The nursing home failed to ensure residents were free from significant medication errors. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
Cascadia of Lewiston
Lewiston, ID · Medicare-certified · 34 beds
In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
Cascadia of Lewiston (Lewiston, ID) has an overall rating of 4 out of 5 stars. It has a strong health inspection rating and quality measures rating, but a 1-star staffing rating; reported nurse staffing is 4.31 hours per resident per day, just above the 4.1 federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.3082 hrs/resident/day
Quality measures
Last inspection: May 21, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3082.
Staffing detail
- Registered nurses
- 0.84
- Licensed practical nurses
- 1.14
- Nurse aides
- 2.33
- Weekend nursing
- 3.66
Hours per resident per day.
Total staff turnover: 68%
Registered nurse turnover: 63%
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).
Short-stay residents newly given an antipsychotic
0.9%0.9%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Short-stay residents given the seasonal flu vaccine
—97.5%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited April 2025 — limited pattern, potential for harm.
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F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited April 2025 — limited pattern, potential for harm.
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F-Tag 804 — 42 CFR §483.60 — S/S: E
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Mar 1, 2022
Now operated by Cascadia of Lewiston, previously Advanced Health Care of Lewiston.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CASCADIA HEALTHCARE · 45 homes · 3.1 stars avg
- Occupancy
- 31.3 residents on an average day (92% of 34 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 8 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.