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2514 North Seventh Street Coeur d'Alene, ID 83814 · Kootenai County
All 5 nursing homes in Coeur d'Alene, ID (5 take Medicaid)
CMS certification number 135052 · See this home on Medicare Care Compare
Is Coeur d Alene Health of Cascadia a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Coeur d Alene Health of Cascadia as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Idaho average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.67 hours per resident per day at Coeur d Alene Health of Cascadia, about the same as the Idaho median of 3.76 (US median: 3.72). About 0.50 of those hours are from registered nurses. On weekends it falls to 3.35 hours, 9% below its all-week average. 64.4% of nursing staff left within a year (Idaho median 50.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Coeur d Alene Health of Cascadia: Medicare and Medicaid
Coeur d Alene Health of Cascadia is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Idaho's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 7, 2026 and found 2 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 35 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 35 citations at Coeur d Alene Health of Cascadia across 4 inspection dates, 17 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on March 20, 2025. The most common areas cited were quality of life and care (9) and nutrition and dietary (6). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, March 20, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
May 7, 2026 · 5 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
November 12, 2025 · 2 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
March 20, 2025 · 12 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProvide and implement an infection prevention and control program.
EProvide or get specialized rehabilitative services as required for a resident.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe, appropriate pain management for a resident who requires such services.
DHave 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.
DPost nurse staffing information every day.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
January 24, 2020 · 16 citations
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
FConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
FProvide and implement an infection prevention and control program.
EHonor 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.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EObserve each nurse aide's job performance and give regular training.
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DNotify 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.
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide enough food/fluids to maintain a resident's health.
DTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Questions to ask on a tour of Coeur d Alene Health of Cascadia
- Inspectors cited the home at the actual-harm level on March 20, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on November 12, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 64.4% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $33,815 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 20, 2025 | Fine | $19,513 |
| Feb 6, 2024 | Fine | $14,302 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 3/5 |
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Location
Hospitals near Coeur d Alene Health of Cascadia
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.7 mi
Kootenai Medical Center Coeur D'aleneEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 58m for patients treated and sent home
- 6.8 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Coeur d Alene Health of Cascadia › All nursing homes in Coeur d'Alene ›
Compare Coeur d Alene Health of Cascadia with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Advanced Health Care of Coeur d'Alene · Coeur d'Alene · 5 stars · 1.4 mi
- Life Care Center of Post Falls · Post Falls · 5 stars · 6.1 mi
- Ironwood Rehabilitation and Care Center · Coeur d'Alene · 2 stars · 1.0 mi
Other Cascadia Healthcare nursing homes in Idaho
- Twin Falls Transitional Care of Cascadia · Twin Falls · 5 stars
- Payette Healthcare of Cascadia · Payette · 5 stars
- Aspen Park of Cascadia · Moscow · 5 stars
- The Cove of Cascadia · Bellevue · 4 stars
- Cascadia of Lewiston · Lewiston · 4 stars
- Wellspring Health & Rehabilitation of Cascadia · Nampa · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 47 Cascadia Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.