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HomeIdahoLewiston Transitional Care of Cascadia

Lewiston Transitional Care of Cascadia

3315 8th Street, Lewiston, ID 835012087439543WebsiteGoogle Maps
3.9on Google(9 reviews)
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
4/5
Staffing
2/5
Quality
2/5
Beds
96
certified

How Lewiston Transitional Care of Cascadia Compares in Idaho

Facility results compared with averages for CMS-certified nursing homes in Idaho. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
4/5
ID average
3.1/5
Above state average
Health inspection rating
4/5
ID average
2.7/5
Above state average
Staffing rating
2/5
ID average
3.1/5
Below state average
Nursing hours per resident
3.51 hrs/day
ID average
4.04 hrs/day
Below state average
RN hours per resident
0.42 hrs/day
ID average
0.86 hrs/day
Below state average
Staff turnover
48.1%
ID average
50.3%
Close to state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 4/5 overall CMS rating is above the Idaho average of 3.1/5.
Its 4/5 health inspection rating is above the Idaho average of 2.7/5.
Reported nursing time is 3.51 hours per resident per day, below the state average of 4.04.
Reported RN time is 0.42 hours per resident per day, below the state average of 0.86.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
3
deficiency citations
Inspected Jun 13, 2024
Most recent cycle
6
deficiency citations
Inspected Aug 21, 2025
The most recent cycle recorded 3 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$9,277/mo
Idaho median
Private Room
$10,220/mo
Idaho median
Nez Perce County 65+
8,568
20.3% of county
County Population
42,200
Nez Perce County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 4 out of 5.

Beds
96
Avg Residents/Day
65.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 1, 1972
Sprinklers
Yes
Council
Resident
County
Nez Perce
Last Inspection
Aug 21, 2025
Deficiencies (Cycle 1)
6
Weighted Score
25.0
Infection Citations
0

Deficiency Citations (20)

F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Aug 21, 2025Corrected: NoCycle: 1
F0657Potential for Harm

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

Survey: Aug 21, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Aug 21, 2025Corrected: NoCycle: 1
F0697Potential for Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Aug 21, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Aug 21, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 21, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jun 13, 2024Corrected: NoCycle: 2
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Jun 13, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jun 13, 2024Corrected: NoCycle: 2
F0578Potential for Harm

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.

Survey: Jan 9, 2020Corrected: NoCycle: 3
F0761Potential for Harm

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.

Survey: Jan 9, 2020Corrected: NoCycle: 3
F0584Potential for Harm

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.

Survey: Jan 9, 2020Corrected: NoCycle: 3
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Jan 9, 2020Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jan 9, 2020Corrected: NoCycle: 3
F0657Potential for Harm

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

Survey: Jan 9, 2020Corrected: NoCycle: 3
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Jan 9, 2020Corrected: NoCycle: 3
F0688Potential for Harm

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.

Survey: Jan 9, 2020Corrected: NoCycle: 3
F0758Potential for Harm

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.

Survey: Jan 9, 2020Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 9, 2020Corrected: NoCycle: 3
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Jan 9, 2020Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.36 hrs
National avg: 2.32 hrs
LPN0.73 hrs
National avg: 0.86 hrs
RN0.42 hrs
National avg: 0.69 hrs
Total Nursing3.51 hrs
National avg: 3.86 hrs
Weekend Total3.10 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
48.1%
RN Turnover
55.6%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (19)

