All states › Idaho › Payette › Payette Healthcare of Cascadia
1019 Third Avenue South Payette, ID 83661 · Payette County
CMS certification number 135015 · See this home on Medicare Care Compare
Is Payette Healthcare 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 Payette Healthcare of Cascadia as of October 2026.
CMS rates it 5 out of 5 stars overall, above 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 3.55 hours per resident per day at Payette Healthcare of Cascadia, below the Idaho median of 3.76 (US median: 3.72). About 1.11 of those hours are from registered nurses. On weekends it falls to 2.85 hours, 20% below its all-week average. Ask how weekends are staffed. 58.5% of nursing staff left within a year (Idaho median 50.5%).
About this nursing home
Paying for care at Payette Healthcare of Cascadia: Medicare and Medicaid
Payette Healthcare 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 September 12, 2025 and found 0 deficiencies, plus 10 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 Payette Healthcare of Cascadia across 3 inspection dates, 18 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 quality of life and care (7) and resident assessment and care planning (5). The most serious was cited under the CMS rule to "honor 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" (tag F0584, level E, August 9, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
September 12, 2025 · 10 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe and appropriate respiratory care for a resident when needed.
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 and implement an infection prevention and control program.
August 9, 2024 · 8 citations · includes complaint inspection
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.
EProvide and implement an infection prevention and control program.
DAllow residents to self-administer drugs if determined clinically appropriate.
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
DProvide safe and appropriate respiratory care for a resident when needed.
DObserve each nurse aide's job performance and give regular training.
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.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
September 6, 2019 · 7 citations
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.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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 care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
Questions to ask on a tour of Payette Healthcare of Cascadia
- CMS cited the home under its abuse and neglect rules on September 12, 2025. How are staff trained, and how are concerns reported?
- Weekend staffing is 20% 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
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 | 5/5 | 4/5 | 3/5 | 5/5 |
| August 2026 | 5/5 | 4/5 | 4/5 | 5/5 |
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Location
Hospitals near Payette Healthcare 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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4.0 mi
St Alphonsus Medical Center - Ontario, INC OntarioEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 1h 52m for patients treated and sent home
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12.3 mi
Weiser Memorial Hospital WeiserEmergency roomMedian ER visit 1h 37m 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 Payette Healthcare of Cascadia › All nursing homes in Payette ›
Compare Payette Healthcare 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
- 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
- Mountain Valley of Cascadia · Kellogg · 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.