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.
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.
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.
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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Have a plan that describes the process for conducting QAPI and QAA activities.
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.
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 appropriate treatment and care according to orders, resident’s preferences and goals.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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 IDAHO OPERATIONS LLC | DIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2022 |
| CASCADIA HC GROUP LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jun 5, 2025 |
| CASCADIA HEALTHCARE LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2022 |
| CASCADIA HOLDCO LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jun 5, 2025 |
| HAMMOND, OWEN | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Feb 1, 2022 |
| LAFORTE, STEPHEN | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jun 5, 2025 |
| NELSON, TIMOTHY | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jun 5, 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 |
| 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 |
| CASCADIA SERVICES LLC | ADP OF THE SNF | Organization | N/A | Jan 23, 2025 |
| TIMBERLINE OHI TENANT LLC | ADP OF THE SNF | Organization | N/A | Jun 5, 2025 |
| FLEMMING, THOMAS | ADP OF THE SNF | Individual | N/A | Jun 19, 2025 |
| RUDOLPH, JOHN | ADP OF THE SNF | Individual | N/A | Jul 29, 2025 |
Compare CMS ratings and recorded fines for Royal Plaza Health and Rehabilitation 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 →