GoodStanding

Nursing home report

Royal Plaza Health and Rehabilitation of Cascadia

Lewiston, ID · Medicare-certified · 76 beds

In good standing
For-profitChain member
4 of 5 overall

Royal Plaza Health and Rehabilitation of Cascadia has an overall rating of 4 out of 5 stars, with strong health inspection results (4 stars) but weaker staffing (3 stars) and quality measures (2 stars). Reported nurse staffing is 3.33 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.335 hrs/resident/day

Quality measures

Last inspection: April 17, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.335.

Staffing detail

Registered nurses
0.89
Licensed practical nurses
0.41
Nurse aides
2.04
Weekend nursing
2.70

Hours per resident per day.

Total staff turnover: 52%
Registered nurse turnover: 42%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

21.1%Worsening

Residents with a fall causing major injury

3.3%Steady

Residents with pressure ulcers (bedsores)

3.3%Improving

Residents with a urinary tract infection

6.3%Worsening

Residents who lost too much weight

6.4%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

20.4%Worsening

Residents whose ability to walk got worse

18.1%Worsening
Show all measures

Long-stay residents on antianxiety or sleep medication

15.5%Improving

Short-stay residents newly given an antipsychotic

4%Worsening

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

29.1%Improving

Residents with depressive symptoms

9.2%Worsening

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

93.4%Worsening

Short-stay residents given the seasonal flu vaccine

96.1%Steady

Short-stay residents given the pneumonia vaccine

93.2%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2021 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited July 2021 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 740 — 42 CFR §483.40 — S/S: J

The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited July 2021 — limited pattern, actual harm.

View the original federal record

F-Tag 725 — 42 CFR §483.35 — S/S: H

The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited July 2021 — isolated incident, actual harm.

View the original federal record

F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: G

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2021 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 14 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
For profit - Partnership
Chain
Part of CASCADIA HEALTHCARE · 44 homes · 3.2 stars avg
Occupancy
66.8 residents on an average day (88% of 76 beds)
Resident voice
Resident council
Medicare history
Certified for 32 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.