nursing home in Lewiston, ID
Lewiston Transitional Care of Cascadia
3315 8th Street, Lewiston, ID 83501 · (208) 743-9543
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Lewiston Transitional Care of Cascadia at a glance
Lewiston Transitional Care of Cascadia is a 96-bed for-profit nursing home in Lewiston, Idaho (Nez Perce County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Idaho average of 3.2.
Residents receive about 3.5 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (August 21, 2025) found 6 health citations. The Idaho average is 10.3.
It has not received a federal fine in the past three years.
Nursing staff turnover is 48.1% per year (state average 50.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 96
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Cascadia Healthcare
- Medicare-certified since
- September 1, 1972
- Resident/family council
- Resident
- County
- Nez Perce County
- CMS Certification Number
- 135021
Ratings
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 4.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 4.1 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.51 hrs | 4.04 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.42 hrs | 0.86 hrs | 0.69 hrs | Worse |
| 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) | 3.10 hrs | 3.49 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 48.1% | 50.3% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 55.6% | 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) | 6 | 10 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 6 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 25 | 63.1 | 80.6 | Better |
Penalties
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $13,374 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 96 | 76 | 107 | |
| Average residents per day | 66 | 57 | 86 | |
| Occupancy | 68.6% | 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) | 3.9% | 3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.3% | 3.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 29.7% | 20.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.6% | 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) | 18% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22.9% | 16.1% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 18.1% | 5.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 42.3% | 15.1% | 12.8% | Worse |
| 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) | 17.9% | 16.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 22% | 22.1% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 91.4% | 96.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 94.6% | 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) | 1.9% | 1.8% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 59.4% | 86.5% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 84.4% | 91.2% | 82% | Average |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| August 21, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected September 22, 2025 |
| August 21, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 22, 2025 |
| August 21, 2025 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 September 22, 2025 |
| August 21, 2025 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected September 22, 2025 |
| August 21, 2025 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected September 22, 2025 |
| August 21, 2025 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 September 22, 2025 |
| June 13, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected September 18, 2023 |
| June 13, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected September 18, 2023 |
| June 13, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected September 18, 2023 |
| June 13, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected July 12, 2024 |
| June 13, 2024 Complaint | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected July 12, 2024 |
| June 13, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected July 12, 2024 |
| January 9, 2020 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Corrected January 27, 2020 |
| January 9, 2020 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected January 27, 2020 |
| January 9, 2020 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected January 27, 2020 |
| January 9, 2020 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected January 27, 2020 |
| January 9, 2020 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected January 27, 2020 |
| January 9, 2020 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected January 27, 2020 |
| January 9, 2020 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected January 27, 2020 |
| January 9, 2020 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected January 27, 2020 |
| January 9, 2020 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 | E Potential harm, pattern | Corrected February 13, 2020 |
| January 9, 2020 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 | E Potential harm, pattern | Corrected February 13, 2020 |
| January 9, 2020 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 February 13, 2020 |
| January 9, 2020 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 February 13, 2020 |
| January 9, 2020 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 February 13, 2020 |
| January 9, 2020 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected February 13, 2020 |
| January 9, 2020 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected February 13, 2020 |
| January 9, 2020 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 13, 2020 |
| January 9, 2020 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected February 13, 2020 |
| January 9, 2020 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 | D Potential harm, isolated | Corrected February 13, 2020 |
| January 9, 2020 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected February 13, 2020 |
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 no federal fines or payment denials in the past three years.
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 |
| CASCADIA SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 01/23/2025 |
| MCKAY, BREANNA Individual | adp of the snf | NOT APPLICABLE | 06/19/2025 |
| RUDOLPH, JOHN Individual | adp of the snf | NOT APPLICABLE | 07/11/2025 |
| TIMBERLINE CTRE TENANT LLC Organization | adp of the snf | NOT APPLICABLE | 06/05/2025 |
| CASCADIA IDAHO OPERATIONS LLC Organization | direct ownership interest | NOT APPLICABLE | 02/01/2022 |
| CASCADIA HC GROUP LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| CASCADIA HEALTHCARE LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2022 |
| 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 |
| CASCADIA SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 01/23/2025 |
| HAMMOND, OWEN Individual | operational/managerial control | NOT APPLICABLE | 10/01/2017 |
| LAFORTE, STEPHEN Individual | operational/managerial control | NOT APPLICABLE | 06/05/2025 |
| MCKAY, BREANNA Individual | operational/managerial control | NOT APPLICABLE | 10/01/2017 |
| NELSON, TIMOTHY Individual | operational/managerial control | NOT APPLICABLE | 06/05/2025 |
| RUDOLPH, JOHN Individual | operational/managerial control | NOT APPLICABLE | 07/04/2025 |
Other nursing homes near Lewiston Transitional Care of Cascadia
Orchard View Post Acute
1014 Burrell Avenue, Lewiston, ID 83501 · under 1 mi
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★★★★★2Below averageCascadia of Lewiston
2852 Juniper Drive, Lewiston, ID 83501 · under 1 mi
For-profit · 34 beds · Part of Cascadia Healthcare
★★★★★4Above averageRoyal Plaza Health and Rehabilitation of Cascadia
2870 Juniper Drive, Lewiston, ID 83501 · under 1 mi
For-profit · 78 beds · Part of Cascadia Healthcare
★★★★★2Below averageLife Care Center of Lewiston
325 Warner Drive, Lewiston, ID 83501 · under 1 mi
For-profit · 121 beds · Part of Life Care Centers of America
- CMS high performer
★★★★★5Much above averageIdaho State Veterans Home - Lewiston
821 21st Avenue, Lewiston, ID 83501 · 1.8 mi
Government · 66 beds
- CMS high performer
★★★★★5Much above averageClarkston Health and Rehab of Cascadia
1242 Eleventh Street, Clarkston, WA 99403 · 3.3 mi
For-profit · 90 beds · Part of Cascadia Healthcare
★★★★★3Average
Frequently asked questions
What is Lewiston Transitional Care of Cascadia's rating?
Lewiston Transitional Care of Cascadia has 4 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 Lewiston Transitional Care of Cascadia receive?
Its most recent standard health inspection found 6 citations, compared with a Idaho average of 10.3. Every citation is listed on this page with its severity.
Does Lewiston Transitional Care of Cascadia 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 Lewiston Transitional Care of Cascadia?
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 Lewiston Transitional Care of Cascadia and how do I contact it?
Lewiston Transitional Care of Cascadia is at 3315 8th Street, Lewiston, ID 83501. Phone: (208) 743-9543.
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.