• 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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Honor the resident's right to organize and participate in resident/family groups in the facility.
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.
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.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure that residents are free from significant medication errors.
Keep all essential equipment working safely.
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.
Ensure each resident receives an accurate assessment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Have a plan that describes the process for conducting QAPI and QAA activities.
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 | Dec 27, 2021 |
| CASCADIA HC GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jun 5, 2025 |
| CASCADIA HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Feb 1, 2022 |
| CASCADIA HOLDCO LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jun 5, 2025 |
| CASCADIA SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jan 23, 2025 |
| FLEMMING, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 5, 2024 |
| HAMMOND, OWEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2022 |
| LAFORTE, STEPHEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 5, 2025 |
| NELSON, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 5, 2025 |
| RUDOLPH, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 4, 2025 |
| TIMBERLINE OHI 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 →