Clarkston Health and Rehab of Cascadia
1242 Eleventh Street · Clarkston, WA · 99403 · 5097582523
90 certified beds For profit - Limited Liability company Chain: Cascadia Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.54 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.10 | 0.55–0.75 |
| Weekend hours / resident-day | 3.05 | ≈ weekday level |
| Nursing turnover / year | 31% | median 45% |
| Fines (3-yr window) | 1 · $32,711 |
Inspection citations (53 in the current record)
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Potential for harm · F August 18, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected October 3, 2025 · Resident Rights
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Potential for harm · D August 18, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 18, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected October 3, 2025 · Resident Rights
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Potential for harm · E August 18, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected October 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 18, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 18, 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 October 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 18, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 3, 2025 · Quality of Life and Care
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Potential for harm · D August 18, 2025
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.
Corrected October 3, 2025 · Quality of Life and Care
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Potential for harm · D August 18, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 3, 2025 · Quality of Life and Care
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Potential for harm · E August 18, 2025
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected October 3, 2025 · Nursing and Physician Services
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Potential for harm · D August 18, 2025
Ensure that residents are free from significant medication errors.
Corrected October 3, 2025 · Pharmacy Service
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Potential for harm · D August 18, 2025
Provide or obtain dental services for each resident.
Corrected October 3, 2025 · Quality of Life and Care
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Potential for harm · F August 18, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 3, 2025 · Nutrition and Dietary
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Potential for harm · F August 18, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 3, 2025 · Nutrition and Dietary
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Potential for harm · E August 18, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 18, 2025
Provide and implement an infection prevention and control program.
Corrected October 3, 2025 · Infection Control
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Potential for harm · D April 15, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 16, 2025 · Quality of Life and Care
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Potential for harm · D November 1, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 3, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 1, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 3, 2024 · Pharmacy Service
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Potential for harm · E October 4, 2024 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected November 15, 2024 · Resident Rights
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Potential for harm · D October 4, 2024 · found via complaint
Provide or obtain dental services for each resident.
Corrected November 15, 2024 · Quality of Life and Care
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Potential for harm · E January 26, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 1, 2024 · Resident Rights
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Potential for harm · D January 26, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 26, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 1, 2024 · Quality of Life and Care
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Potential for harm · D January 26, 2024
Provide activities to meet all resident's needs.
Corrected March 1, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 25, 2023 | Fine | $32,711 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505283 · certified since January 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.