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HomeIdahoParadise Creek Health and Rehab of Cascadia

Paradise Creek Health and Rehab of Cascadia

640 North Eisenhower Street, Moscow, ID 838432088826560WebsiteGoogle Maps
3.4on Google(10 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
2/5
Quality
3/5
Beds
63
certified
9 fine(s) totaling $63,834

How Paradise Creek Health and Rehab 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
2/5
ID average
3.1/5
Below state average
Health inspection rating
2/5
ID average
2.7/5
Below state average
Staffing rating
2/5
ID average
3.1/5
Below state average
Nursing hours per resident
3.36 hrs/day
ID average
4.04 hrs/day
Below state average
RN hours per resident
0.67 hrs/day
ID average
0.86 hrs/day
Below state average
Staff turnover
70.9%
ID average
50.3%
Higher than state average

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

What the Data Highlights

Its 2/5 overall CMS rating is below the Idaho average of 3.1/5.
Its 2/5 health inspection rating is below the Idaho average of 2.7/5.
Reported nursing time is 3.36 hours per resident per day, below the state average of 4.04.
Reported RN time is 0.67 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
23
deficiency citations
Inspected Aug 29, 2024
Most recent cycle
3
deficiency citations
Inspected May 7, 2026
The most recent cycle recorded 20 fewer 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
Latah County 65+
5,727
14.4% of county
County Population
39,872
Latah County

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

Swipe tabs for staffing, quality and ownership.

Paradise Creek Health and Rehab of Cascadia is a 2-star Medicare and Medicaid certified nursing home in Moscow, Idaho with 63 certified beds. It has been operating since 1977. Its overall CMS rating is 2 out of 5.

Beds
63
Avg Residents/Day
46.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 1, 1977
Sprinklers
Yes
Council
Resident
County
Latah
Last Inspection
May 7, 2026
Deficiencies (Cycle 1)
3
Weighted Score
64.0
Infection Citations
0

Deficiency Citations (27)

F0812Potential for Harm

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

Survey: May 7, 2026Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: May 7, 2026Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: May 7, 2026Corrected: NoCycle: 1
F0684Actual Harm

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

Survey: Aug 29, 2024Corrected: NoCycle: 2
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 29, 2024Corrected: NoCycle: 2
F0730Potential for Harm

Observe each nurse aide's job performance and give regular training.

Survey: Aug 29, 2024Corrected: NoCycle: 2
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Aug 29, 2024Corrected: NoCycle: 2
F0585Potential for Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey: Aug 29, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Aug 29, 2024Corrected: NoCycle: 2
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Aug 29, 2024Corrected: NoCycle: 2
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jul 14, 2023Corrected: NoCycle: 3
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jul 14, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 14, 2023Corrected: NoCycle: 3
F0565Potential for Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey: Jul 14, 2023Corrected: NoCycle: 3
F0684Potential for Harm

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

Survey: Jul 14, 2023Corrected: NoCycle: 3
F0812Potential for Harm

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

Survey: Jul 14, 2023Corrected: NoCycle: 3
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Jul 14, 2023Corrected: NoCycle: 3
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jul 14, 2023Corrected: NoCycle: 3
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: Jul 14, 2023Corrected: NoCycle: 3
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Jul 14, 2023Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jul 14, 2023Corrected: 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: Jul 14, 2023Corrected: NoCycle: 3
F0677Potential for Harm

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

Survey: Jul 14, 2023Corrected: NoCycle: 3
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Jul 14, 2023Corrected: NoCycle: 3
F0848Potential for Harm

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Survey: Jul 14, 2023Corrected: NoCycle: 3
F0882Potential for Harm

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Survey: Jul 14, 2023Corrected: NoCycle: 3
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Jul 14, 2023Corrected: NoCycle: 3
Total Fines
$63,834
Number of Fines
9
Payment Denials
0
Total Penalties
9

Penalty History

FineSep 11, 2023
$4,545
FineAug 21, 2023
$4,545
FineAug 14, 2023
$4,587
FineSep 25, 2023
$4,587
FineSep 5, 2023
$4,587
FineAug 28, 2023
$4,587
FineSep 18, 2023
$4,587
FineJul 17, 2023
$10,489
FineAug 29, 2024
$21,320

