The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Nursing home report
Lewiston Transitional Care of Cascadia
Lewiston, ID · Medicare-certified · 96 beds
In good standing
For-profitChain member
4 of 5 overall
Lewiston Transitional Care of Cascadia has an overall 4 out of 5 stars, with solid health inspection results but weaker staffing and quality scores at 2 out of 5. Reported nurse staffing is 3.28 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.284 hrs/resident/day
Quality measures
Last inspection: August 21, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.284.
Staffing detail
- Registered nurses
- 0.39
- Licensed practical nurses
- 0.67
- Nurse aides
- 2.22
- Weekend nursing
- 2.93
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 38%
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
35.5%34.3%Improving
Residents with a fall causing major injury
5.9%3.7%Improving
Residents with pressure ulcers (bedsores)
4.5%4.9%No change
Residents with a urinary tract infection
0%4%Worsening
Residents who lost too much weight
4.4%18.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20.8%23.5%Worsening
Residents whose ability to walk got worse
—32.6%—
Long-stay residents on antianxiety or sleep medication
19.6%18.9%Improving
Short-stay residents newly given an antipsychotic
0%2.1%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
29.9%29.9%No change
Residents with depressive symptoms
42.2%52.2%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
—91.4%—
Long-stay residents given the pneumonia vaccine
98%98.1%No change
Short-stay residents given the seasonal flu vaccine
—59.4%—
Short-stay residents given the pneumonia vaccine
80.4%84.7%Improving
What the inspectors found
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited January 2020 — limited pattern, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited January 2020 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — 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 August 2025 — isolated incident, potential for harm.
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F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — 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 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 11 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
- 64.7 residents on an average day (67% of 96 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 53 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.