CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Honor the resident's right to organize and participate in resident/family groups in the facility.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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 |
|---|---|---|---|---|
| MOSCOW 640 REALTY, 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 |
| CASCADIA SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Oct 21, 2022 |
| BONG, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 20, 2026 |
| HAMMOND, OWEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2023 |
| NELSON, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 5, 2025 |
| SPADY, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2023 |
| CASCADIA SERVICES LLC | ADP OF THE SNF | Organization | N/A | Oct 21, 2022 |
| MOSCOW 640 REALTY, LLC | ADP OF THE SNF | Organization | N/A | Jun 5, 2025 |
| BONG, DANIEL | ADP OF THE SNF | Individual | N/A | Apr 10, 2026 |
| SPADY, ROBERT | ADP OF THE SNF | Individual | N/A | Feb 26, 2025 |
Compare CMS ratings and recorded fines for Paradise Creek Health and Rehab of Cascadia and nearby alternatives.
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.
This chain operates 45 facilities. View all →