Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Timber Springs runs on 3.27 nursing hours per resident day, about 15% under the national average, and weekends drop another 15% below what it already provides on weekdays. Inspectors have cited 67 deficiencies, including six tied to abuse and five serious enough to put residents in harm's way, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the worst inspection records. Two fines totaling $30,654 sit on the books, with the most recent inspection in September 2025. The quality measure score looks strong, but that's built on self-reported data, and the staffing and inspection numbers are what families actually live with.
Karcher Post Acute runs 3.98 nurse hours per resident day, slightly above the national average, and its 43.9% turnover is a touch better than typical. Those numbers aren't the problem. The problem is 39 deficiencies on the current record, including four at the harm level and five tied to abuse, plus three fines totaling $31,057. CMS has placed this for-profit home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems, and its health inspection rating sits at 1 out of 5. Staffing looks adequate on paper, but weekend coverage drops about 11% below weekday levels, and a recent inspection hasn't resolved the pattern.
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.
Cascades At Desert View runs about 3.98 nurse hours per resident day, a bit above the national average, and its 34.1% turnover is better than the 45.8% typical elsewhere. Staffing still earned 2 out of 5 stars from CMS, and weekend coverage drops roughly 12% below the home's own weekday level. The real trouble sits in inspections: 52 deficiencies on the current record, including one at the harm level and two tied to abuse, with a 1-out-of-5 health inspection rating. CMS placed this for-profit limited liability home in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The last inspection was May 15, 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.
Oak Creek Rehabilitation Center runs on thin staffing: 3.59 nurse hours per resident per day, about 7% under the national average, and weekends dip roughly 10% below its own weekday levels. That shortfall shows up in the government's staffing rating, which sits at the lowest tier possible, and in a turnover rate of 72.2%, well above the 45.8% national figure, meaning most of the people caring for residents are still learning the building. Sixteen deficiencies sit on the current record, including two at the harm level and three tied to abuse, plus one fine of $13,627. The quality measure score is strong, but quality measures depend on consistent staff to deliver them.
Franklin County Transitional Care runs on 5.01 nurse hours per resident day, roughly 30 percent above the national average, and its staff turnover of 27.1 percent sits well under the national 45.8 percent, people tend to stay here. Inspectors were in the building recently, in May 2025, and found 17 deficiencies, none of them serious enough to put a resident in immediate harm, though one was abuse-related, which is worth asking about directly. Weekend staffing dips about 10 percent below weekdays, a common pattern but one that matters if your family member needs help on a Saturday.
Aspen Transitional Rehabilitation runs 30 beds in Meridian under corporate ownership, and its nurse staffing comes in at 4.49 hours per resident day, about 16% above the national average. That sounds good until you notice weekend staffing drops roughly 22% below its own weekday level, and annual turnover sits at 57.1% versus 45.8% nationally. The health inspection record shows 15 deficiencies, including one at the harm or jeopardy level and one abuse-related, with the most recent inspection in December 2025. Quality measures score well, but the inspection history and turnover are the numbers worth asking about directly.
The staffing numbers here are genuinely strong, 5.09 nurse hours per resident day, about a third more than the national average, with weekend coverage dipping only slightly below weekdays. Turnover sits at 36.4%, below the national figure, which suggests people stay. But the inspection record tells a different story: 29 deficiencies, including two at the level where residents were actually harmed or put in jeopardy, and six tied to abuse. Two fines totaling $20,501 followed. The last inspection was in December 2025, so the record is current. Good care requires enough hands and safe conditions, this home clearly has the first and a documented problem with the second.
Meridian Meadows runs 3.73 nurse hours per resident day, a bit under the national average, and weekend coverage drops roughly 16% below what it manages during the week. The inspection record is where the real story sits: 31 deficiencies, including one at the harm level and four tied to abuse, with the most recent survey dated April 2026. That's a lot of citations for a 52-bed building, and it lines up with the one-star inspection and staffing ratings. The four-star quality measure score reflects resident assessments rather than the hands-on care or the survey history, so weigh it accordingly.
The state-run veterans home in Post Falls has real nursing hours behind it, 4.27 per resident day, roughly 11% above the national average, but that staffing drops about 13% on weekends, when families often visit. The bigger concern is who's providing that care: turnover runs at 69.8%, well above the national rate of about 45.8%, meaning nearly seven in ten staff left over the past year. Inspections tell a harder story. The home's most recent inspection was August 2025, and its record carries 19 deficiencies, including 2 at the harm level and 3 tied to abuse. Two fines total $36,855. Strong staffing numbers, unstable workforce, and serious inspection findings, weigh those together.