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

Nurse Aide2.07 hrs
National avg: 2.32 hrs
LPN0.63 hrs
National avg: 0.86 hrs
RN0.67 hrs
National avg: 0.69 hrs
Total Nursing3.36 hrs
National avg: 3.86 hrs
Weekend Total2.94 hrs
National avg: 0.00 hrs
Physical Therapist0.11 hrs
National avg: 0.07 hrs
Total Turnover
70.9%
RN Turnover
75.0%
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 (11)

NameRoleTypeOwnership %Since
MOSCOW 640 REALTY, 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/AOct 21, 2022
BONG, DANIELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 20, 2026
HAMMOND, OWENOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2023
NELSON, TIMOTHYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 5, 2025
SPADY, ROBERTOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2023
CASCADIA SERVICES LLCADP OF THE SNFOrganizationN/AOct 21, 2022
MOSCOW 640 REALTY, LLCADP OF THE SNFOrganizationN/AJun 5, 2025
BONG, DANIELADP OF THE SNFIndividualN/AApr 10, 2026
SPADY, ROBERTADP OF THE SNFIndividualN/AFeb 26, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Paradise Creek Health and Rehab of Cascadia and nearby alternatives.

All Idaho facilities
Paradise Creek Health and Rehab of Cascadia
Moscow, IDCurrent facility
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $63,834
Aspen Park of Cascadia
Moscow, ID1.6 mi
CMS
5/5
Health
4/5
Staffing
3/5
Recorded fines: None
Idaho State Veterans Home - Lewiston
Lewiston, ID23.6 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: $186,850
Royal Plaza Health and Rehabilitation of Cascadia
Lewiston, ID23.7 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Cascadia of Lewiston
Lewiston, ID23.7 mi
CMS
4/5
Health
4/5
Staffing
1/5
Recorded fines: None
Lewiston Transitional Care of Cascadia
Lewiston, ID24.6 mi
CMS
4/5
Health
4/5
Staffing
2/5
Recorded fines: None
Life Care Center of Lewiston
Lewiston, ID24.7 mi
CMS
5/5
Health
5/5
Staffing
3/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Paradise Creek Health and Rehab of Cascadia
Moscow, ID · Current facility
—2/52/52/5$63,834
Aspen Park of Cascadia
Moscow, ID
1.6 mi5/54/53/5None recorded
Idaho State Veterans Home - Lewiston
Lewiston, ID
23.6 mi5/54/55/5$186,850
Royal Plaza Health and Rehabilitation of Cascadia
Lewiston, ID
23.7 mi4/54/53/5None recorded
Cascadia of Lewiston
Lewiston, ID
23.7 mi4/54/51/5None recorded
Lewiston Transitional Care of Cascadia
Lewiston, ID
24.6 mi4/54/52/5None recorded
Life Care Center of Lewiston
Lewiston, ID
24.7 mi5/55/53/5None 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 Paradise Creek Health and Rehab of Cascadia?▾
Paradise Creek Health and Rehab of Cascadia has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 3/5. This facility is rated below average.
How much does Paradise Creek Health and Rehab 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). Paradise Creek Health and Rehab of Cascadia participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Paradise Creek Health and Rehab of Cascadia had any health inspection violations?▾
Paradise Creek Health and Rehab of Cascadia had 3 deficiency citations in its most recent health inspection (May 7, 2026). The current CMS dataset records 9 fine(s) totaling $63,834.
What are the staffing levels at Paradise Creek Health and Rehab of Cascadia?▾
Paradise Creek Health and Rehab of Cascadia provides 3.36 total nursing staff hours per resident per day, including 0.67 RN hours, 0.63 LPN hours, and 2.07 nurse aide hours. The total staff turnover rate is 70.9%.
How many beds does Paradise Creek Health and Rehab of Cascadia have?▾
Paradise Creek Health and Rehab of Cascadia has 63 certified beds with an average of 46.9 residents per day, resulting in approximately 74% occupancy. The facility is For profit - Limited Liability company owned and is part of the Cascadia Healthcare chain.
Are there other nursing homes near Paradise Creek Health and Rehab of Cascadia?▾
Yes. This page lists 6 nearby nursing homes in Idaho, including 1 in Moscow. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Paradise Creek Health and Rehab of Cascadia?▾
On Google Maps, Paradise Creek Health and Rehab of Cascadia has a rating of 3.4 out of 5 based on 10 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Cascadia Healthcare

This chain operates 45 facilities. View all →