ElderGrade
D

49.8/100

Below average

Teton Healthcare Of Cascadia

3111 Channing Way, Idaho Falls, ID 83404

CMS 1/5 stars #4 of 4 in Bonneville County (208) 529-0067
Certified beds
88
Occupancy
80%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

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.

  • 2 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.

  • $36,190 in federal fines

    CMS has fined this facility across 2 penalty action(s).

  • Nursing staff turnover of 61%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 15.3/30 Staffing 15.5/30 Stability 5/15 Outcomes 9/15 Enforcement 5/10

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.

Inspection safety

15.3/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -8 for 2 actual-harm citation(s) in the last 3 years
  • -6.7 for 36 total citations against a national median of 17

Staffing

15.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.76 total nurse hours per resident per day (national median 3.77)
  • 1.31 RN hours per resident per day
  • Weekend staffing drops 17% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 61% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $36,190 in federal fines across 2 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.78 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 1.31 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.14 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 60.80%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 37 citations

Last standard health inspection: March 6, 2026 (5 months ago).

D Mar 6, 2026 F0554

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

No actual harm, potential for more than minimal harm

D Mar 6, 2026 F0558

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

No actual harm, potential for more than minimal harm

D Mar 6, 2026 F0582

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

No actual harm, potential for more than minimal harm

D Mar 6, 2026 F0584

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Mar 6, 2026 F0628

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D Mar 6, 2026 F0655

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

No actual harm, potential for more than minimal harm

D Mar 6, 2026 F0657

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

D Mar 6, 2026 F0732

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CASCADIA HEALTHCARE, which operates 45 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
CASCADIA IDAHO OPERATIONS LLC Organization DIRECT OWNERSHIP INTEREST
CASCADIA HC GROUP LLC Organization INDIRECT OWNERSHIP INTEREST
CASCADIA HEALTHCARE LLC Organization INDIRECT OWNERSHIP INTEREST
CASCADIA HOLDCO LLC Organization INDIRECT OWNERSHIP INTEREST
HAMMOND, OWEN Individual INDIRECT OWNERSHIP INTEREST
LAFORTE, STEPHEN Individual INDIRECT OWNERSHIP INTEREST
NELSON, TIMOTHY Individual INDIRECT OWNERSHIP INTEREST
TIMBERLINE OHI TENANT 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

What families say

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Common questions about Teton Healthcare Of Cascadia

What is the ElderGrade for Teton Healthcare Of Cascadia? +

Teton Healthcare Of Cascadia holds an ElderGrade of D (49.8 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Teton Healthcare Of Cascadia? +

Residents receive an average of 3.78 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Teton Healthcare Of Cascadia been cited for harming residents? +

Yes. 2 of the 37 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.

Does Teton Healthcare Of Cascadia accept Medicaid? +

Yes, Teton Healthcare 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.