Cascadia Of Lewiston
Lewiston, Nez Perce County, Idaho · CCN 135145 · For-profit (LLC) · part of Cascadia Healthcare (46 facilities, chain average 3 stars)
CMS rates Cascadia Of Lewiston 4 of 5 overall as of August 2026. 34 certified beds, 31 residents a day on average. 21 citations on record from the current inspection cycles, 1 involving actual harm; 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 | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | — / 5 of 5 |
Staffing
| Total nurse staffing | 4.3082 hours per resident per day |
|---|---|
| Registered nurses | 0.83776 hours per resident per day |
| Weekend total | 3.65593 hours per resident per day |
| Nursing staff turnover | 68.4% (registered nurses 62.5%) |
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 |
|---|---|---|---|
| 2025-04-03 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2024-12-03 |
| 2025-04-03 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 2025-05-18 |
| 2025-04-03 complaint survey |
Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-18 |
| 2025-04-03 complaint survey |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-18 |
| 2025-04-03 complaint survey |
Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-18 |
| 2025-04-03 complaint survey |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · tag F0561 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-18 |
| 2025-04-03 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-18 |
| 2025-04-03 complaint survey |
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 · tag F0622 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-18 |
| 2024-05-03 complaint survey |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-11 |
| 2024-05-03 complaint survey |
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. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-11 |
| 2024-05-03 complaint survey |
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 2024-06-11 |
| 2024-05-03 complaint survey |
Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-11 |
| 2024-05-03 complaint survey |
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 · tag F0585 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-11 |
| 2024-05-03 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-11 |
| 2024-05-03 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-11 |
| 2024-05-03 complaint survey |
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 · tag F0623 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-11 |
| 2024-05-03 complaint survey |
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 · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-11 |
| 2024-05-03 complaint survey |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-11 |
| 2024-05-03 complaint survey |
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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-11 |
| 2024-05-03 complaint survey |
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 2024-06-11 |
| 2024-05-03 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-11 |
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 |
|---|---|---|---|
| Lewiston 2852 Realty, LLC Organization | 5% or greater security interest | — | 2025-06-05 |
| White Oak Healthcare Finance LLC Organization | 5% or greater security interest | — | 2022-03-01 |
| Cascadia Services LLC Organization | adp of the snf | — | 2022-03-01 |
| Lewiston 2852 Realty, LLC Organization | adp of the snf | — | 2025-06-05 |
| Cascadia Idaho Operations LLC Organization | direct ownership interest | — | 2022-03-01 |
| Cascadia Hc Group LLC Organization | indirect ownership interest | — | 2025-06-05 |
| Cascadia Healthcare LLC Organization | indirect ownership interest | — | 2022-03-01 |
| Cascadia Holdco LLC Organization | indirect ownership interest | — | 2025-06-05 |
| Cascadia Hc Group LLC Organization | operational/managerial control | — | 2025-06-05 |
| Cascadia Healthcare LLC Organization | operational/managerial control | — | 2022-03-01 |
| Cascadia Holdco LLC Organization | operational/managerial control | — | 2025-06-05 |
| Cascadia Idaho Operations LLC Organization | operational/managerial control | — | 2022-03-01 |
| Cascadia Services LLC Organization | operational/managerial control | — | 2022-03-01 |
| Burt, James Individual | adp of the snf | — | 2025-07-17 |
| Rudolph, John Individual | adp of the snf | — | 2025-07-17 |
| 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 |
| Burt, James Individual | operational/managerial control | — | 2025-06-14 |
| Hammond, Owen Individual | operational/managerial control | — | 2022-03-01 |
| Laforte, Stephen Individual | operational/managerial control | — | 2025-06-05 |
| Nelson, Timothy Individual | operational/managerial control | — | 2025-06-05 |
| Rudolph, John Individual | operational/managerial control | — | 2025-07-03 |
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 Cascadia Of Lewiston.
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 Nez Perce County.