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CASCADIA HEALTHCARE

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

47

States

5

Beds

3,848

Avg score

71.9

Avg turnover

52%

Federal fines

$920,509

Flags across this group

2 of the group's homes carry a CMS abuse icon. 5 homes are in or a candidate for the Special Focus Facility programme.

All 47 homes

A

90/100

Fairlawn Health And Rehabilitation Of Cascadia

Gresham, OR · Multnomah County

CMS 5/582 bedsFor-profitMedicaid
Nurse hours
4.76 /day
Staff turnover
34%
Serious cites
0

Fairlawn runs on 4.76 nurse hours per resident per day, which is roughly a quarter more staffing than the typical American nursing home. That matters, and so does the stability behind it: turnover sits near 34% while the national figure is closer to 46%, meaning fewer unfamiliar faces from one shift to the next. Weekends dip about 10% below weekday coverage, so ask how that plays out on a Sunday. The tradeoff shows up in the record: 27 deficiencies, one serious enough to involve harm, though none tied to abuse, and the most recent inspection is current. For-profit corporate ownership is worth knowing, but the staffing numbers are the real story here.

A

90/100

Beaverton Post Acute Care Of Cascadia

Beaverton, OR · Washington County

CMS 5/5104 bedsFor-profitMedicaid
Nurse hours
4.66 /day
Staff turnover
39%
Serious cites
0

Beaverton Post Acute Care of Cascadia runs a for-profit operation with 104 certified beds, and the numbers suggest it's doing the basics well. Nurse staffing sits at 4.66 hours per resident day, roughly 21% above the national average, and the five-star staffing rating backs that up, though weekend coverage dips about 9% below weekday levels, worth asking about if your relative needs care on Saturdays and Sundays. Staff turnover is 38.8%, better than the 45.8% national average, which matters for continuity of care. Seventeen deficiencies appear on the current record, but none at the harm or jeopardy level and none abuse-related. The last inspection was in August 2025, so the record is recent. Four-star ratings on health inspections and quality measures round out a clean picture.

A

88/100

Creekside Health And Rehabilitation Of Cascadia

Eugene, OR · Lane County

CMS 5/587 bedsFor-profitMedicaid
Nurse hours
4.88 /day
Staff turnover
48%
Serious cites
0

Creekside runs about 4.88 nurse hours per resident per day, roughly a quarter more staffing than the national average, and its inspection record shows nine deficiencies with none rising to harm or jeopardy and nothing abuse-related. Weekend coverage drops about 12% from weekday levels, which is common but worth asking about if your family visits Saturdays. Staff turnover sits at 48.1%, slightly above the national 45.8%, high, though close to typical for the industry. The last inspection was May 2026, so the record is recent. Corporate for-profit ownership is the main thing to weigh against those otherwise solid numbers.

A

86/100

Bend Transitional Care

Bend, OR · Deschutes County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
4.79 /day
Staff turnover
43%
Serious cites
0

Bend Transitional Care runs 60 certified beds under corporate ownership, and its nurse staffing sits at 4.79 hours per resident day, roughly 24% above the national average of 3.86. That margin matters most on weekends, where hours dip about 13% below the home's own weekday pace, though the floor stays fairly high. Turnover lands at 43.4%, slightly better than the 45.8% national figure. Inspections in June 2025 found 11 deficiencies, none involving harm or jeopardy and none abuse-related, which paired with a 5/5 inspection rating suggests the problems were paperwork-level rather than resident-safety issues.

A

85.5/100

Mountain Valley Of Cascadia

Kellogg, ID · Shoshone County

CMS 4/568 bedsFor-profitMedicaid
Nurse hours
3.75 /day
Staff turnover
33%
Serious cites
0

Mountain Valley of Cascadia runs a tight ship on retention: 33.3% annual turnover beats the national 45.8% by a wide margin, so the aides and nurses here tend to stick around. Staffing sits at 3.75 hours per resident day, a bit under the 3.86 national average, and weekends drop roughly 18% below weekday coverage, worth asking about if your family visits Saturdays or Sundays. The ten deficiencies on record are all low-level, none causing harm, though one is abuse-related and deserves a direct question. Inspections are recent and the federal ratings are solid across health, quality, and staffing.

