Silverton Health and Rehabilitation of Cascadia
405 West Seventh Street · Silverton, ID · 83867 · 2085561147
55 certified beds For profit - Corporation Chain: Cascadia Healthcare
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Inspection results have improved across recent cycles.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
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: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 3.07 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 2.42 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 1 · $41,954 |
Inspection citations (46 in the current record)
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Potential for harm · E January 9, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 6, 2026 · Resident Rights
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Potential for harm · D January 9, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 6, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected February 6, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 6, 2026 · Pharmacy Service
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Potential for harm · E January 9, 2026 · 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 February 6, 2026 · Pharmacy Service
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Potential for harm · F January 9, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 6, 2026 · Nutrition and Dietary
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Potential for harm · F January 9, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 6, 2026 · Nutrition and Dietary
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Potential for harm · D January 9, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 9, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 6, 2026 · Infection Control
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Potential for harm · E June 27, 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 August 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 27, 2025 · found via complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected August 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 27, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected August 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 27, 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 August 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 27, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 9, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 9, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 9, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2025 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected August 9, 2025 · Nursing and Physician Services
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Potential for harm · D June 27, 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 August 9, 2025 · Nursing and Physician Services
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Potential for harm · E June 27, 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 August 9, 2025 · Nutrition and Dietary
-
Potential for harm · D June 27, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 27, 2025 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected August 9, 2025 · Administration
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Potential for harm · D June 27, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 9, 2025 · Infection Control
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Actual harm · G October 4, 2023 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 10, 2023 · Pharmacy Service
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Potential for harm · D October 4, 2023 · 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 November 10, 2023 · Resident Rights
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Potential for harm · D October 4, 2023 · 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 November 10, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 4, 2023 | Fine | $41,954 |
Better-scoring options nearby
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 135058 · certified since October 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.