• CMS rates this facility 4/5 stars (above average)
• Has 96 certified beds with an average of 65.5 residents per day (68% occupancy)
• Last health inspection found 6 deficiencies (inspected Aug 21, 2025)
• No fines on record
• Total nursing staff: 3.47 hours per resident per day
• Staff turnover rate: 33.3%
• Part of the Cascadia Healthcare chain (44 facilities)
Lewiston Transitional Care of Cascadia is a 4-star Medicare and Medicaid certified nursing home in Lewiston, Idaho with 96 certified beds. It has been operating since 1972. The facility scored above average compared to Idaho facilities.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide safe, appropriate pain management for a resident who requires such services.
Ensure that residents are free from significant medication errors.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Ensure each resident receives an accurate assessment.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Post nurse staffing information every day.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Provide and implement an infection prevention and control program.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CASCADIA HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jun 30, 2017 |
| CASCADIA SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jan 23, 2025 |
| HAMMOND, OWEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2017 |
| LAFORTE, STEPHEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 5, 2025 |
| MCKAY, BREANNA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2017 |
| NELSON, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 5, 2025 |
| RUDOLPH, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 4, 2025 |
| TIMBERLINE CTRE TENANT LLC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Jun 5, 2025 |
| WHITE OAK HEALTHCARE FINANCE LLC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Aug 11, 2022 |
This chain operates 44 facilities. View all →