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Silverton Health and Rehabilitation of Cascadia

All states › Idaho › Silverton › Silverton Health and Rehabilitation of Cascadia

405 West Seventh Street Silverton, ID 83867 · Shoshone County

(208) 556-1147

Special Focus Facility Accepts Medicare Accepts Medicaid 55 certified beds For profit

CMS certification number 135058 · See this home on Medicare Care Compare

Special Focus Facility CMS lists this nursing home as a Special Focus Facility: homes "included in a special program to stimulate improvements in their quality of care" because of a persistent record of serious problems. Shown as of October 2026. About the program (CMS).

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 Silverton Health and 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 Silverton Health and Rehabilitation of Cascadia as of October 2026.

CMS has not given it an overall rating yet. Inspectors issued 32 citations in the last three years. CMS reports no fines or payment denials in that time. CMS lists it as a Special Focus Facility.

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 3.12 hours per resident per day at Silverton Health and Rehabilitation of Cascadia, below the Idaho median of 3.76 (US median: 3.72). About 0.56 of those hours are from registered nurses. On weekends it falls to 2.66 hours, 15% below its all-week average. 44.7% of nursing staff left within a year (Idaho median 50.5%).

Nursing care per resident per day 3.12 hours
Below the Idaho median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.56 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.66 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 44.7% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 44.4% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds55
Residents per day 48 About 87% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceOctober 1974
Part of a chainCascadia Healthcare
Legal business nameSILVERTON OF CASCADIA LLC

Paying for care at Silverton Health and Rehabilitation of Cascadia: Medicare and Medicaid

Silverton Health and 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 July 10, 2026 and found 3 deficiencies. In total, inspectors issued 32 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 32 citations at Silverton Health and Rehabilitation of Cascadia across 4 inspection dates, 29 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on October 4, 2023. The most common areas cited were quality of life and care (7) and resident assessment and care planning (7). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level G, October 4, 2023). 2 citations were under CMS's abuse, neglect and exploitation rules.

July 10, 2026 · 3 citations

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 10, 2026)

DProvide 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 10, 2026)

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 (Aug 10, 2026)

January 9, 2026 · 9 citations · includes complaint inspection

FEnsure 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 · Complaint inspection · Deficient, Provider has date of correction (Feb 6, 2026)

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 · Complaint inspection · Deficient, Provider has date of correction (Feb 6, 2026)

EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0628 · Complaint inspection · Deficient, Provider has date of correction (Feb 6, 2026)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Feb 6, 2026)

DProvide 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 · Complaint inspection · Deficient, Provider has date of correction (Feb 6, 2026)

DProvide safe, appropriate pain management for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Complaint inspection · Deficient, Provider has date of correction (Feb 6, 2026)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Feb 6, 2026)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Feb 6, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Feb 6, 2026)

June 27, 2025 · 13 citations · includes complaint inspection

EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Aug 9, 2025)

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 · Complaint inspection · Deficient, Provider has date of correction (Aug 9, 2025)

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 · Complaint inspection · Deficient, Provider has date of correction (Aug 9, 2025)

DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Complaint inspection · Deficient, Provider has date of correction (Aug 9, 2025)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Complaint inspection · Deficient, Provider has date of correction (Aug 9, 2025)

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 · Complaint inspection · Deficient, Provider has date of correction (Aug 9, 2025)

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 · Complaint inspection · Deficient, Provider has date of correction (Aug 9, 2025)

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 · Complaint inspection · Deficient, Provider has date of correction (Aug 9, 2025)

DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Complaint inspection · Deficient, Provider has date of correction (Aug 9, 2025)

DHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Complaint inspection · Deficient, Provider has date of correction (Aug 9, 2025)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Aug 9, 2025)

DHave a plan that describes the process for conducting QAPI and QAA activities.

Potential for more than minimal harm · Administration Deficiencies · Tag F0865 · Complaint inspection · Deficient, Provider has date of correction (Aug 9, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Aug 9, 2025)

October 4, 2023 · 7 citations, includes actual harm · includes complaint inspection

GEnsure that residents are free from significant medication errors.

Actual harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Nov 10, 2023)

FEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Complaint inspection · Deficient, Provider has date of correction (Nov 10, 2023)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Nov 10, 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 · Complaint inspection · Deficient, Provider has date of correction (Nov 10, 2023)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Nov 10, 2023)

DEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Complaint inspection · Deficient, Provider has date of correction (Nov 10, 2023)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Nov 10, 2023)

Questions to ask on a tour of Silverton Health and Rehabilitation of Cascadia

  1. Inspectors cited the home at the actual-harm level on October 4, 2023 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on June 27, 2025. How are staff trained, and how are concerns reported?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. 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 monthOverallInspectionStaffingQuality
October 2026 — — — —
August 2026 — — — —

Location

Hospitals near Silverton Health and 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.

  • 8.7 mi
    Shoshone Medical Center Kellogg
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 1h 59m 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

Mountain Valley of Cascadia Kellogg · 8.6 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 68 beds · Medicaid
Valley Vista Care Center of St Maries St Maries · 30.9 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 74 beds · Medicaid
Coeur d Alene Health of Cascadia Coeur d'Alene · 40.7 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 117 beds · Medicaid
Lakeside Rehabilitation and Care Center Coeur d'Alene · 40.9 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 100 beds · Medicaid
Ironwood Rehabilitation and Care Center Coeur d'Alene · 41.5 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 80 beds · Medicaid

More nursing homes near Silverton Health and Rehabilitation of Cascadia ›   All nursing homes in Silverton ›

Compare Silverton Health and Rehabilitation of Cascadia with the 3 closest homes side by side ›

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