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
Data as of July 1, 2026
2 of 5 overall
Paradise Creek Health and Rehab of Cascadia has an overall 2-star rating, with 2-star health inspection and staffing ratings and 3-star quality measures. It also has a recent federal penalty, $21,320 in fines over the last 24 months, and reported nurse staffing of 3.36 hours per resident per day, below the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.3593 hrs/resident/day
Quality measures
Last inspection: May 7, 2026Penalties, last 24 months: $21,320recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3593.
Staffing detail
- Registered nurses
- 0.67
- Licensed practical nurses
- 0.63
- Nurse aides
- 2.07
- Weekend nursing
- 2.94
Hours per resident per day.
Total staff turnover: 71%
Registered nurse turnover: 75%
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
14.8%17.6%Worsening
Residents with a fall causing major injury
2.9%2.6%No change
Residents with pressure ulcers (bedsores)
0%4.5%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
6.1%2.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.2%30.3%Worsening
Residents whose ability to walk got worse
—22.6%—
Long-stay residents on antianxiety or sleep medication
5.9%5.7%No change
Short-stay residents newly given an antipsychotic
2.4%7.7%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24.1%25.9%Worsening
Residents with depressive symptoms
3.1%5.3%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
—57.1%—
Long-stay residents given the pneumonia vaccine
67.6%89.7%Improving
Short-stay residents given the seasonal flu vaccine
—34.6%—
Short-stay residents given the pneumonia vaccine
31.2%51%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 May 2026 — 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.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- 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: 9 fines · $63,834 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
Recent ownership change · May 1, 2023
Now operated by Paradise Creek Health and Rehabilitation of Cascadia, previously Good Samaritan Society Moscow Village.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CASCADIA HEALTHCARE · 45 homes · 3.1 stars avg
- Occupancy
- 46.9 residents on an average day (74% 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.