NameRoleTypeOwnership %Since
CASCADIA IDAHO OPERATIONS LLCDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2022
CASCADIA HC GROUP LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AJun 5, 2025
CASCADIA HEALTHCARE LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2022
CASCADIA HOLDCO LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AJun 5, 2025
HAMMOND, OWENINDIRECT OWNERSHIP INTERESTIndividualN/AOct 1, 2017
LAFORTE, STEPHENINDIRECT OWNERSHIP INTERESTIndividualN/AJun 5, 2025
NELSON, TIMOTHYINDIRECT OWNERSHIP INTERESTIndividualN/AJun 5, 2025
TIMBERLINE CTRE TENANT LLC5% OR GREATER SECURITY INTERESTOrganizationN/AJun 5, 2025
WHITE OAK HEALTHCARE FINANCE LLC5% OR GREATER SECURITY INTERESTOrganizationN/AAug 11, 2022
CASCADIA SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 23, 2025
HAMMOND, OWENOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2017
LAFORTE, STEPHENOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 5, 2025
MCKAY, BREANNAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2017
NELSON, TIMOTHYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 5, 2025
RUDOLPH, JOHNOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 4, 2025
CASCADIA SERVICES LLCADP OF THE SNFOrganizationN/AJan 23, 2025
TIMBERLINE CTRE TENANT LLCADP OF THE SNFOrganizationN/AJun 5, 2025
MCKAY, BREANNAADP OF THE SNFIndividualN/AJun 19, 2025
RUDOLPH, JOHNADP OF THE SNFIndividualN/AJul 11, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Lewiston Transitional Care of Cascadia and nearby alternatives.

All Idaho facilities
Lewiston Transitional Care of Cascadia
Lewiston, IDCurrent facility
CMS
4/5
Health
4/5
Staffing
2/5
Recorded fines: None
Orchard View Post Acute
Lewiston, ID3,168 ft
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: $16,790
Cascadia of Lewiston
Lewiston, ID4,752 ft
CMS
4/5
Health
4/5
Staffing
1/5
Recorded fines: None
Royal Plaza Health and Rehabilitation of Cascadia
Lewiston, ID4,752 ft
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Life Care Center of Lewiston
Lewiston, ID1.0 mi
CMS
5/5
Health
5/5
Staffing
3/5
Recorded fines: None
Idaho State Veterans Home - Lewiston
Lewiston, ID1.8 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: $186,850
Aspen Park of Cascadia
Moscow, ID23.3 mi
CMS
5/5
Health
4/5
Staffing
3/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Lewiston Transitional Care of Cascadia
Lewiston, ID · Current facility
—4/54/52/5None recorded
Orchard View Post Acute
Lewiston, ID
3,168 ft2/52/54/5$16,790
Cascadia of Lewiston
Lewiston, ID
4,752 ft4/54/51/5None recorded
Royal Plaza Health and Rehabilitation of Cascadia
Lewiston, ID
4,752 ft4/54/53/5None recorded
Life Care Center of Lewiston
Lewiston, ID
1.0 mi5/55/53/5None recorded
Idaho State Veterans Home - Lewiston
Lewiston, ID
1.8 mi5/54/55/5$186,850
Aspen Park of Cascadia
Moscow, ID
23.3 mi5/54/53/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Lewiston Transitional Care of Cascadia?▾
Lewiston Transitional Care of Cascadia has an overall CMS rating of 4 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 2/5, and quality measures rating of 2/5. This facility is rated above average.
How much does Lewiston Transitional Care of Cascadia cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Idaho is $9,277/month for a semi-private room and $10,220/month for a private room (Genworth/CareScout 2024). Lewiston Transitional Care of Cascadia participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Lewiston Transitional Care of Cascadia had any health inspection violations?▾
Lewiston Transitional Care of Cascadia had 6 deficiency citations in its most recent health inspection (Aug 21, 2025). The current CMS dataset records no fines for this facility.
What are the staffing levels at Lewiston Transitional Care of Cascadia?▾
Lewiston Transitional Care of Cascadia provides 3.51 total nursing staff hours per resident per day, including 0.42 RN hours, 0.73 LPN hours, and 2.36 nurse aide hours. The total staff turnover rate is 48.1%.
How many beds does Lewiston Transitional Care of Cascadia have?▾
Lewiston Transitional Care of Cascadia has 96 certified beds with an average of 65.9 residents per day, resulting in approximately 69% occupancy. The facility is For profit - Limited Liability company owned and is part of the Cascadia Healthcare chain.
Are there other nursing homes near Lewiston Transitional Care of Cascadia?▾
Yes. This page lists 6 nearby nursing homes in Idaho, including 5 in Lewiston. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Lewiston Transitional Care of Cascadia?▾
On Google Maps, Lewiston Transitional Care of Cascadia has a rating of 3.9 out of 5 based on 9 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 4/5.

Part of Cascadia Healthcare

This chain operates 45 facilities. View all →