nursing home in Moscow, ID
Paradise Creek Health and Rehab of Cascadia
640 North Eisenhower Street, Moscow, ID 83843 · (208) 882-6560
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Paradise Creek Health and Rehab of Cascadia at a glance
Paradise Creek Health and Rehab of Cascadia is a 63-bed for-profit nursing home in Moscow, Idaho (Latah 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 3.4 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (May 7, 2026) found 3 health citations. The Idaho average is 10.3.
Federal regulators fined it 3 times in the past three years, totaling $30,494.
Nursing staff turnover is 70.9% per year (state average 50.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 63
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Cascadia Healthcare
- Medicare-certified since
- June 1, 1977
- Resident/family council
- Resident
- County
- Latah County
- CMS Certification Number
- 135067
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) | 3 / 5 | 4.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 4.1 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.36 hrs | 4.04 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.67 hrs | 0.86 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 2.07 hrs | 2.44 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.94 hrs | 3.49 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 70.9% | 50.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 75% | 41% | 42.9% | Worse |
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) | 34 | 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) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $30,494 | $13,374 | $30,972 | Average |
| All federal penalties in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
Size
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 63 | 76 | 107 | |
| Average residents per day | 47 | 57 | 86 | |
| Occupancy | 74.4% | 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) | 1.4% | 3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.7% | 3.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 15.8% | 20.1% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.8% | 1.2% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 22.4% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22.6% | 16.1% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5% | 5.2% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 5.9% | 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) | 27.7% | 22.1% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 57.1% | 96.2% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 72.8% | 97.3% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.5% | 1.8% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 34.6% | 86.5% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 43.3% | 91.2% | 82% | Worse |
Inspection citations
State inspectors cited this home for 27 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 7, 2026 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 December 24, 2025 |
| May 7, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 24, 2025 |
| May 7, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected December 24, 2025 |
| May 7, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected December 24, 2025 |
| May 7, 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 | F Potential harm, widespread | Corrected June 11, 2026 |
| May 7, 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 June 11, 2026 |
| May 7, 2026 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected June 11, 2026 |
| August 29, 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 January 3, 2024 |
| August 29, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected January 3, 2024 |
| August 29, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected January 3, 2024 |
| August 29, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected January 3, 2024 |
| August 29, 2024 Fire safety | Meet other general requirements. Construction Deficiencies · Tag K0100 | D Potential harm, isolated | Corrected January 3, 2024 |
| August 29, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected September 27, 2024 |
| August 29, 2024 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 | F Potential harm, widespread | Corrected September 27, 2024 |
| August 29, 2024 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | E Potential harm, pattern | Corrected September 27, 2024 |
| August 29, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected September 27, 2024 |
| August 29, 2024 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 September 27, 2024 |
| August 29, 2024 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 September 27, 2024 |
| August 29, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected September 27, 2024 |
| July 14, 2023 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 October 5, 2022 |
| July 14, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected October 4, 2022 |
| July 14, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected October 21, 2022 |
| July 14, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected September 12, 2022 |
| July 14, 2023 Standard | 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 | G Actual harm, isolated | Corrected August 8, 2023 |
| July 14, 2023 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 | G Actual harm, isolated | Corrected August 8, 2023 |
| July 14, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected August 8, 2023 |
| July 14, 2023 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 August 8, 2023 |
| July 14, 2023 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 August 8, 2023 |
| July 14, 2023 Standard | 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 8, 2023 |
| July 14, 2023 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 8, 2023 |
| July 14, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 8, 2023 |
| July 14, 2023 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected August 8, 2023 |
| July 14, 2023 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 August 8, 2023 |
| July 14, 2023 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected August 8, 2023 |
| July 14, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 8, 2023 |
| July 14, 2023 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 August 8, 2023 |
| July 14, 2023 Standard | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Tag F0848 | D Potential harm, isolated | Corrected August 8, 2023 |
| July 14, 2023 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | D Potential harm, isolated | Corrected August 8, 2023 |
| July 14, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected August 8, 2023 |
| July 14, 2023 Standard | 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 August 8, 2023 |
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 3 federal penalties in the past three years, including $30,494 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 29, 2024 | Fine | $21,320 |
| September 25, 2023 | Fine | $4,587 |
| September 18, 2023 | Fine | $4,587 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MOSCOW 640 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 |
| BONG, DANIEL Individual | adp of the snf | NOT APPLICABLE | 04/10/2026 |
| CASCADIA SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 10/21/2022 |
| MOSCOW 640 REALTY, LLC Organization | adp of the snf | NOT APPLICABLE | 06/05/2025 |
| SPADY, ROBERT Individual | adp of the snf | NOT APPLICABLE | 02/26/2025 |
| BONG, DANIEL Individual | operational/managerial control | NOT APPLICABLE | 02/20/2026 |
| CASCADIA SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 10/21/2022 |
| HAMMOND, OWEN Individual | operational/managerial control | NOT APPLICABLE | 05/01/2023 |
| NELSON, TIMOTHY Individual | operational/managerial control | NOT APPLICABLE | 06/05/2025 |
| SPADY, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 05/01/2023 |
Other nursing homes near Paradise Creek Health and Rehab of Cascadia
Aspen Park of Cascadia
420 Rowe Street, Moscow, ID 83843 · 1.6 mi
For-profit · 70 beds · Part of Cascadia Healthcare
- CMS high performer
★★★★★5Much above averageThree Creeks Post Acute
Northwest 1310 Deane, Pullman, WA 99163 · 10.6 mi
For-profit · 48 beds · Part of Kalesta Healthcare Group
★★★★★1Much below averageColfax Health and Rehabilitation of Cascadia
1150 West Fairview Road, Colfax, WA 99111 · 21 mi
For-profit · 55 beds · Part of Cascadia Healthcare
★★★★★1Much below averageClarkston Health and Rehab of Cascadia
1242 Eleventh Street, Clarkston, WA 99403 · 23.3 mi
For-profit · 90 beds · Part of Cascadia Healthcare
★★★★★3AverageIdaho State Veterans Home - Lewiston
821 21st Avenue, Lewiston, ID 83501 · 23.6 mi
Government · 66 beds
- CMS high performer
★★★★★5Much above averageRoyal Plaza Health and Rehabilitation of Cascadia
2870 Juniper Drive, Lewiston, ID 83501 · 23.7 mi
For-profit · 78 beds · Part of Cascadia Healthcare
★★★★★2Below average
Frequently asked questions
What is Paradise Creek Health and Rehab of Cascadia's rating?
Paradise Creek Health and Rehab 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 Paradise Creek Health and Rehab 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 Paradise Creek Health and Rehab 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 Paradise Creek Health and Rehab 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 Paradise Creek Health and Rehab of Cascadia and how do I contact it?
Paradise Creek Health and Rehab of Cascadia is at 640 North Eisenhower Street, Moscow, ID 83843. Phone: (208) 882-6560.
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.