B

82/100

Secora Rehabilitation Of Cascadia

Portland, OR · Multnomah County

CMS 3/553 bedsFor-profitMedicaid
Nurse hours
4.34 /day
Staff turnover
49%
Serious cites
0

Secora Rehabilitation of Cascadia runs a 53-bed for-profit home in Portland, and its staffing is genuinely better than most: 4.34 nurse hours per resident day, roughly 12 percent above the national average, which is what earns it a 4 out of 5 on CMS staffing. That strength carries real weight. But the inspection record is where families should slow down. Forty-seven deficiencies on the current record, including two tied to abuse, with the last inspection in March 2025. Staff turnover sits at 49.2 percent, above the national 45.8, and weekend coverage drops about 10 percent below its own weekday level. So the care hours look solid on paper, yet the people delivering them keep leaving, and the state has found problems repeatedly. Ask specifically how they've addressed the abuse-related citations.

B

82/100

Hudson Bay Health And Rehabilitation

Vancouver, WA · Clark County

CMS 5/592 bedsFor-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
58%
Serious cites
0

Hudson Bay Health and Rehabilitation in Vancouver runs 17 deficiencies on its current record, but none of them rose to the level of harm or jeopardy, and none were abuse-related. That matters more than the raw count. The home's inspection and quality-measure ratings both come back strong, and nurse staffing sits slightly above the national average at 3.94 hours per resident day, though weekends run about 9% leaner than weekdays, which is worth asking about directly. The bigger flag is turnover: 58.1% of staff leaving annually against a national average of 45.8%, under corporate for-profit ownership. A March 2026 inspection means the state's picture is current.

B

81.5/100

Cove Of Cascadia, The

Bellevue, ID · Blaine County

CMS 4/532 bedsFor-profitMedicaid
Nurse hours
4.46 /day
Staff turnover
40%
Serious cites
0

Cove Of Cascadia runs 32 beds in Bellevue under for-profit LLC ownership, and its staffing is the strongest part of the picture, 4.46 nurse hours per resident day, roughly 15% above the national average, with a 4-out-of-5 staffing rating. Weekend coverage dips about 16% below weekday levels, so ask how that plays out on Saturdays. Turnover sits at 39.5%, better than the 45.8% national figure. The tradeoff is its record: 18 deficiencies, including one at the harm level and one tied to abuse. Inspectors were last in on November 21, 2025, and the 4-out-of-5 inspection rating suggests the state found the problems manageable rather than systemic.

B

81/100

Mountain View Of Cascadia

Eureka, MT · Lincoln County

CMS 4/549 bedsFor-profitMedicaid
Nurse hours
2.84 /day
Staff turnover
53%
Serious cites
0

Mountain View Of Cascadia runs 49 certified beds in Eureka under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 2.84 hours per resident per day, roughly 26% under the national average, and weekends dip about 12% below the home's own weekday staffing, so coverage thins out exactly when families tend to visit. Annual turnover of 53.3% tops the national rate of 45.8%, though the inspection record is cleaner than that might suggest: 13 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the last inspection in June 2025. Quality measures score well; direct care hours are where the gap shows.

B

81/100

Alderwood Park Health And Rehab Of Cascadia

Bellingham, WA · Whatcom County

CMS 5/5102 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
48%
Serious cites
0

Alderwood Park runs 102 beds in Bellingham under for-profit LLC ownership, and its staffing sits at 3.98 nurse hours per resident day, modestly above the national average of 3.86. The catch is weekends, when coverage drops roughly 10% below what the home itself staffs on weekdays, and turnover lands at 48% against a national 45.8%. Inspections look solid on the surface: a January 2026 survey, 4 of 5 stars, and no deficiencies at the harm or jeopardy level. But 45 total deficiencies are on the current record, three of them abuse-related, which is worth asking about directly before you visit.

