Clearwater Health & Rehabilitation of Cascadia
1204 Shriver Road · Orofino, ID · 83544 · 2084764568
60 certified beds For profit - Limited Liability company Chain: Cascadia Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- 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
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: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.06 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.87 | 0.55–0.75 |
| Weekend hours / resident-day | 2.58 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (17 in the current record)
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Potential for harm · D April 17, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected November 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 17, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected May 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 9, 2025 · Pharmacy Service
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Potential for harm · D April 17, 2025 · 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 May 9, 2025 · Pharmacy Service
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Potential for harm · E April 17, 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 9, 2025 · Nutrition and Dietary
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Potential for harm · D April 17, 2025 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected May 9, 2025 · Quality of Life and Care
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Potential for harm · D April 17, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 9, 2025 · Infection Control
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Potential for harm · D February 4, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 14, 2022 · Resident Assessment and Care Planning
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Potential for harm · E February 4, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 14, 2022 · Resident Assessment and Care Planning
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Potential for harm · D February 4, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 14, 2022 · Quality of Life and Care
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Potential for harm · D June 14, 2021
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 16, 2021 · Resident Rights
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Potential for harm · D June 14, 2021
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 16, 2021 · Resident Assessment and Care Planning
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Potential for harm · E June 14, 2021
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 16, 2021 · Pharmacy Service
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Potential for harm · E June 14, 2021
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 July 16, 2021 · Pharmacy Service
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Potential for harm · E June 14, 2021
Provide and implement an infection prevention and control program.
Corrected July 16, 2021 · Infection Control
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Potential for harm · D June 14, 2021
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected July 16, 2021 · Infection Control
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No harm found · C June 14, 2021
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected July 16, 2021 · Nutrition and Dietary
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 135048 · certified since November 19, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.