nursing home in Nampa, ID
Orchards of Cascadia, the
404 North Horton Street, Nampa, ID 83651 · (208) 466-9292
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Orchards of Cascadia, the at a glance
Orchards of Cascadia, the is a 100-bed for-profit nursing home in Nampa, Idaho (Canyon County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Idaho average of 3.2.
Residents receive about 3.9 hours of nursing care per day (0.7 of them from registered nurses), close to the state average of 4 hours.
Its most recent standard health inspection (December 1, 2025) found 7 health citations. The Idaho average is 10.3.
Federal regulators fined it 2 times in the past three years, totaling $25,809.
Nursing staff turnover is 47.4% per year (state average 50.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 100
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Cascadia Healthcare
- Medicare-certified since
- May 1, 1970
- Resident/family council
- Resident
- County
- Canyon County
- CMS Certification Number
- 135019
Ratings
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.1 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 3 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 4.1 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.90 hrs | 4.04 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.72 hrs | 0.86 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.36 hrs | 2.44 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.20 hrs | 3.49 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 47.4% | 50.3% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 58.8% | 41% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 10 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 6 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 123.3 | 63.1 | 80.6 | Worse |
Penalties
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $25,809 | $13,374 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 100 | 76 | 107 | |
| Average residents per day | 92 | 57 | 86 | |
| Occupancy | 92.1% | 76.3% | 80.9% |
Long-stay residents
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.2% | 3% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 4.5% | 3.2% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 22% | 20.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2% | 2% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.2% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 14.6% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 16.9% | 16.1% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.7% | 5.2% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 6.6% | 15.1% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 19.9% | 16.3% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 12.9% | 22.1% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 97.2% | 96.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.8% | 97.3% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.5% | 1.8% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 91.5% | 86.5% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.8% | 91.2% | 82% | Better |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 8, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected January 29, 2026 |
| December 1, 2025 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected January 29, 2026 |
| December 1, 2025 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected January 29, 2026 |
| December 1, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 18, 2025 |
| December 1, 2025 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected January 29, 2026 |
| December 1, 2025 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected January 29, 2026 |
| November 14, 2025 Complaint | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | J Immediate jeopardy, isolated | Corrected December 17, 2025 |
| June 6, 2024 Fire safety | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Tag E0024 | F Potential harm, widespread | Corrected April 10, 2024 |
| June 6, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected April 10, 2024 |
| June 6, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected April 10, 2024 |
| June 6, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected July 9, 2024 |
| June 6, 2024 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected July 9, 2024 |
| June 6, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected July 9, 2024 |
| February 15, 2019 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected January 18, 2019 |
| February 15, 2019 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 18, 2019 |
| February 15, 2019 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected January 18, 2019 |
| February 15, 2019 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected January 18, 2019 |
| February 15, 2019 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected April 5, 2019 |
| February 15, 2019 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | F Potential harm, widespread | Corrected April 5, 2019 |
| February 15, 2019 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected April 5, 2019 |
| February 15, 2019 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected April 5, 2019 |
