All states › Idaho › Moscow › Paradise Creek Health and Rehab of Cascadia
640 North Eisenhower Street Moscow, ID 83843 · Latah County
All 2 nursing homes in Moscow, ID (2 take Medicaid)
CMS certification number 135067 · See this home on Medicare Care Compare
Is Paradise Creek Health and Rehab 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 Paradise Creek Health and Rehab of Cascadia as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as 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 3.26 hours per resident per day at Paradise Creek Health and Rehab of Cascadia, below the Idaho median of 3.76 (US median: 3.72). About 0.41 of those hours are from registered nurses. On weekends it falls to 2.91 hours, 11% below its all-week average. 68.4% 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.
About this nursing home
Paying for care at Paradise Creek Health and Rehab of Cascadia: Medicare and Medicaid
Paradise Creek Health and Rehab 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 3 deficiencies. In total, inspectors issued 27 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 27 citations at Paradise Creek Health and Rehab of Cascadia across 3 inspection dates. 3 were at the actual-harm level (G–I), most recently on August 29, 2024. The most common areas cited were quality of life and care (8) and resident rights (5). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level G, August 29, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.
May 7, 2026 · 3 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe and appropriate respiratory care for a resident when needed.
August 29, 2024 · 7 citations, includes actual harm
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EObserve each nurse aide's job performance and give regular training.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
July 14, 2023 · 17 citations, includes actual harm
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DReasonably accommodate the needs and preferences of each resident.
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.
DRespond appropriately to all alleged violations.
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 safe and appropriate respiratory care for a resident when needed.
DProvide a neutral and fair arbitration process and agree to arbitrator and venue.
DDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
Questions to ask on a tour of Paradise Creek Health and Rehab of Cascadia
- Inspectors cited the home at the actual-harm level on August 29, 2024 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 July 14, 2023. 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 68.4% a year. How many of the staff come from agencies?
- 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
1 penalty in the last three years, including $21,320 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 29, 2024 | Fine | $21,320 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 4/5 | 1/5 | 3/5 |
| August 2026 | 4/5 | 4/5 | 2/5 | 3/5 |
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Location
Hospitals near Paradise Creek Health and Rehab 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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1.6 mi
Gritman Medical Center MoscowEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 2m for patients treated and sent home
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9.6 mi
Pullman Memorial Hospital PullmanEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 1h 55m for patients treated and sent home
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21.2 mi
Whitman Hospital and Medical Center ColfaxEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 36m 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 Paradise Creek Health and Rehab of Cascadia › All nursing homes in Moscow ›
Compare Paradise Creek Health and Rehab of Cascadia with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Aspen Park of Cascadia · Moscow · 5 stars · 1.6 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.