B

80/100

Shaw Mountain Of Cascadia

Boise, ID · Ada County

CMS 3/5108 bedsFor-profitMedicaid
Nurse hours
4.08 /day
Staff turnover
51%
Serious cites
0

Shaw Mountain Of Cascadia runs 108 certified beds in Boise under corporate for-profit ownership, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average of 3.86. That's a real strength, though weekend coverage drops about 11% below its own weekday levels, so care thins out on Saturdays and Sundays. The inspection record is the harder part to swallow. Thirty deficiencies are on file, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $10,839. Staff turnover runs 51.3%, above the 45.8% national average, and the most recent inspection came in May 2026.

B

80/100

Libby Care Center

Libby, MT · Lincoln County

CMS 5/5101 bedsFor-profitMedicaid
Nurse hours
3.01 /day
Staff turnover
36%
Serious cites
0

Libby Care Center runs lean on nursing hours: 3.01 per resident day, roughly 22% under the national average of 3.86, and weekends drop about another 9% below its own weekday coverage. That's the number to watch if your family member needs help with daily tasks or monitoring. Turnover, though, sits at 35.7%, better than the national 45.8%, so the staff who are there tend to stay. The inspection record is mixed, a 4-star health inspection rating and a recent survey in mid-2025, but 18 deficiencies on file, two of them harm-level and one abuse-related, plus a $22,720 fine. Quality measures score well; staffing is where the gaps show.

B

80/100

Salem Transitional Care

Salem, OR · Marion County

CMS 2/580 bedsFor-profitMedicaid
Nurse hours
4.81 /day
Staff turnover
45%
Serious cites
0

Salem Transitional Care runs 80 certified beds under corporate for-profit ownership, and its nurse staffing sits at 4.81 hours per resident day, roughly a quarter above the national average of 3.86. That's a real cushion, though weekend coverage dips about 10% below its own weekday level, so the floor gets thinner when families tend to visit. Staff turnover lands at 44.8%, essentially at the national average of 45.8%. The harder reading is in the inspection record: 30 deficiencies, including two at harm or jeopardy level and three tied to abuse, with one fine of $22,523 and a survey completed April 15, 2025. Quality measures score well; the health inspection side is where the concerns concentrate.

B

79/100

Stafholt Health And Rehabilitation Of Cascadia

Blaine, WA · Whatcom County

CMS 4/557 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
52%
Serious cites
0

Stafholt runs 57 beds in Blaine under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.79 hours per resident day, a bit under the national average, and weekends drop about 12% below what the home staffs on weekdays, worth asking about if your family member needs care on Saturdays and Sundays. Annual turnover is 52.3%, noticeably above the 45.8% national figure. The 42 deficiencies on record include two at the harm level and six tied to abuse, with $47,182 in fines. Its last inspection was February 2026, so the record is recent. Quality measures score well; the inspection history is where the concern sits.

B

77/100

Payette Healthcare Of Cascadia

Payette, ID · Payette County

CMS 5/580 bedsFor-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
56%
Serious cites
0

Payette Healthcare of Cascadia runs about 3.58 nurse hours per resident per day, roughly 7% under the national average, and weekends dip another 14% below its own weekday staffing. That gap matters most on Saturdays and Sundays, when residents still need the same care with fewer hands on deck. Staff turnover sits at 55.8%, well above the 45.8% national figure, that kind of churn means less continuity, more unfamiliar faces. On paper, the inspection record looks strong: 25 deficiencies, none at harm level, and a September 2025 inspection is recent. One abuse-related citation is worth asking about directly. The state surveyors have mostly found process problems, not danger. The staffing pattern is where the real risk lives.

