Royal Plaza Health and Rehabilitation of Cascadia
2870 Juniper Drive · Lewiston, ID · 83501 · 2087462855
76 certified beds For profit - Partnership Chain: Cascadia Healthcare
Why this verdict
- 3 citations involved actual harm to residents.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
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
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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: 2 of 5
| Total nurse hours / resident-day | 3.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.89 | 0.55–0.75 |
| Weekend hours / resident-day | 2.70 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (27 in the current record)
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Potential for harm · D April 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 19, 2025 · Quality of Life and Care
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Potential for harm · D April 17, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 19, 2025 · Pharmacy Service
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Potential for harm · F 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 19, 2025 · Nutrition and Dietary
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Potential for harm · E November 8, 2024 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected December 13, 2024 · Resident Rights
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Potential for harm · E November 8, 2024 · found via complaint
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 December 13, 2024 · Resident Rights
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Potential for harm · D November 8, 2024 · found via complaint
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 December 13, 2024 · Resident Rights
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Potential for harm · D November 8, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 13, 2024 · Resident Rights
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Potential for harm · D November 8, 2024 · found via complaint
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 December 13, 2024 · Resident Rights
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Potential for harm · D November 8, 2024 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected December 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 8, 2024 · 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 December 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 8, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 8, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 13, 2024 · Pharmacy Service
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Potential for harm · E November 8, 2024 · found via complaint
Keep all essential equipment working safely.
Corrected December 13, 2024 · Environmental
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Immediate jeopardy · J July 24, 2021
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 20, 2021 · Quality of Life and Care
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Immediate jeopardy · J July 24, 2021
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected September 20, 2021 · Quality of Life and Care
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Actual harm · G July 24, 2021
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 20, 2021 · Quality of Life and Care
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Actual harm · G July 24, 2021
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 20, 2021 · Quality of Life and Care
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Actual harm · H July 24, 2021
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 20, 2021 · Nursing and Physician Services
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Potential for harm · E July 24, 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 September 20, 2021 · Resident Rights
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Potential for harm · D July 24, 2021
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 20, 2021 · Resident Rights
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Potential for harm · D July 24, 2021
Ensure each resident receives an accurate assessment.
Corrected September 20, 2021 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 20, 2021 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 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 September 20, 2021 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2021
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 19, 2021 · Quality of Life and Care
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Potential for harm · D July 24, 2021
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected September 20, 2021 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 135116 · certified since December 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.