The home failed to properly dispose of garbage and other waste. Cited June 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: F
Nursing home report
Clearwater Health & Rehabilitation of Cascadia
Orofino, ID · Medicare-certified · 60 beds
In good standing
For-profitChain member
Data as of September 1, 2026
3 of 5 overall
Clearwater Health & Rehabilitation of Cascadia has a 3 out of 5 overall rating, with 3-star health inspection and staffing scores and a 4-star quality rating. It reported no fines in the last 24 months, but nurse staffing was 3.27 hours per resident per day versus the 4.1 federal benchmark, and recent inspection citations included garbage disposal, food handling, and care plan requirements.
Facility ratings
Health inspections
Staffing
3.2652 hrs/resident/day
Quality measures
Last inspection: June 26, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2652.
Staffing detail
- Registered nurses
- 0.85
- Licensed practical nurses
- 0.28
- Nurse aides
- 2.14
- Weekend nursing
- 2.66
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 22%
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
20%17.9%Improving
Residents with a fall causing major injury
2.9%0%Improving
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%5.9%Worsening
Residents who lost too much weight
3.4%6.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
27.6%20.7%Improving
Residents whose ability to walk got worse
—25.4%—
Long-stay residents on antianxiety or sleep medication
3.2%9.7%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
8.9%23.6%Worsening
Residents with depressive symptoms
3.3%13.3%Worsening
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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—87.2%—
Short-stay residents given the pneumonia vaccine
90.5%100%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2026 — 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.
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F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited June 2026 — isolated incident, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: D
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited June 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CASCADIA HEALTHCARE · 47 homes · 3.1 stars avg
- Occupancy
- 39.4 residents on an average day (66% 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.