The home failed to ensure residents’ medications were free from unnecessary drugs. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 757 — 42 CFR §483.45(d) — S/S: G
Nursing home report
CLARKSTON HEALTH AND REHAB OF CASCADIA
CLARKSTON, WA · Medicare-certified · 90 beds
In good standing
For-profitChain member
3 of 5 overall
Clarkston Health and Rehab of Cascadia has a 3-star overall rating. Its strongest area is quality measures at 5 stars, while health inspections are lower at 2 stars and reported nurse staffing is below the federal benchmark (3.54 vs 4.1 hours per resident day); there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5441 hrs/resident/day
Quality measures
Last inspection: April 15, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5441.
Staffing detail
- Registered nurses
- 1.10
- Licensed practical nurses
- 0.40
- Nurse aides
- 2.04
- Weekend nursing
- 3.05
Hours per resident per day.
Total staff turnover: 31%
Registered nurse turnover: 32%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
6%Improving
Residents with a fall causing major injury
5%Improving
Residents with pressure ulcers (bedsores)
1.9%Steady
Residents with a urinary tract infection
0.9%Steady
Residents who lost too much weight
0.4%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.1%Steady
Residents whose ability to walk got worse
10.8%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13.1%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
22.7%Improving
Residents with depressive symptoms
28.6%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
96.2%Steady
Short-stay residents given the pneumonia vaccine
97.8%Worsening
What the inspectors found
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited October 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to ensure residents were free from significant medication errors. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
The home failed to make sure residents fully understood their health status, care, and treatments. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 552 — 42 CFR §483.10 — 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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $32,711 in total fines.
- $32,711
Federal fine
Sep 25, 2023
Operator & ownership
- Ownership
- For profit - Partnership
- Chain
- Part of CASCADIA HEALTHCARE · 44 homes · 3.2 stars avg
- Occupancy
- 79.2 residents on an average day (88% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 42 years
The most recent standard health inspection was more than two years ago.
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.