Nursing home report
Lewiston, ID · Medicare-certified · 76 beds
Royal Plaza Health and Rehabilitation of Cascadia has a 4-star overall rating, with solid health inspection results but weaker quality measures and only 3 stars for staffing; reported nurse staffing is 3.24 hours per resident per day, below the 4.1-hour federal benchmark. It had no fines in the last 24 months, and recent inspection citations included accident hazards/supervision, behavioral health care, and not having enough nursing staff or a licensed nurse in charge on each shift.
Health inspections
Staffing
3.2403 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2403.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
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.
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.
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.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
Health inspection found 10 health deficiencies.
Health inspection found 14 health deficiencies.
Now operated by Royal Plaza Health and Rehabilitation of Cascadia, previously Royal Plaza Health and Rehabilitation.
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.