B

77/100

Aspen Park Of Cascadia

Moscow, ID · Latah County

CMS 5/570 bedsFor-profitMedicaid
Nurse hours
3.63 /day
Staff turnover
51%
Serious cites
0

Aspen Park Of Cascadia runs 70 certified beds in Moscow under for-profit LLC ownership, and its last health inspection came in May 2025 with 11 deficiencies on record, none at the harm or jeopardy level, none abuse-related. That's a reasonably clean inspection picture, and the 4/5 health inspection and 5/5 quality measure ratings back it up. Staffing is where it gets softer. Total nurse staffing sits at 3.63 hours per resident day, about 6% below the national average, and weekends run roughly 14% lighter than weekdays. Annual turnover of 50.9% is also above the 45.8% national average, meaning familiar faces cycle out faster than average. The clinical record looks solid; the people covering the shifts are the question worth asking.

B

77/100

Twin Falls Transitional Care Of Cascadia

Twin Falls, ID · Twin Falls County

CMS 5/5116 bedsFor-profitMedicaid
Nurse hours
3.70 /day
Staff turnover
45%
Serious cites
0

Twin Falls Transitional Care of Cascadia runs 116 beds under for-profit LLC ownership, and its inspection record is the strongest part of the picture: a 4/5 health inspection rating with the most recent survey in June 2025. The quality measures look good too, at 5/5. Where it slips is staffing, 3.70 nurse hours per resident day, about 4% under the national average, with weekends running roughly 9% thinner than weekdays. That 2/5 staffing rating reflects it. Turnover sits at 44.9%, essentially level with the national 45.8%. The record does carry 33 deficiencies, including five at harm or jeopardy level and three tied to abuse.

B

76.5/100

Clearwater Health & Rehabilitation Of Cascadia

Orofino, ID · Clearwater County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
54%
Serious cites
0

Clearwater Health & Rehabilitation Of Cascadia runs 60 beds in Orofino under for-profit LLC ownership, and its inspection record is genuinely strong, a 4/5 health inspection rating, 17 total deficiencies with none at the harm or jeopardy level, and a survey completed in April 2025. The staffing picture is where it gets thinner. At 3.27 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly 19% below its own weekday levels. Annual turnover of 54.1% outpaces the national 45.8%. One abuse-related deficiency appears on the current record. A recent clean inspection and solid quality measures matter, but ask directly how they cover weekends and how often the staff you meet is new.

B

76/100

Caldwell Care Of Cascadia

Caldwell, ID · Canyon County

CMS 1/568 bedsFor-profitMedicaid
Nurse hours
3.77 /day
Staff turnover
47%
Serious cites
0

Caldwell Care Of Cascadia runs 68 certified beds under corporate ownership, and its staffing sits slightly under the national average at 3.77 nurse hours per resident day, a small gap that widens on weekends, when coverage drops about 12% below its own weekday level. Turnover is 47.3%, a bit above the national figure, which means familiar faces are not a given here. The inspection record is the heavier concern: 38 deficiencies on file, two tied to abuse, with the most recent inspection dated March 2026. Nothing on the current record rises to harm or jeopardy, which matters. Quality measures score well, but a one-star health inspection rating reflects what surveyors actually found.

B

76/100

Eagle Rock Health And Rehabilitation Of Cascadia

Idaho Falls, ID · Bonneville County

CMS 1/5113 bedsFor-profitMedicaid
Nurse hours
3.67 /day
Staff turnover
43%
Serious cites
0

Eagle Rock runs 3.67 nurse hours per resident day, about 5% under the national figure, and weekends drop roughly 12% below its own weekday staffing. Turnover sits at 42.6%, a bit better than the 45.8% national rate, but the bigger issue is the inspection record: a 1-out-of-5 health inspection rating, 35 deficiencies, one of them serious enough to involve harm or jeopardy, and an $8,018 fine. Quality and staffing measures both land at 3 out of 5, so the day-to-day care numbers look closer to average than the inspection history does. A for-profit limited liability company operates the 113-bed home, and its last inspection was April 2, 2026.

