The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
Royal Plaza Health and Rehabilitation of Cascadia
Lewiston, ID · Medicare-certified · 78 beds
In good standing
For-profitChain member
Data as of September 1, 2026
2 of 5 overall
Royal Plaza Health and Rehabilitation of Cascadia has an overall 2-out-of-5 star rating, with 2 stars for health inspections and quality measures and 3 stars for staffing. Reported nurse staffing is 3.24 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2403 hrs/resident/day
Quality measures
Last inspection: June 26, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2403.
Staffing detail
- Registered nurses
- 0.96
- Licensed practical nurses
- 0.27
- Nurse aides
- 2.01
- Weekend nursing
- 2.67
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 42%
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
13.9%24.5%Worsening
Residents with a fall causing major injury
3.9%6.8%Worsening
Residents with pressure ulcers (bedsores)
6.7%0%Improving
Residents with a urinary tract infection
6%3.6%Improving
Residents who lost too much weight
4.1%7.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.6%16.4%Worsening
Residents whose ability to walk got worse
18.8%24.5%Worsening
Long-stay residents on antianxiety or sleep medication
20%8.6%Improving
Short-stay residents newly given an antipsychotic
0%2.7%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
28.2%43%Worsening
Residents with depressive symptoms
15.6%5.6%Improving
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
—100%—
Long-stay residents given the pneumonia vaccine
100%94.9%Worsening
Short-stay residents given the seasonal flu vaccine
—96.1%—
Short-stay residents given the pneumonia vaccine
95.7%88.9%Worsening
What the inspectors found
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited June 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: E
The nursing home failed to ensure a fair arbitration process and agreement on the arbitrator and location. Cited June 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 848 — 42 CFR §483.70 — S/S: E
The home failed to protect residents’ right to organize and take part in resident and family groups. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 565 — 42 CFR §483.10 — S/S: E
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- 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
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Feb 1, 2022
Now operated by Royal Plaza Health and Rehabilitation of Cascadia, previously Royal Plaza Health and Rehabilitation.
- Ownership
- For profit - Corporation
- Chain
- Part of CASCADIA HEALTHCARE · 47 homes · 3.1 stars avg
- Occupancy
- 70.4 residents on an average day (90% of 78 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.