nursing home in Lewiston, ID
Royal Plaza Health and Rehabilitation of Cascadia
2870 Juniper Drive, Lewiston, ID 83501 · (208) 746-2855
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Royal Plaza Health and Rehabilitation of Cascadia at a glance
Royal Plaza Health and Rehabilitation of Cascadia is a 78-bed for-profit nursing home in Lewiston, Idaho (Nez Perce County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Idaho average of 3.2.
Residents receive about 3.2 hours of nursing care per day (1 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (June 26, 2026) found 12 health citations. The Idaho average is 10.3.
It has not received a federal fine in the past three years.
Nursing staff turnover is 53.4% per year (state average 50.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 78
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Cascadia Healthcare
- Medicare-certified since
- December 1, 1993
- Resident/family council
- Resident
- County
- Nez Perce County
- CMS Certification Number
- 135116
Ratings
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 2 / 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) | 2 / 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) | 3.24 hrs | 4.04 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.96 hrs | 0.86 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.01 hrs | 2.44 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.67 hrs | 3.49 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 53.4% | 50.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 41.7% | 41% | 42.9% | Average |
| 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) | 12 | 10 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 12 | 6 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 70 | 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 | 78 | 76 | 107 | |
| Average residents per day | 70 | 57 | 86 | |
| Occupancy | 90.3% | 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) | 4.1% | 3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.6% | 3.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 22.5% | 20.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 6.1% | 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) | 21.6% | 16.1% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.3% | 5.2% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 9.9% | 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) | 13.9% | 16.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 32.5% | 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) | 92.2% | 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) | 3.6% | 1.8% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 96.1% | 86.5% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 91.6% | 91.2% | 82% | Better |
Inspection citations
State inspectors cited this home for 25 health deficiencies and 7 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 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected May 20, 2026 |
| June 26, 2026 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 May 20, 2026 |
| June 26, 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 July 31, 2026 |
| June 26, 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 July 31, 2026 |
| June 26, 2026 Complaint | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Tag F0848 | E Potential harm, pattern | Corrected July 31, 2026 |
| June 26, 2026 Complaint | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected July 31, 2026 |
| June 26, 2026 Complaint | 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 31, 2026 |
| June 26, 2026 Complaint | 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 31, 2026 |
| June 26, 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 July 31, 2026 |
| June 26, 2026 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 | D Potential harm, isolated | Corrected August 21, 2025 |
| June 26, 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 | D Potential harm, isolated | Corrected July 31, 2026 |
| June 26, 2026 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 July 31, 2026 |
| June 26, 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 July 31, 2026 |
| June 26, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 31, 2026 |
| April 17, 2025 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | E Potential harm, pattern | Corrected December 31, 2024 |
| April 17, 2025 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | E Potential harm, pattern | Corrected December 31, 2024 |
| April 17, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected December 11, 2024 |
| April 17, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected December 31, 2024 |
| April 17, 2025 Fire safety | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927 | D Potential harm, isolated | Corrected December 31, 2024 |
| 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 | F Potential harm, widespread | Corrected May 19, 2025 |
| April 17, 2025 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 May 19, 2025 |
| April 17, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected May 19, 2025 |
| November 8, 2024 Complaint | 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 December 13, 2024 |
| November 8, 2024 Complaint | 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 | E Potential harm, pattern | Corrected December 13, 2024 |
| November 8, 2024 Complaint | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | E Potential harm, pattern | Corrected December 13, 2024 |
| November 8, 2024 Complaint | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected December 13, 2024 |
| November 8, 2024 Complaint | 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 December 13, 2024 |
| November 8, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected December 13, 2024 |
| November 8, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected December 13, 2024 |
| November 8, 2024 Complaint | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected December 13, 2024 |
| November 8, 2024 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 December 13, 2024 |
| November 8, 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 December 13, 2024 |
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 OHI 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 |
| FLEMMING, THOMAS Individual | adp of the snf | NOT APPLICABLE | 06/19/2025 |
| RUDOLPH, JOHN Individual | adp of the snf | NOT APPLICABLE | 07/29/2025 |
| TIMBERLINE OHI 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 | 02/01/2022 |
| 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 | 02/01/2022 |
| CASCADIA HOLDCO LLC Organization | operational/managerial control | NOT APPLICABLE | 06/05/2025 |
| CASCADIA SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 01/23/2025 |
| FLEMMING, THOMAS Individual | operational/managerial control | NOT APPLICABLE | 02/05/2024 |
| HAMMOND, OWEN Individual | operational/managerial control | NOT APPLICABLE | 02/01/2022 |
| 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 Royal Plaza Health and Rehabilitation of Cascadia
Cascadia of Lewiston
2852 Juniper Drive, Lewiston, ID 83501 · under 1 mi
For-profit · 34 beds · Part of Cascadia Healthcare
★★★★★4Above averageLewiston Transitional Care of Cascadia
3315 8th Street, Lewiston, ID 83501 · under 1 mi
For-profit · 96 beds · Part of Cascadia Healthcare
★★★★★4Above averageLife Care Center of Lewiston
325 Warner Drive, Lewiston, ID 83501 · 1.3 mi
For-profit · 121 beds · Part of Life Care Centers of America
- CMS high performer
★★★★★5Much above averageOrchard View Post Acute
1014 Burrell Avenue, Lewiston, ID 83501 · 1.4 mi
For-profit · 127 beds · Part of Pacs Group
★★★★★2Below averageIdaho State Veterans Home - Lewiston
821 21st Avenue, Lewiston, ID 83501 · 1.4 mi
Government · 66 beds
- CMS high performer
★★★★★5Much above averageClarkston Health and Rehab of Cascadia
1242 Eleventh Street, Clarkston, WA 99403 · 2.9 mi
For-profit · 90 beds · Part of Cascadia Healthcare
★★★★★3Average
Frequently asked questions
What is Royal Plaza Health and Rehabilitation of Cascadia's rating?
Royal Plaza Health and Rehabilitation of Cascadia has 2 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 Royal Plaza Health and Rehabilitation of Cascadia receive?
Its most recent standard health inspection found 12 citations, compared with a Idaho average of 10.3. Every citation is listed on this page with its severity.
Does Royal Plaza 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 Royal Plaza 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 Royal Plaza Health and Rehabilitation of Cascadia and how do I contact it?
Royal Plaza Health and Rehabilitation of Cascadia is at 2870 Juniper Drive, Lewiston, ID 83501. Phone: (208) 746-2855.
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.