The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited November 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 698 — 42 CFR §483.25(l) — S/S: J
Nursing home report
Orchards of Cascadia, The
Nampa, ID · Medicare-certified · 100 beds
Needs attention
For-profitChain member
1 of 5 overall
1 of 5 stars overall. This facility also has 1 of 5 stars for health inspections, a recent federal penalty with $34,954 in fines over the last 24 months, and reported nurse staffing of 3.94 hours per resident per day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.9432 hrs/resident/day
Quality measures
Last inspection: January 8, 2026Penalties, last 24 months: $34,954recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9432.
Staffing detail
- Registered nurses
- 0.63
- Licensed practical nurses
- 0.96
- Nurse aides
- 2.35
- Weekend nursing
- 3.24
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 46%
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
28%20.3%Improving
Residents with a fall causing major injury
5.9%1.2%Improving
Residents with pressure ulcers (bedsores)
6%6.1%No change
Residents with a urinary tract infection
1.5%1.3%No change
Residents who lost too much weight
3.1%3.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.3%5.4%Improving
Residents whose ability to walk got worse
15.5%18.7%Worsening
Long-stay residents on antianxiety or sleep medication
19.7%22.8%Worsening
Short-stay residents newly given an antipsychotic
1.4%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.9%16.5%Improving
Residents with depressive symptoms
3.1%3.9%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
—97.2%—
Long-stay residents given the pneumonia vaccine
97.1%93.8%Worsening
Short-stay residents given the seasonal flu vaccine
—91.5%—
Short-stay residents given the pneumonia vaccine
96.2%96%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to properly label and securely store medications and biologicals. Cited February 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — 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 February 2019 — 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 protect residents’ right to organize and take part in resident and family groups. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 565 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $26,130 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $8,824 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $34,954 in total fines.
- $26,130
Federal fine
Nov 14, 2025
- $8,824
Federal fine
Jun 6, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CASCADIA HEALTHCARE · 44 homes · 3.2 stars avg
- Occupancy
- 91.5 residents on an average day (92% of 100 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.