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Royal Plaza Health and Rehabilitation of Cascadia

All states › Idaho › Lewiston › Royal Plaza Health and Rehabilitation of Cascadia

2930 Juniper Drive Lewiston, ID 83501 · Nez Perce County

(208) 746-2855

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

Accepts Medicare Accepts Medicaid 78 certified beds For profit

CMS certification number 135116 · 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 Royal Plaza Health and Rehabilitation 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 Royal Plaza Health and Rehabilitation of Cascadia as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Idaho average of 3.1. Inspectors issued 25 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 3 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 3.42 hours per resident per day at Royal Plaza Health and Rehabilitation of Cascadia, below the Idaho median of 3.76 (US median: 3.72). About 0.97 of those hours are from registered nurses. On weekends it falls to 2.78 hours, 19% below its all-week average. Ask how weekends are staffed. 58.6% of nursing staff left within a year (Idaho median 50.5%).

Nursing care per resident per day 3.42 hours
Below the Idaho median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.97 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.78 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 58.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 40% 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 beds78
Residents per day 70 About 90% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceDecember 1993
Part of a chainCascadia Healthcare
Legal business nameLEWISTON CENTER OF CASCADIA, LLC

Paying for care at Royal Plaza Health and Rehabilitation of Cascadia: Medicare and Medicaid

Royal Plaza Health and Rehabilitation 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 June 26, 2026 and found 0 deficiencies, plus 12 from complaint inspections in the same period. In total, inspectors issued 25 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 25 citations at Royal Plaza Health and Rehabilitation of Cascadia across 3 inspection dates, 25 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 25 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident rights (7) and resident assessment and care planning (5). 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 F, June 26, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.

June 26, 2026 · 12 citations · includes complaint inspection

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 (Jul 31, 2026)

EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0628 · Complaint inspection · Deficient, Provider has date of correction (Jul 31, 2026)

EProvide a neutral and fair arbitration process and agree to arbitrator and venue.

Potential for more than minimal harm · Administration Deficiencies · Tag F0848 · Complaint inspection · Deficient, Provider has date of correction (Jul 31, 2026)

DHonor 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 · Complaint inspection · Deficient, Provider has date of correction (Jul 31, 2026)

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Aug 21, 2025)

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 (Jul 31, 2026)

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 (Jul 31, 2026)

DProvide 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 (Jul 31, 2026)

DEnsure 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 (Jul 31, 2026)

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 (Jul 31, 2026)

DProvide 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 (Jul 31, 2026)

DDevelop 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 (Jul 31, 2026)

April 17, 2025 · 3 citations · includes complaint inspection

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 19, 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 · Complaint inspection · Deficient, Provider has date of correction (May 19, 2025)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (May 19, 2025)

November 8, 2024 · 10 citations · includes complaint inspection

EHonor the resident's right to organize and participate in resident/family groups in the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0565 · Complaint inspection · Deficient, Provider has date of correction (Dec 13, 2024)

EHonor 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 (Dec 13, 2024)

EKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Complaint inspection · Deficient, Provider has date of correction (Dec 13, 2024)

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 (Dec 13, 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 (Dec 13, 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 (Dec 13, 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 (Dec 13, 2024)

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 · Complaint inspection · Deficient, Provider has date of correction (Dec 13, 2024)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Dec 13, 2024)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Dec 13, 2024)

Questions to ask on a tour of Royal Plaza Health and Rehabilitation of Cascadia

  1. CMS cited the home under its abuse and neglect rules on June 26, 2026. How are staff trained, and how are concerns reported?
  2. Weekend staffing is 19% below the all-week average. Who is on duty on Saturday nights?
  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 2/5 2/5 3/5 3/5
August 2026 2/5 2/5 3/5 2/5
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Location

Hospitals near Royal Plaza Health and Rehabilitation 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.

  • 2.2 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

Cascadia of Lewiston Lewiston · 0.0 mi away ★★★★☆ Inspection 4/5 · Staffing 1/5 34 beds
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 Royal Plaza Health and Rehabilitation of Cascadia ›   All nursing homes in Lewiston ›

Compare Royal Plaza Health and Rehabilitation 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/royal-plaza-health-and-rehabilitation-of-cascadia/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.