69/100
Average
410 East North Second Street, Grangeville, ID 83530
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Nursing staff turnover of 75%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: August 8, 2025 (1 year ago).
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
No actual harm, potential for more than minimal harm
Nursing and Physician Services Deficiencies
Have 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.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
No actual harm, potential for more than minimal harm
Part of CASCADIA HEALTHCARE, which operates 45 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| HAMMOND, OWEN | Individual | INDIRECT OWNERSHIP INTEREST | — |
| LAFORTE, STEPHEN | Individual | INDIRECT OWNERSHIP INTEREST | — |
| NELSON, TIMOTHY | Individual | INDIRECT OWNERSHIP INTEREST | — |
| GRANGEVILLE 410 REALTY, LLC | Organization | 5% OR GREATER SECURITY INTEREST | — |
| WHITE OAK HEALTHCARE FINANCE LLC | Organization | 5% OR GREATER SECURITY INTEREST | — |
| CASCADIA HC GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| CASCADIA HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| CASCADIA HOLDCO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| CASCADIA SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| HAMMOND, OWEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| JENKINS, ADAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| LAFORTE, STEPHEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Grangeville Health & Rehabilitation Of Cascadia holds an ElderGrade of C (69 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.43 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
No. None of the 13 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Yes, Grangeville Health & Rehabilitation Of Cascadia is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.