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.
Northpark Health and Rehabilitation of Cascadia runs lean on nursing hours: 3.57 per resident day against a national average of 3.86, with weekends dropping about 8% below its own weekday level. That gap shows up in the staffing star rating, which sits at 1 out of 5, and in an annual turnover rate of 63.1%, well above the 45.8% national figure, meaning the people around your family member keep changing. Inspections look strong, and the home was last surveyed in January 2026, but the record still carries 10 deficiencies, including one at the harm level and one tied to abuse, plus a $12,735 fine.
Colfax Health And Rehabilitation Of Cascadia runs 55 beds under for-profit LLC ownership, and the numbers that matter most here are the inspection and staffing ones. State surveyors cited 64 deficiencies on the current record, four of them at the harm or jeopardy level, plus four abuse-related findings and $81,864 in fines across three penalties, with the most recent inspection dated June 2025. Nurse staffing sits at 3.67 hours per resident day, roughly 5% under the national average, and weekends run about 13% below the home's own weekday coverage. Staff turnover is 71.4%, well above the 45.8% national figure, meaning more than two-thirds of the caregiver workforce turns over annually. The quality measure score looks strong, but consistent staffing and a clean inspection record are what hold up day to day.
Cascadia of Lewiston runs 34 beds under for-profit LLC ownership, and its inspection record is genuinely solid, a 4/5 health inspection rating and a perfect 5/5 on quality measures. The problem sits in staffing, where CMS gives it just 1/5. Total nurse hours come in around 4.31 per resident day, roughly 12% above the national average, but weekends drop about 15% below the home's own weekday levels, and annual turnover hits 68.4% against a national 45.8%. Its current record carries 21 deficiencies, including one at the harm level and three tied to abuse. A recent inspection in May 2026 keeps the picture current. Good care metrics, thin and unstable staffing.
Lewiston Transitional Care of Cascadia runs 96 beds under for-profit LLC ownership, and its staffing is the number to look at first. At 3.51 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 12% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover lands at 48.1%, a bit above the national 45.8%, which means the aides and nurses cycling through are still learning residents' routines. The good news: state inspectors were last in on August 21, 2025, and found 20 deficiencies, none at harm or jeopardy level and none abuse-related.
Weiser Care of Cascadia runs 76 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.32 hours per resident day, roughly 14% under the national average. Weekends dip about 16% below the home's own weekday level, and annual turnover hits 54.2% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated February 20, 2026. CMS gives it middle marks for health inspections and quality measures, but only 2 of 5 stars for staffing, the number that most directly shapes daily care.
Teton Healthcare of Cascadia runs 88 certified beds in Idaho Falls under for-profit LLC ownership. Nurse staffing sits at 3.78 hours per resident day, slightly under the national average of 3.86, and weekends drop about 17% below the home's own weekday coverage, so families visiting Saturday or Sunday may find fewer hands on deck. Annual turnover of 60.8% is well above the 45.8% national figure, meaning the staff caring for your relative changes often. The bigger concern is the inspection record: a 1-star health inspection rating, 37 deficiencies on file, two of them serious enough to involve harm or jeopardy, and $36,190 in fines from two separate penalties. The most recent inspection was March 6, 2026.
Cascadia Of Boise sits at 100 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Its 3.97 nurse hours per resident day edges out the national average of 3.86, but weekend staffing drops about 12% below its own weekday level, so the coverage you see on a Tuesday isn't what you get on a Saturday. Staff turnover runs 48%, above the 45.8% national figure, and CMS gives staffing just 1 star out of 5. The inspection record carries 30 deficiencies, one at harm or jeopardy level, with a $13,049 fine and a 2-star health inspection rating. Quality measures earn 3 stars, and the most recent inspection was November 2025.
Curry Village runs a for-profit operation in Brookings with 59 certified beds, and its nurse staffing average of 4.59 hours per resident day sits about 19% above the national figure. That looks good on paper until you notice weekends drop roughly 14% below the home's own weekday levels, and annual turnover hits 53.4% against a national average of 45.8%, meaning the people covering those shifts are often new. The inspection record is where things get harder to shrug off: 33 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with the last inspection dated May 2026. Two stars on health inspections and one on staffing tell you the day-to-day experience has been uneven, whatever the overall hours suggest.
Spokane Valley Health and Rehabilitation of Cascad runs 97 certified beds as a for-profit LLC, and its record shows why families should look closely before committing. The staffing score sits at the bottom of the federal scale, and the quality measure rating is just as low, meaning the day-to-day care metrics that matter most land well below what CMS considers average. Inspectors have cited 52 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with four fines totaling $27,034. The most recent inspection was November 2025, so the picture is current. With that volume of citations and thin staffing, you'd want to ask hard questions about who's on the floor overnight.
