The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Paradise Creek Health and Rehab of Cascadia
Moscow, ID · Medicare-certified · 63 beds
Needs attention
For-profitChain member
2 of 5 overall
Paradise Creek Health and Rehab of Cascadia has a 2 out of 5 overall rating, with 2-star health inspection and staffing ratings and 3-star quality measures. It reports 3.33 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $21,320 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3278 hrs/resident/day
Quality measures
Last inspection: August 29, 2024Penalties, last 24 months: $21,320recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3278.
Staffing detail
- Registered nurses
- 0.52
- Licensed practical nurses
- 0.70
- Nurse aides
- 2.10
- Weekend nursing
- 3.01
Hours per resident per day.
Total staff turnover: 65%
Registered nurse turnover: 46%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12.8%Worsening
Residents with a fall causing major injury
1.4%Improving
Residents with pressure ulcers (bedsores)
0.6%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
5.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18.9%Worsening
Residents whose ability to walk got worse
22.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
6%Worsening
Short-stay residents newly given an antipsychotic
1.9%Worsening
Residents with a long-term catheter
3%Worsening
Residents with new or worsening incontinence
28.3%Worsening
Residents with depressive symptoms
6.4%Improving
Long-stay residents given the seasonal flu vaccine
57.1%Steady
Long-stay residents given the pneumonia vaccine
69.6%Worsening
Short-stay residents given the seasonal flu vaccine
34.6%Steady
Short-stay residents given the pneumonia vaccine
39.7%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — 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 July 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $21,320 was recorded.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 12 fines · $87,188 in total fines.
- $21,320
Federal fine
Aug 29, 2024
- $4,587
Federal fine
Sep 25, 2023
- $4,587
Federal fine
Sep 18, 2023
- $4,545
Federal fine
Sep 11, 2023
- $4,587
Federal fine
Sep 5, 2023
- $4,587
Federal fine
Aug 28, 2023
- $4,545
Federal fine
Aug 21, 2023
- $4,587
Federal fine
Aug 14, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CASCADIA HEALTHCARE · 44 homes · 3.2 stars avg
- Occupancy
- 45.8 residents on an average day (73% of 63 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 49 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.