Coeur D Alene Health of Cascadia
2514 North Seventh Street · Coeur D'Alene, ID · 83814 · 2086648128
117 certified beds For profit - Corporation Chain: Cascadia Healthcare
Why this verdict
- 5 citations involved actual harm to residents.
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
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
63% 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: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.59 | 0.55–0.75 |
| Weekend hours / resident-day | 3.44 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 2 · $33,815 |
Inspection citations (47 in the current record)
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Potential for harm · D November 12, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F November 12, 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 December 12, 2025 · Nutrition and Dietary
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Actual harm · G March 20, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · D March 20, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 23, 2025 · Resident Rights
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Potential for harm · D March 20, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected April 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2025 · found via complaint
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 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · D March 20, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · D March 20, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · D March 20, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected April 23, 2025 · Nursing and Physician Services
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Potential for harm · D March 20, 2025 · found via complaint
Post nurse staffing information every day.
Corrected April 23, 2025 · Nursing and Physician Services
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Potential for harm · D March 20, 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 April 23, 2025 · Nutrition and Dietary
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Potential for harm · E March 20, 2025 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · F March 20, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 23, 2025 · Infection Control
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Potential for harm · E January 24, 2020
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 February 24, 2020 · Resident Rights
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Potential for harm · D January 24, 2020
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 February 24, 2020 · Resident Rights
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Potential for harm · D January 24, 2020
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected February 24, 2020 · Resident Rights
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Potential for harm · D January 24, 2020
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 February 24, 2020 · Resident Rights
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Potential for harm · D January 24, 2020
Ensure each resident receives an accurate assessment.
Corrected February 24, 2020 · Resident Assessment and Care Planning
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Potential for harm · D January 24, 2020
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 24, 2020 · Resident Assessment and Care Planning
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Potential for harm · D January 24, 2020
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 24, 2020 · Quality of Life and Care
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Potential for harm · E January 24, 2020
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 24, 2020 · Quality of Life and Care
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Potential for harm · D January 24, 2020
Provide enough food/fluids to maintain a resident's health.
Corrected February 24, 2020 · Quality of Life and Care
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Potential for harm · D January 24, 2020
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 February 24, 2020 · Quality of Life and Care
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Potential for harm · E January 24, 2020
Observe each nurse aide's job performance and give regular training.
Corrected February 24, 2020 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 20, 2025 | Fine | $19,513 |
| February 6, 2024 | Fine | $14,302 |
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 135052 · certified since January 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.