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.
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.
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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.
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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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
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INSPECTION
Health inspection found 10 health deficiencies.
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INSPECTION
Health inspection found 14 health deficiencies.
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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.