GoodStanding

Nursing home report

Clearwater Health & Rehabilitation of Cascadia

Orofino, ID · Medicare-certified · 60 beds

In good standing
For-profitChain member
4 of 5 overall

Clearwater Health & Rehabilitation of Cascadia has an overall 4 out of 5 stars, with 4-star health inspection and quality ratings and a 3-star staffing rating. Reported nurse staffing is 3.06 hours per resident per day, below the 4.1-hour federal benchmark, and there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.0608 hrs/resident/day

Quality measures

Last inspection: April 17, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0608.

Staffing detail

Registered nurses
0.87
Licensed practical nurses
0.11
Nurse aides
2.08
Weekend nursing
2.58

Hours per resident per day.

Total staff turnover: 47%
Registered nurse turnover: 20%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

18.6%Steady

Residents with a fall causing major injury

2.9%Improving

Residents with pressure ulcers (bedsores)

1.4%Improving

Residents with a urinary tract infection

0%Steady

Residents who lost too much weight

0.8%Steady

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

24.8%Worsening

Residents whose ability to walk got worse

19.1%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

6.5%Improving

Short-stay residents newly given an antipsychotic

0%Steady

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

27.1%Worsening

Residents with depressive symptoms

9.2%Improving

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

87.2%Steady

Short-stay residents given the pneumonia vaccine

90.2%Improving

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 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited February 2022 — limited pattern, potential for harm.

View the original federal record

F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E

The home failed to properly label and securely store medications and biologicals. Cited June 2021 — limited pattern, potential for harm.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — S/S: E

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2021 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited June 2021 — limited pattern, potential for harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of CASCADIA HEALTHCARE · 44 homes · 3.2 stars avg
Occupancy
40.7 residents on an average day (68% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 56 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.