The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Cove of Cascadia, The
Bellevue, ID · Medicare-certified · 32 beds
In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
Cove of Cascadia, The has an overall rating of 4 out of 5 stars, with 4-star health inspection and staffing ratings and a 3-star quality measures rating. It reports 4.46 nurse staffing hours per resident day versus the 4.1 federal benchmark, with $0 in fines in the last 24 months; recent inspection citations included accident safety, care/treatment orders, and food handling standards.
Facility ratings
Health inspections
Staffing
4.4553 hrs/resident/day
Quality measures
Last inspection: November 21, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4553.
Staffing detail
- Registered nurses
- 1.15
- Licensed practical nurses
- 0.30
- Nurse aides
- 3.00
- Weekend nursing
- 3.75
Hours per resident per day.
Total staff turnover: 40%
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%15.4%Improving
Residents with a fall causing major injury
3.6%9.7%Worsening
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
7.1%0%Improving
Residents who lost too much weight
10.7%9.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8%29%Worsening
Residents whose ability to walk got worse
—20.4%—
Long-stay residents on antianxiety or sleep medication
10.7%16.1%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
45.2%33.5%Improving
Residents with depressive symptoms
3.7%34.6%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 pneumonia vaccine
—95.5%—
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to ensure a fair arbitration process and agreement on the arbitrator and location. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 848 — 42 CFR §483.70 — S/S: E
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Feb 1, 2020
Now operated by The Cove of Cascadia, previously Bell Mountain Village and Care Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CASCADIA HEALTHCARE · 45 homes · 3.1 stars avg
- Occupancy
- 31.6 residents on an average day (99% of 32 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 44 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.