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Lewiston Transitional Care of Cascadia

All states › Idaho › Lewiston › Lewiston Transitional Care of Cascadia

3315 8th Street Lewiston, ID 83501 · Nez Perce County

(208) 743-9543

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

Accepts Medicare Accepts Medicaid 96 certified beds For profit

CMS certification number 135021 · 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 Lewiston Transitional Care 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 Lewiston Transitional Care of Cascadia as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Idaho average of 3.1. Inspectors issued 20 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 2 out of 5.

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 3.32 hours per resident per day at Lewiston Transitional Care of Cascadia, below the Idaho median of 3.76 (US median: 3.72). About 0.54 of those hours are from registered nurses. On weekends it falls to 2.85 hours, 14% below its all-week average. 52.6% of nursing staff left within a year (Idaho median 50.5%).

Nursing care per resident per day 3.32 hours
Below the Idaho median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.54 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.85 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 52.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 50% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds96
Residents per day 66 About 69% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceSeptember 1972
Part of a chainCascadia Healthcare
Legal business nameLEWISTON OF CASCADIA LLC

Paying for care at Lewiston Transitional Care of Cascadia: Medicare and Medicaid

Lewiston Transitional Care 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 August 21, 2025 and found 6 deficiencies. In total, inspectors issued 20 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 20 citations at Lewiston Transitional Care of Cascadia across 3 inspection dates, 3 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 19 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were quality of life and care (5) and resident assessment and care planning (4). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level E, August 21, 2025).

August 21, 2025 · 6 citations

EProcure 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 · Deficient, Provider has date of correction (Sep 22, 2025)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Sep 22, 2025)

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 · Deficient, Provider has date of correction (Sep 22, 2025)

DProvide safe, appropriate pain management for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Deficient, Provider has date of correction (Sep 22, 2025)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (Sep 22, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Sep 22, 2025)

June 13, 2024 · 3 citations · includes complaint inspection

EProcure 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 (Jul 12, 2024)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Complaint inspection · Deficient, Provider has date of correction (Jul 12, 2024)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Jul 12, 2024)

January 9, 2020 · 11 citations

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Feb 13, 2020)

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 · Deficient, Provider has date of correction (Feb 13, 2020)

DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Feb 13, 2020)

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 · Deficient, Provider has date of correction (Feb 13, 2020)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Feb 13, 2020)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Feb 13, 2020)

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 · Deficient, Provider has date of correction (Feb 13, 2020)

DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Feb 13, 2020)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Feb 13, 2020)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Feb 13, 2020)

CPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Feb 13, 2020)

Questions to ask on a tour of Lewiston Transitional Care of Cascadia

  1. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  2. 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?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. 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 2/5 2/5
August 2026 4/5 4/5 2/5 2/5
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Location

Hospitals near Lewiston Transitional Care 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.

  • 2.9 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
  • 3.4 mi
    Tri-State Memorial Hospital Clarkston
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 23m for patients treated and sent home
  • 23.9 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

Orchard View Post Acute Lewiston · 0.6 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 127 beds · Medicaid
Royal Plaza Health and Rehabilitation of Cascadia Lewiston · 0.9 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 78 beds · Medicaid
Cascadia of Lewiston Lewiston · 0.9 mi away ★★★★☆ Inspection 4/5 · Staffing 1/5 34 beds
Life Care Center of Lewiston Lewiston · 1.0 mi away ★★★★★ Inspection 5/5 · Staffing 3/5 121 beds · Medicaid
Idaho State Veterans Home - Lewiston Lewiston · 1.8 mi away ★★☆☆☆ Inspection 1/5 · Staffing 5/5 66 beds · Medicaid

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

Compare Lewiston Transitional Care of Cascadia 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/lewiston-transitional-care-of-cascadia/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.