nursing home in Orofino, ID
Clearwater Health & Rehabilitation of Cascadia
1204 Shriver Road, Orofino, ID 83544 · (208) 476-4568
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- 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
Clearwater Health & Rehabilitation of Cascadia at a glance
Clearwater Health & Rehabilitation of Cascadia is a 60-bed for-profit nursing home in Orofino, Idaho (Clearwater County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Idaho average of 3.2.
Residents receive about 3.3 hours of nursing care per day (0.9 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (June 26, 2026) found 14 health citations. The Idaho average is 10.3.
It has not received a federal fine in the past three years.
Nursing staff turnover is 54.1% per year (state average 50.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Cascadia Healthcare
- Medicare-certified since
- November 19, 1969
- Resident/family council
- Resident
- County
- Clearwater County
- CMS Certification Number
- 135048
Ratings
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.8 / 5 | Average |
| 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) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| 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) | 3.27 hrs | 4.04 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.85 hrs | 0.86 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.14 hrs | 2.44 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.66 hrs | 3.49 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 54.1% | 50.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 22.2% | 41% | 42.9% | Better |
| 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) | 14 | 10 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 6 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 62 | 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 | 60 | 76 | 107 | |
| Average residents per day | 39 | 57 | 86 | |
| Occupancy | 65.7% | 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) | 2.1% | 3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 0.6% | 3.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 18.3% | 20.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.4% | 2% | 1.6% | Better |
| 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) | 25% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22.4% | 16.1% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.4% | 5.2% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 9.2% | 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) | 6.3% | 16.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 26.9% | 22.1% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 96.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 97.3% | 93.6% | Better |
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% | 1.8% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 87.2% | 86.5% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 93.6% | 91.2% | 82% | Better |
Inspection citations
State inspectors cited this home for 24 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 26, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected November 24, 2025 |
| June 26, 2026 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | F Potential harm, widespread | Corrected July 30, 2026 |
| June 26, 2026 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 July 30, 2026 |
| June 26, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 30, 2026 |
| June 26, 2026 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected July 30, 2026 |
| June 26, 2026 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 30, 2026 |
| June 26, 2026 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected July 30, 2026 |
| June 26, 2026 Standard | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Nursing and Physician Services Deficiencies · Tag F0728 | D Potential harm, isolated | Corrected July 30, 2026 |
| June 26, 2026 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | D Potential harm, isolated | Corrected July 30, 2026 |
| June 26, 2026 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 July 30, 2026 |
| June 26, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected July 30, 2026 |
| June 26, 2026 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected July 30, 2026 |
| June 26, 2026 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 July 30, 2026 |
| June 26, 2026 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 July 30, 2026 |
| June 26, 2026 Complaint | 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 July 30, 2026 |
| April 17, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected February 6, 2025 |
| April 17, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected February 6, 2025 |
| April 17, 2025 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 May 9, 2025 |
| April 17, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 9, 2025 |
| April 17, 2025 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected November 1, 2024 |
| April 17, 2025 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 9, 2025 |
| April 17, 2025 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected May 9, 2025 |
| April 17, 2025 Complaint | 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 May 9, 2025 |
| April 17, 2025 Complaint | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | D Potential harm, isolated | Corrected May 9, 2025 |
| February 4, 2022 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected August 30, 2021 |
| February 4, 2022 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 August 31, 2021 |
| February 4, 2022 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected September 1, 2021 |
| February 4, 2022 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 | E Potential harm, pattern | Corrected April 14, 2022 |
| February 4, 2022 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 14, 2022 |
| February 4, 2022 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 April 14, 2022 |
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 |
|---|---|---|---|
| OROFINO 1204 REALTY, 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 |
| BOWEN, ANDREA Individual | adp of the snf | NOT APPLICABLE | 07/02/2025 |
| CASCADIA SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 01/13/2025 |
| OROFINO 1204 REALTY, LLC Organization | adp of the snf | NOT APPLICABLE | 06/05/2025 |
| SHOLAR, COLLEEN Individual | adp of the snf | NOT APPLICABLE | 07/02/2025 |
| CASCADIA IDAHO OPERATIONS LLC Organization | direct ownership interest | NOT APPLICABLE | 01/01/2017 |
| CASCADIA HC GROUP LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| CASCADIA HEALTHCARE LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2017 |
| CASCADIA HOLDCO LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| HAMMOND, OWEN Individual | indirect ownership interest | NOT APPLICABLE | 01/01/2017 |
| LAFORTE, STEPHEN Individual | indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| NELSON, TIMOTHY Individual | indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| BOWEN, ANDREA Individual | operational/managerial control | NOT APPLICABLE | 06/11/2023 |
| CASCADIA HC GROUP LLC Organization | operational/managerial control | NOT APPLICABLE | 06/05/2025 |
| CASCADIA HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2017 |
| CASCADIA HOLDCO LLC Organization | operational/managerial control | NOT APPLICABLE | 06/05/2025 |
| CASCADIA IDAHO OPERATIONS LLC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2017 |
| CASCADIA SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 01/13/2025 |
| HAMMOND, OWEN Individual | operational/managerial control | NOT APPLICABLE | 01/01/2017 |
| LAFORTE, STEPHEN Individual | operational/managerial control | NOT APPLICABLE | 06/05/2025 |
| NELSON, TIMOTHY Individual | operational/managerial control | NOT APPLICABLE | 06/05/2025 |
| SHOLAR, COLLEEN Individual | operational/managerial control | NOT APPLICABLE | 05/01/2023 |
Other nursing homes near Clearwater Health & Rehabilitation of Cascadia
Orchard View Post Acute
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For-profit · 127 beds · Part of Pacs Group
★★★★★2Below averageRoyal Plaza Health and Rehabilitation of Cascadia
2870 Juniper Drive, Lewiston, ID 83501 · 34.9 mi
For-profit · 78 beds · Part of Cascadia Healthcare
★★★★★2Below averageCascadia of Lewiston
2852 Juniper Drive, Lewiston, ID 83501 · 34.9 mi
For-profit · 34 beds · Part of Cascadia Healthcare
★★★★★4Above averageLewiston Transitional Care of Cascadia
3315 8th Street, Lewiston, ID 83501 · 35.1 mi
For-profit · 96 beds · Part of Cascadia Healthcare
★★★★★4Above averageLife Care Center of Lewiston
325 Warner Drive, Lewiston, ID 83501 · 36 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 · 36.3 mi
Government · 66 beds
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Clearwater Health & Rehabilitation of Cascadia's rating?
Clearwater Health & Rehabilitation of Cascadia has 3 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 Clearwater Health & Rehabilitation of Cascadia receive?
Its most recent standard health inspection found 14 citations, compared with a Idaho average of 10.3. Every citation is listed on this page with its severity.
Does Clearwater Health & Rehabilitation 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 Clearwater Health & Rehabilitation 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 Clearwater Health & Rehabilitation of Cascadia and how do I contact it?
Clearwater Health & Rehabilitation of Cascadia is at 1204 Shriver Road, Orofino, ID 83544. Phone: (208) 476-4568.
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.