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Paradise Creek Health and Rehab of Cascadia

All states › Idaho › Moscow › Paradise Creek Health and Rehab of Cascadia

640 North Eisenhower Street Moscow, ID 83843 · Latah County

(208) 882-6560

All 2 nursing homes in Moscow, ID (2 take Medicaid)

Accepts Medicare Accepts Medicaid 63 certified beds For profit

CMS certification number 135067 · 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 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. Inspectors issued 27 citations in the last three years. CMS imposed 1 penalty, including $21,320 in fines, 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 3.26 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.

Nursing care per resident per day 3.26 hours
Below the Idaho median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.41 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.91 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 68.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 55.6% 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 beds63
Residents per day 46 About 73% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceJune 1977
Part of a chainCascadia Healthcare
Legal business nameMOSCOW NORTH OF CASCADIA LLC

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 11, 2026)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Jun 11, 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 · Deficient, Provider has date of correction (Jun 11, 2026)

August 29, 2024 · 7 citations, includes actual harm

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Sep 27, 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 · Deficient, Provider has date of correction (Sep 27, 2024)

EObserve each nurse aide's job performance and give regular training.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0730 · Deficient, Provider has date of correction (Sep 27, 2024)

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 · Deficient, Provider has date of correction (Sep 27, 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 · Deficient, Provider has date of correction (Sep 27, 2024)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Sep 27, 2024)

DEnsure 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 · Deficient, Provider has date of correction (Sep 27, 2024)

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.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Deficient, Provider has date of correction (Aug 8, 2023)

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Aug 8, 2023)

FProvide 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 (Aug 8, 2023)

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 · Deficient, Provider has date of correction (Aug 8, 2023)

EProvide 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 (Aug 8, 2023)

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 (Aug 8, 2023)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Aug 8, 2023)

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Aug 8, 2023)

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 · Deficient, Provider has date of correction (Aug 8, 2023)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (Aug 8, 2023)

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 (Aug 8, 2023)

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 (Aug 8, 2023)

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 · Deficient, Provider has date of correction (Aug 8, 2023)

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 · Deficient, Provider has date of correction (Aug 8, 2023)

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

Potential for more than minimal harm · Administration Deficiencies · Tag F0848 · Deficient, Provider has date of correction (Aug 8, 2023)

DDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0882 · Deficient, Provider has date of correction (Aug 8, 2023)

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

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Aug 8, 2023)

Questions to ask on a tour of Paradise Creek Health and Rehab of Cascadia

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on July 14, 2023. 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. Nursing staff turnover was 68.4% a year. How many of the staff come from agencies?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. 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.

DateTypeAmount or length
Aug 29, 2024 Fine $21,320

Rating history

CMS monthOverallInspectionStaffingQuality
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.

  • 1.6 mi
    Gritman Medical Center Moscow
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 2m for patients treated and sent home
  • 9.6 mi
    Pullman Memorial Hospital Pullman
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 1h 55m for patients treated and sent home
  • 21.2 mi
    Whitman Hospital and Medical Center Colfax
    Emergency room ★★★★★ Medicare overall 5 of 5
    Median 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

Aspen Park of Cascadia Moscow · 1.6 mi away ★★★★★ Inspection 4/5 · Staffing 3/5 70 beds · Medicaid
Idaho State Veterans Home - Lewiston Lewiston · 23.6 mi away ★★☆☆☆ Inspection 1/5 · Staffing 5/5 66 beds · Medicaid
Cascadia of Lewiston Lewiston · 23.7 mi away ★★★★☆ Inspection 4/5 · Staffing 1/5 34 beds
Royal Plaza Health and Rehabilitation of Cascadia Lewiston · 23.7 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 78 beds · Medicaid
Lewiston Transitional Care of Cascadia Lewiston · 24.6 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 96 beds · Medicaid

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 ›

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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/moscow/paradise-creek-health-and-rehab-of-cascadia/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.