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HomeIdahoRoyal Plaza Health and Rehabilitation of Cascadia

Royal Plaza Health and Rehabilitation of Cascadia

2870 Juniper Drive, Lewiston, ID 835012087462855WebsiteGoogle Maps
3.9on Google(33 reviews)
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
4/5
Staffing
3/5
Quality
2/5
Beds
76
certified

How Royal Plaza Health and Rehabilitation 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
3/5
ID average
3.1/5
Close to state average
Nursing hours per resident
3.24 hrs/day
ID average
4.04 hrs/day
Below state average
RN hours per resident
0.96 hrs/day
ID average
0.86 hrs/day
Above state average
Staff turnover
53.4%
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 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 3.24 hours per resident per day, below the state average of 4.04.
Reported RN time is 0.96 hours per resident per day, above 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
10
deficiency citations
Inspected Nov 8, 2024
Most recent cycle
3
deficiency citations
Inspected Apr 17, 2025
The most recent cycle recorded 7 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
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.

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. Its overall CMS rating is 4 out of 5.

Beds
76
Avg Residents/Day
70.4
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)

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
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
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
F0908Potential for Harm

Keep all essential equipment working safely.

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
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
F0740Immediate Jeopardy

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

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
F0677Actual Harm

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

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
F0865Potential for Harm

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

Survey: Jul 24, 2021Corrected: 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 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
F0684Potential for Harm

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

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
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 Aide2.01 hrs
National avg: 2.32 hrs
LPN0.27 hrs
National avg: 0.86 hrs
RN0.96 hrs
National avg: 0.69 hrs
Total Nursing3.24 hrs
National avg: 3.86 hrs
Weekend Total2.67 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
53.4%
RN Turnover
41.7%
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 (22)

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/AFeb 1, 2022
LAFORTE, STEPHENINDIRECT OWNERSHIP INTERESTIndividualN/AJun 5, 2025
NELSON, TIMOTHYINDIRECT OWNERSHIP INTERESTIndividualN/AJun 5, 2025
TIMBERLINE OHI TENANT LLC5% OR GREATER SECURITY INTERESTOrganizationN/AJun 5, 2025
WHITE OAK HEALTHCARE FINANCE LLC5% OR GREATER SECURITY INTERESTOrganizationN/AAug 11, 2022
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
CASCADIA SERVICES LLCADP OF THE SNFOrganizationN/AJan 23, 2025
TIMBERLINE OHI TENANT LLCADP OF THE SNFOrganizationN/AJun 5, 2025
FLEMMING, THOMASADP OF THE SNFIndividualN/AJun 19, 2025
RUDOLPH, JOHNADP OF THE SNFIndividualN/AJul 29, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Royal Plaza Health and Rehabilitation of Cascadia and nearby alternatives.

All Idaho facilities
Royal Plaza Health and Rehabilitation of Cascadia
Lewiston, IDCurrent facility
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Cascadia of Lewiston
Lewiston, ID0 ft
CMS
4/5
Health
4/5
Staffing
1/5
Recorded fines: None
Lewiston Transitional Care of Cascadia
Lewiston, ID4,752 ft
CMS
4/5
Health
4/5
Staffing
2/5
Recorded fines: None
Life Care Center of Lewiston
Lewiston, ID1.3 mi
CMS
5/5
Health
5/5
Staffing
3/5
Recorded fines: None
Orchard View Post Acute
Lewiston, ID1.4 mi
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: $16,790
Idaho State Veterans Home - Lewiston
Lewiston, ID1.4 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: $186,850
Aspen Park of Cascadia
Moscow, ID22.4 mi
CMS
5/5
Health
4/5
Staffing
3/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Royal Plaza Health and Rehabilitation of Cascadia
Lewiston, ID · Current facility
—4/54/53/5None recorded
Cascadia of Lewiston
Lewiston, ID
0 ft4/54/51/5None recorded
Lewiston Transitional Care of Cascadia
Lewiston, ID
4,752 ft4/54/52/5None recorded
Life Care Center of Lewiston
Lewiston, ID
1.3 mi5/55/53/5None recorded
Orchard View Post Acute
Lewiston, ID
1.4 mi2/52/54/5$16,790
Idaho State Veterans Home - Lewiston
Lewiston, ID
1.4 mi5/54/55/5$186,850
Aspen Park of Cascadia
Moscow, ID
22.4 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 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 3/5, and quality measures rating of 2/5. This facility is rated above average.
How much does Royal Plaza Health and Rehabilitation 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). Royal Plaza Health and Rehabilitation of Cascadia participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
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 current CMS dataset records no fines for this facility.
What are the staffing levels at Royal Plaza Health and Rehabilitation of Cascadia?▾
Royal Plaza Health and Rehabilitation of Cascadia provides 3.24 total nursing staff hours per resident per day, including 0.96 RN hours, 0.27 LPN hours, and 2.01 nurse aide hours. The total staff turnover rate is 53.4%.
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 70.4 residents per day, resulting in approximately 93% 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. 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 Royal Plaza Health and Rehabilitation of Cascadia?▾
On Google Maps, Royal Plaza Health and Rehabilitation of Cascadia has a rating of 3.9 out of 5 based on 33 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 →