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
The Orchards of Cascadia
Registered name: Orchards of Cascadia, The
Nampa, ID · Medicare-certified · 100 beds
Needs attention
Special Focus candidateFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
The Orchards of Cascadia in Nampa, ID has a 1-star overall rating, with 1-star health inspection and 3-star staffing; it is an SFF Candidate/special focus facility, has $26,130 in recent fines, and its reported nurse staffing is slightly below the federal benchmark (3.90 vs 4.1 hours per resident per day).
Facility ratings
Health inspections
Staffing
3.9004 hrs/resident/day
Quality measures
Last inspection: January 8, 2026Penalties, last 24 months: $26,130special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9004.
Staffing detail
- Registered nurses
- 0.72
- Licensed practical nurses
- 0.81
- Nurse aides
- 2.36
- Weekend nursing
- 3.20
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 59%
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
22.7%26.2%Worsening
Residents with a fall causing major injury
5.3%2.4%Improving
Residents with pressure ulcers (bedsores)
5.6%3%Improving
Residents with a urinary tract infection
1.4%1.2%No change
Residents who lost too much weight
2.9%3.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.8%31.5%Worsening
Residents whose ability to walk got worse
3.9%27.3%Worsening
Long-stay residents on antianxiety or sleep medication
16.7%22.5%Worsening
Short-stay residents newly given an antipsychotic
1.6%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
7.2%17.5%Worsening
Residents with depressive symptoms
4.3%13.5%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
98.7%100%Improving
Short-stay residents given the seasonal flu vaccine
—91.5%—
Short-stay residents given the pneumonia vaccine
96.9%96.8%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 · 45 homes · 3.1 stars avg
- Occupancy
- 92.1 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.