Snohomish Health and Rehabilitation of Cascadia runs 91 beds under for-profit LLC ownership, and its staffing sits just under the national average at 3.78 nurse hours per resident day. That small gap hides a bigger one: weekend coverage drops about 10% below its own weekday level, and annual turnover is 56% against a national 45.8%. The inspection record is where things get serious, 65 deficiencies, 7 at harm or jeopardy level, 8 abuse-related, and $195,291 in fines across three penalties. A 5/5 quality measure score can coexist with a 1/5 inspection rating because they measure different things, but the harm-level findings and abuse citations are the numbers a family should weigh hardest.
Paradise Creek runs 3.36 nurse hours per resident day, about 13% under the national average, and weekends dip another 13% below its own weekday level. That's the pattern families feel: thinner coverage on Saturdays and Sundays. Staff turnover is 70.9% against a national 45.8%, so the people helping your relative are frequently new. The inspection record shows 27 deficiencies, 3 serious enough to cause harm or jeopardy, 2 tied to abuse, and 9 fines totaling $63,834. Its most recent inspection was May 2026, so the record is current. The company is a for-profit LLC, and it has consistently scored low on federal staffing and inspection measures. If you're considering it, ask specifically how weekends are staffed.
Coeur D Alene Health Of Cascadia runs 117 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to look at. Nurses provide 3.61 hours per resident day, roughly 6% under the national average, and weekends dip about 8% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 66.3% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 35 deficiencies, including one at the harm level and one abuse-related, with two fines totaling $33,815 and a survey dated May 2026.
Silverton Health and Rehabilitation of Cascadia runs 55 certified beds under corporate ownership, and the staffing numbers tell the story: 3.29 nurse hours per resident per day, about 15% under the national average of 3.86, with weekends dipping roughly 16% below its own weekday levels. Annual turnover sits at 51.1% against a national 45.8%. The current record shows 46 deficiencies, three of them at the harm or jeopardy level and two tied to abuse, plus one fine of $41,954. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems. The most recent inspection was January 9, 2026.
Cherry Ridge Of Cascadia runs 40 certified beds in Emmett under for-profit LLC ownership, and its staffing is the number to sit with first: 3.08 nurse hours per resident day, roughly a fifth under the national average of 3.86, with weekends running about 13% leaner than its own weekdays. Turnover sits at 66.7% against a 45.8% national figure, so the people caring for residents keep changing, and CMS rates staffing 1 out of 5. The record shows 30 deficiencies, including one at the harm or jeopardy level and one abuse-related, with the most recent inspection in August 2025 and a 2/5 inspection rating. Quality measures score 4/5, which suggests some clinical care is being tracked well, but ask directly how they hold staffing steady on weekends.
Cascadia Of Nampa holds 100 beds under for-profit LLC ownership, and its record splits sharply depending on what you look at. The quality measure score is perfect at 5/5, but the health inspection rating sits at 1/5 with 38 deficiencies on file, two serious enough to reach harm or jeopardy level, plus four fines totaling $99,902, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of problems. Staffing lands at 3.69 hours per resident day, about 5% under the national average, with weekends running roughly 10% thinner than weekdays, and turnover at 46% is essentially the national norm. The last inspection was December 5, 2025.
If you're considering Mount Ascension Transitional Care of Cascadia for someone you love, the federal record is worth sitting with. The Helena home is owned by a for-profit corporation and carries 59 deficiencies, three of them serious enough to put residents in immediate harm, nine tied to abuse. CMS has placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes, and inspectors were last on site in February 2026. Nurse staffing sits about 13 percent under the national average, weekends run thinner than weekdays, and more than half the nursing staff turned over in a year. Three fines total $94,212.
Colville Health and Rehabilitation of Cascadia carries a federal Special Focus Facility designation, which CMS reserves for homes with a persistent record of poor care. The current inspection history backs that up: 54 deficiencies, six of them at the level where a resident was actually harmed or put in immediate jeopardy, and five tied to abuse. Staffing runs about 11% below the national average, and weekends drop roughly 22% below the home's own weekday coverage. With turnover at 67% against a national 45.8%, the people at the bedside keep changing. Two fines totaling $68,351 are on record, and the most recent inspection was in May 2025. For-profit corporate ownership. If you're considering this one, ask hard questions.