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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeIdahoRoyal Plaza Health and Rehabilitation of Cascadia

Royal Plaza Health and Rehabilitation of Cascadia

2870 Juniper Drive, Lewiston, ID 835012087462855
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
4/5
Staffing
4/5
Quality
3/5
Beds
76
certified

Key Findings

• CMS rates this facility 4/5 stars (above average)

• Has 76 certified beds with an average of 61.9 residents per day (81% occupancy)

• Last health inspection found 3 deficiencies (inspected Apr 17, 2025)

• No fines on record

• Total nursing staff: 3.71 hours per resident per day

• Staff turnover rate: 41.7%

• Part of the Cascadia Healthcare chain (44 facilities)

Royal Plaza Health and Rehabilitation of Cascadia is a 4-star Medicare and Medicaid certified nursing home in Lewiston, Idaho with 76 certified beds. It has been operating since 1993. The facility scored above average compared to Idaho facilities.

Beds
76
Avg Residents/Day
61.9
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Dec 1, 1993
Sprinklers
Yes
Council
Resident
County
Nez Perce
Last Inspection
Apr 17, 2025
Deficiencies (Cycle 1)
3
Weighted Score
31.0
Infection Citations
0

Deficiency Citations (27)

F0684Potential for Harm

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

Survey: Apr 17, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Apr 17, 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: Apr 17, 2025Corrected: NoCycle: 1
F0565Potential for Harm

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

Survey: Nov 8, 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: Nov 8, 2024Corrected: NoCycle: 2
F0622Potential for Harm

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Survey: Nov 8, 2024Corrected: NoCycle: 2
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: Nov 8, 2024Corrected: NoCycle: 2
F0625Potential for Harm

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey: Nov 8, 2024Corrected: NoCycle: 2
F0644Potential for Harm

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

Survey: Nov 8, 2024Corrected: NoCycle: 2
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: Nov 8, 2024Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Nov 8, 2024Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Nov 8, 2024Corrected: NoCycle: 2
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Nov 8, 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: Jul 24, 2021Corrected: 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: Jul 24, 2021Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jul 24, 2021Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jul 24, 2021Corrected: 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 24, 2021Corrected: NoCycle: 3
F0677Actual Harm

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

Survey: Jul 24, 2021Corrected: NoCycle: 3
F0684Potential for Harm

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

Survey: Jul 24, 2021Corrected: NoCycle: 3
F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Jul 24, 2021Corrected: NoCycle: 3
F0689Immediate Jeopardy

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

Survey: Jul 24, 2021Corrected: NoCycle: 3
F0725Actual Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Jul 24, 2021Corrected: NoCycle: 3
F0740Immediate Jeopardy

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey: Jul 24, 2021Corrected: NoCycle: 3
F0744Potential for Harm

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Survey: Jul 24, 2021Corrected: NoCycle: 3
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: Jul 24, 2021Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 24, 2021Corrected: 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 Aide2.20 hrs
National avg: 2.35 hrs
LPN0.54 hrs
National avg: 0.86 hrs
RN0.97 hrs
National avg: 0.68 hrs
Total Nursing3.71 hrs
National avg: 3.89 hrs
Weekend Total3.07 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
41.7%
RN Turnover
30.8%
Administrators Left
0

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

Ownership Type
For profit - Partnership
Recent Change
No

Owners & Managers (12)

NameRoleTypeOwnership %Since
CASCADIA HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ADec 27, 2021
CASCADIA HC GROUP LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJun 5, 2025
CASCADIA HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AFeb 1, 2022
CASCADIA HOLDCO LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJun 5, 2025
CASCADIA SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 23, 2025
FLEMMING, THOMASOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 5, 2024
HAMMOND, OWENOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2022
LAFORTE, STEPHENOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 5, 2025
NELSON, TIMOTHYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 5, 2025
RUDOLPH, JOHNOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 4, 2025
TIMBERLINE OHI TENANT LLC5% OR GREATER SECURITY INTERESTOrganizationN/AJun 5, 2025
WHITE OAK HEALTHCARE FINANCE LLC5% OR GREATER SECURITY INTERESTOrganizationN/AAug 11, 2022

Nearby Nursing Homes

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Frequently Asked Questions

What is the CMS rating for Royal Plaza Health and Rehabilitation of Cascadia?▾
Royal Plaza Health and Rehabilitation of Cascadia has an overall CMS rating of 4 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 4/5, and quality measures rating of 3/5. This facility is rated above average.
Has Royal Plaza Health and Rehabilitation of Cascadia had any health inspection violations?▾
Royal Plaza Health and Rehabilitation of Cascadia had 3 deficiency citations in its most recent health inspection (Apr 17, 2025). The facility has no fines on record.
What are the staffing levels at Royal Plaza Health and Rehabilitation of Cascadia?▾
Royal Plaza Health and Rehabilitation of Cascadia provides 3.71 total nursing staff hours per resident per day, including 0.97 RN hours, 0.54 LPN hours, and 2.20 nurse aide hours. The total staff turnover rate is 41.7%.
How many beds does Royal Plaza Health and Rehabilitation of Cascadia have?▾
Royal Plaza Health and Rehabilitation of Cascadia has 76 certified beds with an average of 61.9 residents per day, resulting in approximately 81% occupancy. The facility is For profit - Partnership owned and is part of the Cascadia Healthcare chain.
Are there other nursing homes near Royal Plaza Health and Rehabilitation of Cascadia?▾
Yes, there are 5 other nursing homes in Lewiston, Idaho with an average rating of 3.7/5. You can compare all facilities on the Lewiston nursing homes page.

Part of Cascadia Healthcare

This chain operates 44 facilities. View all →