nursing home in Silverton, ID
Silverton Health and Rehabilitation of Cascadia
405 West Seventh Street, Silverton, ID 83867 · (208) 556-1147
Not rated
Not rated
CMS overall star rating
CMS overall star rating
- Health inspectionsNot rated
- StaffingNot rated
- Quality measuresNot rated
- Special Focus Facility
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Silverton Health and Rehabilitation of Cascadia at a glance
Silverton Health and Rehabilitation of Cascadia is a 55-bed for-profit nursing home in Silverton, Idaho (Shoshone County).
CMS has not published a overall star rating for this nursing home, usually because it has too little recent data.
Residents receive about 3.3 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (July 10, 2026) found 3 health citations. The Idaho average is 10.3.
Federal regulators fined it 1 time in the past three years, totaling $41,954.
Nursing staff turnover is 51.1% per year (state average 50.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 55
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Cascadia Healthcare
- Medicare-certified since
- October 1, 1974
- Resident/family council
- Resident
- County
- Shoshone County
- CMS Certification Number
- 135058
Staffing
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.29 hrs | 4.04 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.56 hrs | 0.86 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.13 hrs | 2.44 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.75 hrs | 3.49 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 51.1% | 50.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 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) | 3 | 10 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 6 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 56 | 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) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $41,954 | $13,374 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 55 | 76 | 107 | |
| Average residents per day | 48 | 57 | 86 | |
| Occupancy | 86.7% | 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) | 4% | 3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.8% | 3.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 20.5% | 20.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.4% | 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) | 20.5% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 16.8% | 16.1% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.9% | 5.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 19.3% | 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) | 4.6% | 16.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 26.7% | 22.1% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 95.8% | 96.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.4% | 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) | 2% | 1.8% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 81% | 86.5% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 84.1% | 91.2% | 82% | Average |
Inspection citations
State inspectors cited this home for 32 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 10, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected October 14, 2025 |
| July 10, 2026 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | F Potential harm, widespread | Corrected October 14, 2025 |
| July 10, 2026 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected October 14, 2025 |
| July 10, 2026 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected October 14, 2025 |
| July 10, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected October 14, 2025 |
| July 10, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected October 14, 2025 |
| July 10, 2026 Standard | 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 | D Potential harm, isolated | Corrected August 10, 2026 |
| July 10, 2026 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 August 10, 2026 |
| July 10, 2026 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 August 10, 2026 |
| January 9, 2026 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 | F Potential harm, widespread | Corrected February 6, 2026 |
| January 9, 2026 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected February 6, 2026 |
| January 9, 2026 Complaint | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | E Potential harm, pattern | Corrected February 6, 2026 |
| January 9, 2026 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 | E Potential harm, pattern | Corrected February 6, 2026 |
| January 9, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 6, 2026 |
| January 9, 2026 Complaint | 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 6, 2026 |
| January 9, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected February 6, 2026 |
| January 9, 2026 Complaint | 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 February 6, 2026 |
| January 9, 2026 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected February 6, 2026 |
| June 27, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected April 9, 2025 |
| June 27, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected August 9, 2025 |
| June 27, 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 August 9, 2025 |
| June 27, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected August 9, 2025 |
| June 27, 2025 Complaint | 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 August 9, 2025 |
| June 27, 2025 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 | D Potential harm, isolated | Corrected August 9, 2025 |
| June 27, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected August 9, 2025 |
| June 27, 2025 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected August 9, 2025 |
| June 27, 2025 Complaint | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | D Potential harm, isolated | Corrected August 9, 2025 |
| June 27, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected August 9, 2025 |
| June 27, 2025 Complaint | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | D Potential harm, isolated | Corrected August 9, 2025 |
| June 27, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 9, 2025 |
| June 27, 2025 Complaint | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected August 9, 2025 |
| June 27, 2025 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 9, 2025 |
| October 4, 2023 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected November 10, 2023 |
| October 4, 2023 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | F Potential harm, widespread | Corrected November 10, 2023 |
| October 4, 2023 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected November 10, 2023 |
| October 4, 2023 Complaint | 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 November 10, 2023 |
| October 4, 2023 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected November 10, 2023 |
| October 4, 2023 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected November 10, 2023 |
| October 4, 2023 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected November 10, 2023 |
| August 6, 2021 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 April 1, 2021 |
| August 6, 2021 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 April 22, 2021 |
| August 6, 2021 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected April 8, 2021 |
| August 6, 2021 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected April 2, 2021 |
| August 6, 2021 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected April 9, 2021 |
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 1 federal penalty in the past three years, including $41,954 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 4, 2023 | Fine | $41,954 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| SILVERTON 405 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 |
| CASCADIA SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 02/12/2025 |
| MEZA, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 02/12/2025 |
| NAHMENSEN, ROBERT Individual | adp of the snf | NOT APPLICABLE | 02/12/2025 |
| CASCADIA IDAHO OPERATIONS LLC Organization | direct ownership interest | NOT APPLICABLE | 03/01/2023 |
| CASCADIA HC GROUP LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| CASCADIA HEALTHCARE LLC Organization | indirect ownership interest | NOT APPLICABLE | 03/01/2023 |
| CASCADIA HOLDCO LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| HAMMOND, OWEN Individual | indirect ownership interest | NOT APPLICABLE | 03/01/2023 |
| 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 | 10/21/2022 |
| HAMMOND, OWEN Individual | operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| LAFORTE, STEPHEN Individual | operational/managerial control | NOT APPLICABLE | 06/05/2025 |
| MEZA, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| NAHMENSEN, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 05/24/2023 |
| NELSON, TIMOTHY Individual | operational/managerial control | NOT APPLICABLE | 06/05/2025 |
Other nursing homes near Silverton Health and Rehabilitation of Cascadia
Mountain Valley of Cascadia
601 West Cameron Avenue, Kellogg, ID 83837 · 8.6 mi
For-profit · 68 beds · Part of Cascadia Healthcare
★★★★★4Above averageValley Vista Care Center of St Maries
820 Elm Street, St Maries, ID 83861 · 30.9 mi
Non-profit · 74 beds
★★★★★3Average
Frequently asked questions
What is Silverton Health and Rehabilitation of Cascadia's rating?
CMS has not published a star rating for Silverton Health and Rehabilitation of Cascadia. This usually means there is not enough recent data.
How many inspection citations did Silverton Health and Rehabilitation of Cascadia receive?
Its most recent standard health inspection found 3 citations, compared with a Idaho average of 10.3. Every citation is listed on this page with its severity.
Does Silverton Health and 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 Silverton Health and Rehabilitation of Cascadia?
It is for profit - corporation and part of Cascadia Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Silverton Health and Rehabilitation of Cascadia and how do I contact it?
Silverton Health and Rehabilitation of Cascadia is at 405 West Seventh Street, Silverton, ID 83867. Phone: (208) 556-1147.
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.