57/100
Average
640 North Eisenhower Street, Moscow, ID 83843
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.
3 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$63,834 in federal fines
CMS has fined this facility across 9 penalty action(s).
Nursing staff turnover of 71%
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.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
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: May 7, 2026 (3 months 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
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Actual harm to a resident
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
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor 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.
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 |
|---|---|---|---|
| MOSCOW 640 REALTY, LLC | Organization | 5% OR GREATER SECURITY INTEREST | — |
| WHITE OAK HEALTHCARE FINANCE LLC | Organization | 5% OR GREATER SECURITY INTEREST | — |
| CASCADIA SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| BONG, DANIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| HAMMOND, OWEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| NELSON, TIMOTHY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SPADY, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| CASCADIA SERVICES LLC | Organization | ADP OF THE SNF | — |
| MOSCOW 640 REALTY, LLC | Organization | ADP OF THE SNF | — |
| BONG, DANIEL | Individual | ADP OF THE SNF | — |
| SPADY, ROBERT | Individual | ADP OF THE SNF | — |
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Paradise Creek Health And Rehab Of Cascadia holds an ElderGrade of C (57 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 3.36 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 3 of the 27 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Paradise Creek Health And Rehab 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.