nursing home in Grangeville, ID
Grangeville Health & Rehabilitation of Cascadia
410 East North Second Street, Grangeville, ID 83530 · (208) 983-1131
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- 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
Grangeville Health & Rehabilitation of Cascadia at a glance
Grangeville Health & Rehabilitation of Cascadia is a 60-bed for-profit nursing home in Grangeville, Idaho (Idaho 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 (August 8, 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 75% per year (state average 50.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Cascadia Healthcare
- Medicare-certified since
- January 1, 1980
- Resident/family council
- Resident
- County
- Idaho County
- CMS Certification Number
- 135080
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) | 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) | 3.43 hrs | 4.04 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.71 hrs | 0.86 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 2.31 hrs | 2.44 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.09 hrs | 3.49 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 75% | 50.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 28.6% | 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) | 6 | 10 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 6 | 6 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 32 | 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 | 43 | 57 | 86 | |
| Occupancy | 71.8% | 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) | 1.3% | 3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4% | 3.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 21.4% | 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) | 2.2% | 1.2% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 17.1% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 16.7% | 16.1% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 9.7% | 5.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 20.9% | 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) | 17.6% | 16.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 28.2% | 22.1% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 90.7% | 96.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 94.7% | 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% | 1.8% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 57.1% | 86.5% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 93% | 91.2% | 82% | Better |
Inspection citations
State inspectors cited this home for 13 health deficiencies and 17 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| August 8, 2025 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected June 27, 2025 |
| August 8, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected July 30, 2025 |
| August 8, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected June 27, 2025 |
| August 8, 2025 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected June 27, 2025 |
| August 8, 2025 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | F Potential harm, widespread | Corrected June 27, 2025 |
| August 8, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 1, 2025 |
| August 8, 2025 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 | E Potential harm, pattern | Corrected July 15, 2025 |
| August 8, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected June 27, 2025 |
| August 8, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected June 27, 2025 |
| August 8, 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 | F Potential harm, widespread | Corrected September 10, 2025 |
| August 8, 2025 Complaint | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected September 10, 2025 |
| August 8, 2025 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected September 10, 2025 |
| August 8, 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 September 10, 2025 |
| August 8, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 10, 2025 |
| August 8, 2025 Complaint | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected September 10, 2025 |
| October 25, 2024 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected October 11, 2024 |
| October 25, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected October 11, 2024 |
| October 25, 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 October 11, 2024 |
| October 25, 2024 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 | F Potential harm, widespread | Corrected November 18, 2024 |
| October 25, 2024 Complaint | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected November 18, 2024 |
| February 6, 2020 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 3, 2019 |
| February 6, 2020 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected August 20, 2019 |
| February 6, 2020 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected September 17, 2019 |
| February 6, 2020 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected September 12, 2019 |
| February 6, 2020 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected September 17, 2019 |
| February 6, 2020 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 March 10, 2020 |
| February 6, 2020 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 10, 2020 |
| February 6, 2020 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected March 10, 2020 |
| February 6, 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 March 10, 2020 |
| February 6, 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 March 10, 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 |
|---|---|---|---|
| GRANGEVILLE 410 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 | 01/21/2025 |
| GRANGEVILLE 410 REALTY, LLC Organization | adp of the snf | NOT APPLICABLE | 06/05/2025 |
| JENKINS, ADAM Individual | adp of the snf | NOT APPLICABLE | 02/26/2025 |
| RUDOLPH, JOHN Individual | adp of the snf | NOT APPLICABLE | 08/07/2025 |
| HAMMOND, OWEN Individual | indirect ownership interest | NOT APPLICABLE | 03/01/2022 |
| LAFORTE, STEPHEN Individual | indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| NELSON, TIMOTHY Individual | indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| CASCADIA HC GROUP LLC Organization | operational/managerial control | NOT APPLICABLE | 06/05/2025 |
| CASCADIA HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 09/17/2021 |
| CASCADIA HOLDCO LLC Organization | operational/managerial control | NOT APPLICABLE | 06/05/2025 |
| CASCADIA SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 01/21/2025 |
| HAMMOND, OWEN Individual | operational/managerial control | NOT APPLICABLE | 03/01/2022 |
| JENKINS, ADAM Individual | operational/managerial control | NOT APPLICABLE | 04/17/2024 |
| LAFORTE, STEPHEN Individual | operational/managerial control | NOT APPLICABLE | 06/05/2025 |
| 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 Grangeville Health & Rehabilitation of Cascadia
Clearwater Health & Rehabilitation of Cascadia
1204 Shriver Road, Orofino, ID 83544 · 39.9 mi
For-profit · 60 beds · Part of Cascadia Healthcare
★★★★★3Average
Frequently asked questions
What is Grangeville Health & Rehabilitation of Cascadia's rating?
Grangeville Health & Rehabilitation 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 Grangeville Health & Rehabilitation 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 Grangeville 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 Grangeville Health & 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 Grangeville Health & Rehabilitation of Cascadia and how do I contact it?
Grangeville Health & Rehabilitation of Cascadia is at 410 East North Second Street, Grangeville, ID 83530. Phone: (208) 983-1131.
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.