The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Coeur d Alene Health of Cascadia
Coeur d'Alene, ID · Medicare-certified · 117 beds
Needs attention
For-profitChain member
1 of 5 overall
Coeur d Alene Health of Cascadia in Coeur d'Alene, ID has a 1-star overall rating, with 1-star health inspection and staffing ratings, a 4-star quality measures rating, and reported nurse staffing below the federal benchmark (3.69 vs 4.1 hours per resident per day). It has had $19,513 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.6855 hrs/resident/day
Quality measures
Last inspection: November 12, 2025Penalties, last 24 months: $19,513recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6855.
Staffing detail
- Registered nurses
- 0.59
- Licensed practical nurses
- 0.99
- Nurse aides
- 2.10
- Weekend nursing
- 3.44
Hours per resident per day.
Total staff turnover: 63%
Registered nurse turnover: 80%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.3%Improving
Residents with a fall causing major injury
0.8%Worsening
Residents with pressure ulcers (bedsores)
7.1%Improving
Residents with a urinary tract infection
0.4%Steady
Residents who lost too much weight
8.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
22%Improving
Residents whose ability to walk got worse
30.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
20.8%Improving
Short-stay residents newly given an antipsychotic
4%Improving
Residents with a long-term catheter
0.4%Improving
Residents with new or worsening incontinence
28.2%Worsening
Residents with depressive symptoms
35.1%Improving
Long-stay residents given the seasonal flu vaccine
96.9%Steady
Long-stay residents given the pneumonia vaccine
98.8%Worsening
Short-stay residents given the seasonal flu vaccine
87.5%Steady
Short-stay residents given the pneumonia vaccine
86.7%Worsening
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited September 2018 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2018 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2018 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $19,513 was recorded.
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $33,815 in total fines.
- $19,513
Federal fine
Mar 20, 2025
- $14,302
Federal fine
Feb 6, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CASCADIA HEALTHCARE · 44 homes · 3.2 stars avg
- Occupancy
- 72.8 residents on an average day (62% of 117 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 48 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.