Grangeville Health & Rehabilitation Of Cascadia
Grangeville, Idaho County, Idaho · CCN 135080 · For-profit (Corporation) · part of Cascadia Healthcare (46 facilities, chain average 3 stars)
CMS rates Grangeville Health & Rehabilitation Of Cascadia 4 of 5 overall as of August 2026. 60 certified beds, 43 residents a day on average. 13 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 4 of 5 |
Staffing
| Total nurse staffing | 3.43362 hours per resident per day |
|---|---|
| Registered nurses | 0.70562 hours per resident per day |
| Weekend total | 3.08692 hours per resident per day |
| Nursing staff turnover | 75% (registered nurses 28.6%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-08-08 complaint survey |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-09-10 |
| 2025-08-08 complaint survey |
Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-10 |
| 2025-08-08 complaint survey |
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. Nursing and Physician Services Deficiencies · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-10 |
| 2025-08-08 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-10 |
| 2025-08-08 complaint survey |
Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-10 |
| 2025-08-08 complaint survey |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · tag F0887 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-10 |
| 2024-10-25 complaint survey |
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. Nursing and Physician Services Deficiencies · tag F0727 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-11-18 |
| 2024-10-25 complaint survey |
PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-18 |
| 2020-02-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2020-03-10 |
| 2020-02-06 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2020-03-10 |
| 2020-02-06 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2020-03-10 |
| 2020-02-06 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2020-03-10 |
| 2020-02-06 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2020-03-10 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Grangeville 410 Realty, LLC Organization | 5% or greater security interest | — | 2025-06-05 |
| White Oak Healthcare Finance LLC Organization | 5% or greater security interest | — | 2022-08-11 |
| Cascadia Services LLC Organization | adp of the snf | — | 2025-01-21 |
| Grangeville 410 Realty, LLC Organization | adp of the snf | — | 2025-06-05 |
| Cascadia Hc Group LLC Organization | operational/managerial control | — | 2025-06-05 |
| Cascadia Healthcare LLC Organization | operational/managerial control | — | 2021-09-17 |
| Cascadia Holdco LLC Organization | operational/managerial control | — | 2025-06-05 |
| Cascadia Services LLC Organization | operational/managerial control | — | 2025-01-21 |
| Jenkins, Adam Individual | adp of the snf | — | 2025-02-26 |
| Rudolph, John Individual | adp of the snf | — | 2025-08-07 |
| Hammond, Owen Individual | indirect ownership interest | — | 2022-03-01 |
| Laforte, Stephen Individual | indirect ownership interest | — | 2025-06-05 |
| Nelson, Timothy Individual | indirect ownership interest | — | 2025-06-05 |
| Hammond, Owen Individual | operational/managerial control | — | 2022-03-01 |
| Jenkins, Adam Individual | operational/managerial control | — | 2024-04-17 |
| Laforte, Stephen Individual | operational/managerial control | — | 2025-06-05 |
| Nelson, Timothy Individual | operational/managerial control | — | 2025-06-05 |
| Rudolph, John Individual | operational/managerial control | — | 2025-07-04 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Grangeville Health & Rehabilitation Of Cascadia.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Idaho County.