B

75.5/100

Boswell Transitional Care Of Cascadia

Sun City, AZ · Maricopa County

CMS 5/5115 bedsFor-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
44%
Serious cites
0

Boswell Transitional Care of Cascadia sits in Sun City with 115 certified beds, run by a for-profit limited liability company. The numbers tell a mixed story: nurse staffing runs 3.76 hours per resident day, about 3% under the national average, and weekends drop roughly 15% below its own weekday levels. Turnover sits at 44%, close to the national 45.8%. Inspections look strong, a 4 out of 5 health inspection rating and a perfect 5 on quality measures, with the most recent visit in May 2025. Ten deficiencies appear on the current record, none at harm or jeopardy level, though one is abuse-related. Staffing earns just 2 out of 5 stars, which is where the tension lives.

B

75.5/100

Clarkston Health And Rehab Of Cascadia

Clarkston, WA · Asotin County

CMS 3/590 bedsFor-profitMedicaid
Nurse hours
3.47 /day
Staff turnover
23%
Serious cites
0

Clarkston Health and Rehab of Cascadia runs 90 certified beds under for-profit LLC ownership, and the staffing picture is mixed. At 3.47 nurse hours per resident day it sits about 10% under the national average of 3.86, and weekends drop roughly 16% below its own weekday coverage, so care thins out exactly when families tend to visit. What stands out more is retention: 22.5% annual turnover against a national average of 45.8% means this building keeps its nurses far better than most. The trouble is the inspection record, 53 deficiencies, 2 at harm or jeopardy level, 7 abuse-related, and a $32,711 fine, with the most recent look in August 2025. Strong quality scores and weak inspection history rarely tell the same story.

B

74/100

Arbor Valley Of Cascadia

Boise, ID · Ada County

CMS 3/5148 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
54%
Serious cites
0

Arbor Valley runs about 3.50 nurse hours per resident day, roughly 9% under the national average, and weekends drop another 15% below its own weekday staffing. That gap matters more than any single number here, because it's when families visit and when falls tend to happen. Annual turnover sits at 53.7%, well above the 45.8% national rate, so the people caring for your relative are changing often, and 25 deficiencies sit on the current record, including two tied to abuse. The five-star quality measure score looks strong, but that's largely self-reported data. The three-star inspection rating and a May 2025 visit are recent enough to mean something. Ownership is for-profit partnership. Worth a visit, ideally on a weekend.

B

72.5/100

Canyon West Of Cascadia

Caldwell, ID · Canyon County

CMS 4/5103 bedsFor-profitMedicaid
Nurse hours
3.08 /day
Staff turnover
49%
Serious cites
0

Canyon West Of Cascadia runs 103 certified beds in Caldwell under for-profit LLC ownership, and its staffing is the number that stands out, 3.08 nurse hours per resident day, roughly a fifth below the national average of 3.86, with weekends running about 17% thinner than weekdays. Turnover sits at 49.3%, a few points above the national figure. The inspection record shows 24 deficiencies, none at harm or jeopardy level but one abuse-related, and the most recent inspection was in April 2026, so the picture is current. Resident outcome measures look strong; the direct-care hours behind them don't match.

B

71/100

Highland Health And Rehabilitation Of Cascadia

Bellingham, WA · Whatcom County

CMS 3/544 bedsFor-profitMedicaid
Nurse hours
3.93 /day
Staff turnover
63%
Serious cites
0

Nurse staffing here runs 3.93 hours per resident day, just a hair above the national average of 3.86, so the day-to-day coverage looks adequate on paper. But weekends drop roughly 11% below the home's own weekday levels, and annual turnover sits at 62.5% against a national average of 45.8%, that's a lot of churn for 44 beds, and constant replacement makes it harder to keep consistent caregivers who know the residents. The inspection record carries 37 deficiencies, four of them serious enough to put residents in harm's way and one tied to abuse, with three fines totaling $63,697. The most recent inspection was August 2025, so the picture is current. For-profit corporate ownership rounds it out.

