All states › Idaho › Nampa › The Orchards of Cascadia
404 North Horton Street Nampa, ID 83651 · Canyon County
All 6 nursing homes in Nampa, ID (6 take Medicaid)
CMS certification number 135019 · See this home on Medicare Care Compare
Is The Orchards 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 The Orchards of Cascadia as of October 2026.
CMS rates it 1 out of 5 stars overall, below 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 3.65 hours per resident per day at The Orchards of Cascadia, below the Idaho median of 3.76 (US median: 3.72). About 0.72 of those hours are from registered nurses. On weekends it falls to 2.99 hours, 18% below its all-week average. Ask how weekends are staffed. 57.4% of nursing staff left within a year (Idaho median 50.5%).
About this nursing home
Paying for care at The Orchards of Cascadia: Medicare and Medicaid
The Orchards 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 December 1, 2025 and found 5 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 24 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 24 citations at The Orchards of Cascadia across 6 inspection dates, 4 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on November 14, 2025 (complaint inspection). The most common areas cited were resident rights (9) and quality of life and care (6). The most serious was cited under the CMS rule to "provide safe, appropriate dialysis care/services for a resident who requires such services" (tag F0698, level J, November 14, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
August 5, 2026 · 1 citation · includes complaint inspection
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
January 8, 2026 · 1 citation · includes complaint inspection
DRespond appropriately to all alleged violations.
December 1, 2025 · 5 citations
EHonor the resident's right to organize and participate in resident/family groups in the facility.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure that residents are free from significant medication errors.
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.
DProvide and implement an infection prevention and control program.
November 14, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProvide safe, appropriate dialysis care/services for a resident who requires such services.
June 6, 2024 · 3 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
February 15, 2019 · 13 citations
FEnsure 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.
FProvide and implement an infection prevention and control program.
EHonor 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.
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.
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.
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.
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.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate foot care.
DProvide safe and appropriate respiratory care for a resident when needed.
Questions to ask on a tour of The Orchards of Cascadia
- Inspectors cited the home at the immediate-jeopardy level on November 14, 2025 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 January 8, 2026. 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 18% below the all-week average. Who is on duty on Saturday nights?
- 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
2 penalties in the last three years, including $25,809 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Nov 14, 2025 | Fine | $16,985 |
| Jun 6, 2024 | Fine | $8,824 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 3/5 | 4/5 |
Add this rating badge to your websiteFree. Shows The Orchards of Cascadia'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 The Orchards 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.
-
2.1 mi
St Luke's Nampa Medical Center NampaEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 38m for patients treated and sent home
-
2.5 mi
Saint Alphonsus Medical Center - Nampa NampaEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 10m for patients treated and sent home
-
7.0 mi
West Valley Medical Center CaldwellEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 11m 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 The Orchards of Cascadia › All nursing homes in Nampa ›
Compare The Orchards of Cascadia with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Meadow View Nursing and Rehabilitation · Nampa · 4 stars · 0.5 mi
- Wellspring Health & Rehabilitation of Cascadia · Nampa · 4 stars · 3.9 mi
- Canyon West of Cascadia · Caldwell · 4 stars · 5.7 mi
- Creekside Transitional Care and Rehabilitation · Meridian · 3 stars · 9.2 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.