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 and Rehab of Cascadia
Registered name: Coeur d Alene Health of Cascadia
Coeur d'Alene, ID · Medicare-certified · 117 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Coeur D'Alene Health and Rehab of Cascadia has a 1-star overall rating, with 1-star staffing and 2-star health inspections; reported nurse staffing is 3.61 hours per resident per day, below the 4.1 federal benchmark, and the facility had $19,513 in fines plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.6108 hrs/resident/day
Quality measures
Last inspection: May 7, 2026Penalties, last 24 months: $19,513recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6108.
Staffing detail
- Registered nurses
- 0.56
- Licensed practical nurses
- 1.01
- Nurse aides
- 2.04
- Weekend nursing
- 3.34
Hours per resident per day.
Total staff turnover: 66%
Registered nurse turnover: 64%
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%5.6%Improving
Residents with a fall causing major injury
0%3.4%Worsening
Residents with pressure ulcers (bedsores)
6.4%5%Improving
Residents with a urinary tract infection
1.7%0%Improving
Residents who lost too much weight
5.4%15.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.5%28.9%Worsening
Residents whose ability to walk got worse
—25.3%—
Long-stay residents on antianxiety or sleep medication
25.9%18.5%Improving
Short-stay residents newly given an antipsychotic
8.1%1.9%Improving
Residents with a long-term catheter
0%3.6%Worsening
Residents with new or worsening incontinence
34.5%32.7%Improving
Residents with depressive symptoms
37.7%18.2%Improving
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
—96.9%—
Long-stay residents given the pneumonia vaccine
98.4%96.6%Worsening
Short-stay residents given the seasonal flu vaccine
—87.5%—
Short-stay residents given the pneumonia vaccine
87.1%71.3%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2026 — 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 provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited January 2020 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited January 2020 — widespread issue, potential for harm.
View the original federal record
F-Tag 838 — 42 CFR §483.70 — 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 5 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 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 - Limited Liability company
- Chain
- Part of CASCADIA HEALTHCARE · 45 homes · 3.1 stars avg
- Occupancy
- 73.9 residents on an average day (63% 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.