Payette Healthcare of Cascadia in Payette, ID has an overall 4-star rating, with 4 stars for health inspections and staffing and 3 stars for quality measures. Reported nurse staffing is 3.53 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: September 12, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5337.
Staffing detail
Registered nurses
1.10
Licensed practical nurses
0.37
Nurse aides
2.06
Weekend nursing
3.02
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 17%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
14.7%Improving
Residents with a fall causing major injury
1.4%Steady
Residents with pressure ulcers (bedsores)
6.8%Worsening
Residents with a urinary tract infection
0.7%Improving
Residents who lost too much weight
3.6%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
16.5%Improving
Residents whose ability to walk got worse
22.9%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
10.6%Improving
Short-stay residents newly given an antipsychotic
0.4%Improving
Residents with a long-term catheter
5.4%Worsening
Residents with new or worsening incontinence
30.2%Improving
Residents with depressive symptoms
27.9%Improving
Long-stay residents given the seasonal flu vaccine
88.4%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
93.4%Steady
Short-stay residents given the pneumonia vaccine
99.3%Improving
What the inspectors found
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 August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited August 2024 — limited pattern, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to protect residents from abuse and neglect by others. Cited September 2025 — isolated incident, potential for harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: D
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited September 2025 — isolated incident, potential for harm.
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F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited September 2025 — isolated incident, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — 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 10 health deficiencies.
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INSPECTION
Health inspection found 8 health deficiencies.
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INSPECTION
Health inspection found 7 health deficiencies.
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Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of CASCADIA HEALTHCARE · 44 homes · 3.2 stars avg
Occupancy
48.7 residents on an average day (61% of 80 beds)
Resident voice
Resident council
Medicare history
Certified for 48 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.