 3, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 18, 2025 · Resident Rights
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Potential for harm · D April 3, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 3, 2025 · 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 May 18, 2025 · Resident Rights
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Potential for harm · E April 3, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 18, 2025 · Quality of Life and Care
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Potential for harm · E April 3, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 18, 2025 · Nutrition and Dietary
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Potential for harm · F April 3, 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 May 18, 2025 · Nutrition and Dietary
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Potential for harm · D May 3, 2024 · found via complaint
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.
Corrected June 11, 2024 · Resident Rights
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Potential for harm · D May 3, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 3, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 3, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 11, 2024 · Resident Rights
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Potential for harm · D May 3, 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 June 11, 2024 · Resident Rights
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Potential for harm · D May 3, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 3, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 3, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 11, 2024 · Quality of Life and Care
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Potential for harm · E May 3, 2024 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 11, 2024 · Pharmacy Service
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Potential for harm · E May 3, 2024 · found via complaint
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 June 11, 2024 · Pharmacy Service
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Potential for harm · D May 3, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 3, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 11, 2024 · Infection Control
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Potential for harm · E May 3, 2024 · found via complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected June 11, 2024 · Infection Control
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
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 135145 · certified since June 28, 2018. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.