All states › Idaho › Orofino › Clearwater Health & Rehabilitation of Cascadia
1204 Shriver Road Orofino, ID 83544 · Clearwater County
CMS certification number 135048 · See this home on Medicare Care Compare
Is Clearwater Health & 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 Clearwater Health & Rehabilitation 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 3.25 hours per resident per day at Clearwater Health & Rehabilitation of Cascadia, below the Idaho median of 3.76 (US median: 3.72). About 0.89 of those hours are from registered nurses. On weekends it falls to 2.55 hours, 22% below its all-week average. Ask how weekends are staffed. 61% 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 Clearwater Health & Rehabilitation of Cascadia: Medicare and Medicaid
Clearwater Health & 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 12 deficiencies, plus 2 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 Clearwater Health & Rehabilitation of Cascadia across 3 inspection dates, 9 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 24 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident assessment and care planning (6) and freedom from abuse, neglect, and exploitation (3). The most serious was cited under the CMS rule to "dispose of garbage and refuse properly" (tag F0814, level F, June 26, 2026). 3 citations were under CMS's abuse, neglect and exploitation rules.
June 26, 2026 · 14 citations · includes complaint inspection
FDispose of garbage and refuse properly.
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 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DEnsure each resident receives an accurate assessment.
DPASARR screening for Mental disorders or Intellectual Disabilities
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
DEnsure that residents are free from significant medication errors.
DEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
April 17, 2025 · 7 citations · includes complaint inspection
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProtect each resident from the wrongful use of the resident's belongings or money.
DEnsure each resident receives an accurate assessment.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
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 or get specialized rehabilitative services as required for a resident.
DProvide and implement an infection prevention and control program.
February 4, 2022 · 3 citations
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
Questions to ask on a tour of Clearwater Health & Rehabilitation of Cascadia
- CMS cited the home under its abuse and neglect rules on June 26, 2026. How are staff trained, and how are concerns reported?
- Weekend staffing is 22% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 61% 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
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 3/5 | 4/5 |
| August 2026 | 3/5 | 3/5 | 3/5 | 4/5 |
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Location
Hospitals near Clearwater Health & 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.
- 0.5 mi
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0.6 mi
Clearwater Valley Hospital & Clinics OrofinoEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 24m 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 Clearwater Health & Rehabilitation of Cascadia › All nursing homes in Orofino ›
Compare Clearwater Health & Rehabilitation of Cascadia with the 3 closest homes side by side ›
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.