B

70.5/100

Brookfield Health And Rehab Of Cascadia

Battle Ground, WA · Clark County

CMS 3/583 bedsFor-profitMedicaid
Nurse hours
3.46 /day
Staff turnover
66%
Serious cites
0

Brookfield Health and Rehab of Cascadia runs 83 beds in Battle Ground under for-profit LLC ownership, and its nurse staffing sits at 3.46 hours per resident day, roughly 11% under the national average, with weekends dropping about 15% below its own weekday levels. That thin weekend coverage matters because turnover is 65.9%, well above the 45.8% national figure, meaning the aides and nurses who do show up are often new to the building. The inspection history is where the real weight sits: 36 deficiencies on the current record, six at harm or jeopardy level and six abuse-related, plus one fine of $10,358. Quality measures score well, but the staffing and inspection numbers tell the more useful story.

C

69.5/100

Orchards Of Cascadia, The

Nampa, ID · Canyon County

CMS 1/5100 bedsFor-profitMedicaid
Nurse hours
3.90 /day
Staff turnover
47%
Serious cites
0

Orchards Of Cascadia runs 100 beds in Nampa under for-profit LLC ownership, and its staffing sits barely above the national average, 3.90 nurse hours per resident day against 3.86. That's a thin margin, and weekends drop about 18% below the home's own weekday level, which is when coverage gaps tend to show up. Turnover is 47.4%, slightly worse than the 45.8% national figure. What stands out most is the inspection record: 23 deficiencies, including two at the harm level and two tied to abuse, plus $34,954 in fines, and CMS has placed it in the Special Focus Facility program. The most recent inspection was December 2025.

C

69.5/100

Wellspring Health & Rehabilitation Of Cascadia

Nampa, ID · Canyon County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.73 /day
Staff turnover
51%
Serious cites
0

Wellspring Health & Rehabilitation Of Cascadia runs 120 certified beds in Nampa under for-profit LLC ownership, and the staffing numbers are where the story starts. Nurses provide 3.73 hours per resident day, a bit under the national average, and weekends drop roughly 22% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover sits at 51.4%, above the national rate. The inspection record shows 19 deficiencies, including two at the harm level and one tied to abuse, plus a $30,927 fine; the most recent inspection was September 2025. Quality measure scores look strong on paper, but staffing and inspection results tell a more mixed story.

C

69.5/100

Royal Plaza Health And Rehabilitation Of Cascadia

Lewiston, ID · Nez Perce County

CMS 2/578 bedsFor-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
53%
Serious cites
0

Royal Plaza runs on thin staffing for a 76-bed home, 3.24 nurse hours per resident day against a national average of 3.86, with weekends dropping about 18% below its own weekday level. That matters because care doesn't pause on Saturdays. The 27 deficiencies on record include five at the harm or jeopardy level, which is a meaningful count, though inspectors have visited recently and returned a four-star inspection rating. Annual turnover sits at 53.4%, higher than the national 45.8%, so aides and nurses are cycling through. Quality measures land at two stars even as inspections hold at four. The ownership is a for-profit partnership, and the split between those ratings tells you where to push when you tour.

C

69/100

Grangeville Health & Rehabilitation Of Cascadia

Grangeville, ID · Idaho County

CMS 4/560 bedsFor-profitMedicaid
Nurse hours
3.43 /day
Staff turnover
75%
Serious cites
0

Grangeville Health & Rehabilitation runs a 60-bed for-profit home in Idaho County, and its inspection record is genuinely solid, 13 deficiencies on file, none at the harm level, none tied to abuse, and a survey as recent as August 2025 that earned four stars. What pulls the overall picture down is the workforce. Nurses provide 3.43 hours per resident per day, roughly 11% under the national average, and weekends run about 10% lighter than weekdays. Turnover sits at 75%, well above the 45.8% national figure. Consistent hands matter more than a clean paper record when your family member needs help at 2 a.m. on a Sunday.