The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
Nursing home report
Arbor Valley of Cascadia
Boise, ID · Medicare-certified · 148 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Arbor Valley of Cascadia in Boise, ID has an overall rating of 3 out of 5 stars. The main concerns are a 1-star staffing rating, reported nurse staffing below the federal benchmark (3.50 vs 4.1 hours per resident per day), and recent inspection citations related to staffing, resident rights, and a safe, clean, comfortable environment; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.497 hrs/resident/day
Quality measures
Last inspection: May 16, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.497.
Staffing detail
- Registered nurses
- 0.63
- Licensed practical nurses
- 0.99
- Nurse aides
- 1.87
- Weekend nursing
- 2.97
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 43%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
9.8%13.9%Worsening
Residents with a fall causing major injury
1.8%0.9%Improving
Residents with pressure ulcers (bedsores)
7.3%3.9%Improving
Residents with a urinary tract infection
3.7%0%Improving
Residents who lost too much weight
9.2%4.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
24.5%8.6%Improving
Residents whose ability to walk got worse
25%11.6%Improving
Long-stay residents on antianxiety or sleep medication
16.2%13.1%Improving
Short-stay residents newly given an antipsychotic
1.9%1.6%No change
Residents with a long-term catheter
3%0%Improving
Residents with new or worsening incontinence
35.5%11.4%Improving
Residents with depressive symptoms
34%27.1%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—99%—
Long-stay residents given the pneumonia vaccine
98.2%100%Improving
Short-stay residents given the seasonal flu vaccine
—91.1%—
Short-stay residents given the pneumonia vaccine
97.5%98.1%Improving
What the inspectors found
The home failed to protect residents’ right to organize and take part in resident and family groups. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 565 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Jun 1, 2020
Now operated by Arbor Valley of Cascadia, previously Apex Center.
- Ownership
- For profit - Partnership
- Chain
- Part of CASCADIA HEALTHCARE · 45 homes · 3.1 stars avg
- Occupancy
- 136.8 residents on an average day (92% of 148 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 46 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.