facebook tracking Cascadia of Lewiston, Lewiston ID: CMS Ratings & Inspections
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Cascadia of Lewiston

All states › Idaho › Lewiston › Cascadia of Lewiston

2852 Juniper Drive Lewiston, ID 83501 · Nez Perce County

(208) 748-7700

All 6 nursing homes in Lewiston, ID (5 take Medicaid)

Accepts Medicare 34 certified beds For profit

CMS certification number 135145 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Cascadia of Lewiston 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 Cascadia of Lewiston as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Idaho average of 3.1. Inspectors issued 21 citations in the last three years. CMS reports no fines or payment denials in that time.

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 4.31 hours per resident per day at Cascadia of Lewiston, above the Idaho median of 3.76 (US median: 3.72). About 0.91 of those hours are from registered nurses. On weekends it falls to 3.36 hours, 22% below its all-week average. Ask how weekends are staffed. 59% of nursing staff left within a year (Idaho median 50.5%).

Nursing care per resident per day 4.31 hours
Above the Idaho median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.91 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.36 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 59% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 70% a year Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds34
Residents per day 30 About 89% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare
Certified sinceJune 2018
Part of a chainCascadia Healthcare
Legal business nameLEWISTON NORTH OF CASCADIA, LLC

Paying for care at Cascadia of Lewiston: Medicare and Medicaid

Cascadia of Lewiston is certified for Medicare but not Medicaid. It can provide short-term skilled nursing and rehab covered by Medicare Part A, but if long-term care is needed and Medicaid becomes the payer, a move to a Medicaid-certified home would be needed. 5 other homes in Lewiston accept Medicaid. Nursing homes that accept Medicaid in Idaho.

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 21, 2026 and found 0 deficiencies. In total, inspectors issued 21 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 21 citations at Cascadia of Lewiston across 2 inspection dates, 20 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on April 3, 2025. The most common areas cited were resident rights (6) and freedom from abuse, neglect, and exploitation (3). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level G, April 3, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.

April 3, 2025 · 8 citations · includes complaint inspection

GEnsure that residents are free from significant medication errors.

Actual harm · Pharmacy Service Deficiencies · Tag F0760 · Past Non-Compliance (Dec 3, 2024)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (May 18, 2025)

EProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Complaint inspection · Deficient, Provider has date of correction (May 18, 2025)

EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Complaint inspection · Deficient, Provider has date of correction (May 18, 2025)

DAllow residents to self-administer drugs if determined clinically appropriate.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Complaint inspection · Deficient, Provider has date of correction (May 18, 2025)

DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0561 · Complaint inspection · Deficient, Provider has date of correction (May 18, 2025)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (May 18, 2025)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0622 · Complaint inspection · Deficient, Provider has date of correction (May 18, 2025)

May 3, 2024 · 13 citations · includes complaint inspection

EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Complaint inspection · Deficient, Provider has date of correction (Jun 11, 2024)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Jun 11, 2024)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Jun 11, 2024)

EDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Complaint inspection · Deficient, Provider has date of correction (Jun 11, 2024)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0585 · Complaint inspection · Deficient, Provider has date of correction (Jun 11, 2024)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Jun 11, 2024)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Jun 11, 2024)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0623 · Complaint inspection · Deficient, Provider has date of correction (Jun 11, 2024)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0625 · Complaint inspection · Deficient, Provider has date of correction (Jun 11, 2024)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Complaint inspection · Deficient, Provider has date of correction (Jun 11, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Jun 11, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Jun 11, 2024)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Jun 11, 2024)

Questions to ask on a tour of Cascadia of Lewiston

  1. Inspectors cited the home at the actual-harm level on April 3, 2025 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on April 3, 2025. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Weekend staffing is 22% below the all-week average. Who is on duty on Saturday nights?
  5. 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

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 1/5 5/5
August 2026 4/5 4/5 1/5 5/5
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Location

Hospitals near Cascadia of Lewiston

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 2.2 mi
    St Joseph Regional Medical Center Lewiston
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 9m for patients treated and sent home
  • 3.1 mi
    Tri-State Memorial Hospital Clarkston
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 23m for patients treated and sent home
  • 23.0 mi
    Gritman Medical Center Moscow
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 2m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Royal Plaza Health and Rehabilitation of Cascadia Lewiston · 0.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 78 beds · Medicaid
Lewiston Transitional Care of Cascadia Lewiston · 0.9 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 96 beds · Medicaid
Life Care Center of Lewiston Lewiston · 1.3 mi away ★★★★★ Inspection 5/5 · Staffing 3/5 121 beds · Medicaid
Orchard View Post Acute Lewiston · 1.4 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 127 beds · Medicaid
Idaho State Veterans Home - Lewiston Lewiston · 1.4 mi away ★★☆☆☆ Inspection 1/5 · Staffing 5/5 66 beds · Medicaid

More nursing homes near Cascadia of Lewiston ›   All nursing homes in Lewiston ›

Compare Cascadia of Lewiston with the 3 closest homes side by side ›

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Other Cascadia Healthcare nursing homes in Idaho

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.

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https://www.nursinghomesineachstate.com/idaho/lewiston/cascadia-of-lewiston/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.