Orchards of Cascadia, the
404 North Horton Street · Nampa, ID · 83651 · 2084669292
100 certified beds For profit - Limited Liability company Chain: Cascadia Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.94 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 3.24 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 2 · $34,954 |
Inspection citations (23 in the current record)
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Potential for harm · D January 8, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 29, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 1, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected January 29, 2026 · Resident Rights
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Potential for harm · D December 1, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 29, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 1, 2025
Ensure that residents are free from significant medication errors.
Corrected January 29, 2026 · Pharmacy Service
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Potential for harm · D December 1, 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 January 29, 2026 · Pharmacy Service
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Potential for harm · D December 1, 2025
Provide and implement an infection prevention and control program.
Corrected December 18, 2025 · Infection Control
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Immediate jeopardy · J November 14, 2025 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected December 17, 2025 · Quality of Life and Care
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Actual harm · G June 6, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 9, 2024 · Quality of Life and Care
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Potential for harm · D June 6, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected July 9, 2024 · Resident Rights
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Potential for harm · D June 6, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 15, 2019
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 April 5, 2019 · Resident Rights
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Potential for harm · E February 15, 2019
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 April 5, 2019 · Resident Rights
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Potential for harm · D February 15, 2019
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 April 5, 2019 · Resident Rights
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Potential for harm · D February 15, 2019
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 April 5, 2019 · Resident Rights
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Potential for harm · D February 15, 2019
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 5, 2019 · Resident Rights
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Potential for harm · D February 15, 2019
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 April 5, 2019 · Resident Rights
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Potential for harm · D February 15, 2019
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 5, 2019 · Resident Assessment and Care Planning
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Potential for harm · D February 15, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 5, 2019 · Quality of Life and Care
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Potential for harm · D February 15, 2019
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 5, 2019 · Quality of Life and Care
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Potential for harm · D February 15, 2019
Provide appropriate foot care.
Corrected April 5, 2019 · Quality of Life and Care
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Potential for harm · D February 15, 2019
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 5, 2019 · Quality of Life and Care
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Potential for harm · F February 15, 2019
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 April 5, 2019 · Pharmacy Service
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Potential for harm · F February 15, 2019
Provide and implement an infection prevention and control program.
Corrected April 5, 2019 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 14, 2025 | Fine | $26,130 |
| June 6, 2024 | Fine | $8,824 |
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 135019 · certified since May 1, 1970. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.