Payette Healthcare of Cascadia

1019 Third Avenue South · Payette, ID · 83661 · 2086424455

80 certified beds For profit - Limited Liability company Chain: Cascadia Healthcare

  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 61
Serious harm & abuse 20% 100
Staffing 20% 76
Federal penalties 15% 100
Trend 10% 60
Context 5% 100

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: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.533.48 min · 4.1 strong
RN hours / resident-day1.100.55–0.75
Weekend hours / resident-day3.02≈ weekday level
Nursing turnover / year38%median 45%
Fines (3-yr window)none

Inspection citations (25 in the current record)

  • Potential for harm · D September 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 September 5, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 12, 2025 · found via complaint

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected October 10, 2025 · Resident Rights

  • Potential for harm · D September 12, 2025 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected October 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D September 12, 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 October 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D September 12, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected October 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D September 12, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 10, 2025 · Quality of Life and Care

  • Potential for harm · D September 12, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected October 10, 2025 · Quality of Life and Care

  • Potential for harm · D September 12, 2025 · found via complaint

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected October 10, 2025 · Pharmacy Service

  • Potential for harm · D September 12, 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 October 10, 2025 · Pharmacy Service

  • Potential for harm · D September 12, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected October 10, 2025 · Infection Control

  • Potential for harm · D August 9, 2024 · found via complaint

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected September 10, 2024 · Resident Rights

  • Potential for harm · E August 9, 2024 · found via complaint

    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 September 10, 2024 · Resident Rights

  • Potential for harm · D August 9, 2024 · found via complaint

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected September 10, 2024 · Quality of Life and Care

  • Potential for harm · D August 9, 2024 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected September 10, 2024 · Quality of Life and Care

  • Potential for harm · D August 9, 2024 · found via complaint

    Observe each nurse aide's job performance and give regular training.

    Corrected September 10, 2024 · Nursing and Physician Services

  • Potential for harm · D August 9, 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 September 10, 2024 · Pharmacy Service

  • Potential for harm · E August 9, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected September 10, 2024 · Infection Control

  • Potential for harm · D August 9, 2024 · found via complaint

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected September 10, 2024 · Infection Control

  • Potential for harm · D September 6, 2019

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected October 11, 2019 · Resident Rights

  • Potential for harm · D September 6, 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 October 11, 2019 · Resident Rights

  • Potential for harm · D September 6, 2019

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected October 11, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D September 6, 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 October 11, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D September 6, 2019

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 11, 2019 · Quality of Life and Care

  • Potential for harm · D September 6, 2019

    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 11, 2019 · Quality of Life and Care

  • Potential for harm · D September 6, 2019

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected October 11, 2019 · Quality of Life and Care

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 135015 · certified since July 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.