| February 15, 2019 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected April 5, 2019 |
| February 15, 2019 Standard | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected April 5, 2019 |
| February 15, 2019 Standard | 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. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected April 5, 2019 |
| February 15, 2019 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected April 5, 2019 |
| February 15, 2019 Standard | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected April 5, 2019 |
| February 15, 2019 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 5, 2019 |
| February 15, 2019 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected April 5, 2019 |
| February 15, 2019 Standard | Provide appropriate foot care. Quality of Life and Care Deficiencies · Tag F0687 | D Potential harm, isolated | Corrected April 5, 2019 |
| February 15, 2019 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected April 5, 2019 |
| September 7, 2017 Fire safety | Walls that prevent smoke from passing through and would resist fire for at least one hour. Smoke Deficiencies · Tag K0025 | D Potential harm, isolated | Corrected October 31, 2016 |
| September 7, 2017 Fire safety | Have other fire safety features required by fire safety codes. Miscellaneous Deficiencies · Tag K0130 | D Potential harm, isolated | Corrected October 31, 2016 |
| September 7, 2017 Fire safety | Exits that are accessible at all times. Egress Deficiencies · Tag K0038 | D Potential harm, isolated | Corrected October 31, 2016 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $25,809 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 14, 2025 | Fine | $16,985 |
| June 6, 2024 | Fine | $8,824 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| TIMBERLINE CTRE TENANT LLC Organization | 5% or greater security interest | NOT APPLICABLE | 06/05/2025 |
| WHITE OAK HEALTHCARE FINANCE LLC Organization | 5% or greater security interest | NOT APPLICABLE | 08/11/2022 |
| ALLEN, DANIEL Individual | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| CASCADIA SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 02/11/2025 |
| DRUCKER, CHANEL Individual | adp of the snf | NOT APPLICABLE | 04/09/2026 |
| TIMBERLINE CTRE TENANT LLC Organization | adp of the snf | NOT APPLICABLE | 06/05/2025 |
| CASCADIA IDAHO OPERATIONS LLC Organization | direct ownership interest | NOT APPLICABLE | 10/01/2017 |
| CASCADIA HC GROUP LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| CASCADIA HEALTHCARE LLC Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2017 |
| CASCADIA HOLDCO LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| HAMMOND, OWEN Individual | indirect ownership interest | NOT APPLICABLE | 10/01/2017 |
| LAFORTE, STEPHEN Individual | indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| NELSON, TIMOTHY Individual | indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| ALLEN, DANIEL Individual | operational/managerial control | NOT APPLICABLE | 06/30/2017 |
| CASCADIA SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 06/30/2017 |
| DRUCKER, CHANEL Individual | operational/managerial control | NOT APPLICABLE | 06/16/2025 |
| HAMMOND, OWEN Individual | operational/managerial control | NOT APPLICABLE | 10/01/2017 |
Other nursing homes near Orchards of Cascadia, the
Meadow View Nursing and Rehabilitation
46 North Midland Boulevard, Nampa, ID 83651 · under 1 mi
For-profit · 122 beds · Part of The Ensign Group
★★★★★4Above averageKarcher Post Acute
1127 Caldwell Blvd, Nampa, ID 83651 · 1 mi
For-profit · 66 beds · Part of Pacs Group
- Special Focus candidate
- Abuse citation
★★★★★1Much below averageSunny Ridge
2609 Sunnybrook Drive, Nampa, ID 83686 · 3.1 mi
For-profit · 43 beds · Part of Cascades Healthcare
★★★★★3AverageWellspring Health & Rehabilitation of Cascadia
2105 12th Avenue Road, Nampa, ID 83686 · 3.9 mi
For-profit · 120 beds · Part of Cascadia Healthcare
★★★★★4Above averageCascadia of Nampa
900 N Happy Valley Rd, Nampa, ID 83687 · 4 mi
For-profit · 100 beds · Part of Cascadia Healthcare
- Special Focus candidate
★★★★★2Below averageCanyon West of Cascadia
2814 South Indiana Avenue, Caldwell, ID 83605 · 5.7 mi
For-profit · 103 beds · Part of Cascadia Healthcare
★★★★★4Above average
Frequently asked questions
What is Orchards of Cascadia, the's rating?
Orchards of Cascadia, the has 1 out of 5 stars on the CMS overall star rating. The average for Idaho nursing homes is 3.2 stars.
How many inspection citations did Orchards of Cascadia, the receive?
Its most recent standard health inspection found 7 citations, compared with a Idaho average of 10.3. Every citation is listed on this page with its severity.
Does Orchards of Cascadia, the accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Orchards of Cascadia, the?
It is for profit - limited liability company and part of Cascadia Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Orchards of Cascadia, the and how do I contact it?
Orchards of Cascadia, the is at 404 North Horton Street, Nampa, ID 83651. Phone: (208) 466-9292.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.