All states › Idaho › Lewiston › Cascadia of Lewiston
2852 Juniper Drive Lewiston, ID 83501 · Nez Perce County
All 6 nursing homes in Lewiston, ID (5 take Medicaid)
CMS certification number 135145 · See this home on Medicare Care Compare
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.
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%).
About this nursing home
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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DAllow residents to self-administer drugs if determined clinically appropriate.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DRespond appropriately to all alleged violations.
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.
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.
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.
EProvide and implement an infection prevention and control program.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
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.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Cascadia of Lewiston
- 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?
- CMS cited the home under its abuse and neglect rules on April 3, 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?
- Weekend staffing is 22% below the all-week average. Who is on duty on Saturday nights?
- 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 month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 1/5 | 5/5 |
| August 2026 | 4/5 | 4/5 | 1/5 | 5/5 |
Add this rating badge to your websiteFree. Shows Cascadia of Lewiston's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
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 LewistonEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 9m for patients treated and sent home
-
3.1 mi
Tri-State Memorial Hospital ClarkstonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 23m for patients treated and sent home
-
23.0 mi
Gritman Medical Center MoscowEmergency room ★★★☆☆ Medicare overall 3 of 5Median 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
More nursing homes near Cascadia of Lewiston › All nursing homes in Lewiston ›
Compare Cascadia of Lewiston with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Life Care Center of Lewiston · Lewiston · 5 stars · 1.3 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
- Wellspring Health & Rehabilitation of Cascadia · Nampa · 4 stars
- Mountain Valley of Cascadia · Kellogg · 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.