C80

ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA

Grade C 80/100 composite score

For profit - Partnership

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
3/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

76

Ownership

For profit - Partnership

Total Fines

None

Last Survey

N/A

2870 JUNIPER DRIVE, LEWISTON, ID 83501
2087462855

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.97h
LPN
0.53h
CNA
2.19h
Total
3.69h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

CASCADIA HEALTHCARE LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2021

CASCADIA HC GROUP LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jun 2025

CASCADIA HEALTHCARE LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2022

CASCADIA HOLDCO LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jun 2025

CASCADIA SERVICES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

FLEMMING, THOMAS

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2024

HAMMOND, OWEN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2022

LAFORTE, STEPHEN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2025

NELSON, TIMOTHY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2025

RUDOLPH, JOHN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2025

TIMBERLINE OHI TENANT LLC

Organization5% OR GREATER SECURITY INTERESTSince Jun 2025

WHITE OAK HEALTHCARE FINANCE LLC

Organization5% OR GREATER SECURITY INTERESTSince Aug 2022

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (27)

April 17, 2025Health3 deficiencies
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected May 19, 2025
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected May 19, 2025
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected May 19, 2025
November 8, 2024Health10 deficiencies
0622DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Dec 13, 2024
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 13, 2024
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 13, 2024
0623DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Dec 13, 2024
0565EMinimal harm, Pattern

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Dec 13, 2024
0585EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Dec 13, 2024
0625DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Dec 13, 2024
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Dec 13, 2024
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Dec 13, 2024
0908EMinimal harm, Pattern

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Dec 13, 2024
July 24, 2021Health14 deficiencies5 severe
0578EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Sep 20, 2021
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 20, 2021
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 20, 2021
0677GActual harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Sep 20, 2021
0686GActual harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Sep 20, 2021
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Sep 20, 2021
0725HActual harm, Pattern

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Sep 20, 2021
0740JImmediate jeopardy, Isolated

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Quality of Life and Care Deficiencies

Corrected Sep 20, 2021
0744DMinimal harm, Isolated

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Quality of Life and Care Deficiencies

Corrected Sep 20, 2021
0865FMinimal harm, Widespread

Have a plan that describes the process for conducting QAPI and QAA activities.

Administration Deficiencies

Corrected Sep 20, 2021
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 20, 2021
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Sep 20, 2021
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 20, 2021
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Nov 19, 2021

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Frequently Asked Questions

What is the CareGrader rating for ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA?

ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA in LEWISTON, Idaho has a CareGrader grade of C (Average), with a composite score of 79.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA?

ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA have?

ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA has 27 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA have?

ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA has 76 certified beds with approximately 61 current residents (80% occupancy). The facility is located at 2870 JUNIPER DRIVE, LEWISTON, Idaho 83501. It is a for profit - partnership facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.