The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Teton Healthcare of Cascadia
Idaho Falls, ID · Medicare-certified · 88 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Teton Healthcare of Cascadia (Idaho Falls, ID) has a 1-star overall rating, with a 1-star health inspection rating and 3-star staffing and quality ratings. It reports 3.78 nurse staffing hours per resident per day versus the 4.1 federal benchmark, has $25,604 in fines in the last 24 months, and has a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.7828 hrs/resident/day
Quality measures
Last inspection: March 6, 2026Penalties, last 24 months: $25,604recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7828.
Staffing detail
- Registered nurses
- 1.31
- Licensed practical nurses
- 0.45
- Nurse aides
- 2.03
- Weekend nursing
- 3.14
Hours per resident per day.
Total staff turnover: 61%
Registered nurse turnover: 54%
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
12.9%10.9%Improving
Residents with a fall causing major injury
0%5.7%Worsening
Residents with pressure ulcers (bedsores)
6.8%6%Improving
Residents with a urinary tract infection
2.1%1.9%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.5%31.4%Worsening
Residents whose ability to walk got worse
4.7%20.1%Worsening
Long-stay residents on antianxiety or sleep medication
24.4%11.8%Improving
Short-stay residents newly given an antipsychotic
2.2%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
13.7%18.8%Worsening
Residents with depressive symptoms
6.4%7.7%Worsening
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
—92.7%—
Long-stay residents given the pneumonia vaccine
97.9%100%Improving
Short-stay residents given the seasonal flu vaccine
—94.8%—
Short-stay residents given the pneumonia vaccine
97%98.6%Improving
What the inspectors found
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — 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 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $25,604 was recorded.
- INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $36,190 in total fines.
- $25,604
Federal fine
Dec 20, 2024
- $10,586
Federal fine
Dec 11, 2023
Operator & ownership
Recent ownership change · Feb 1, 2022
Now operated by Teton Healthcare of Cascadia, previously Teton Post Acute Care and Rehabilitation.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CASCADIA HEALTHCARE · 45 homes · 3.1 stars avg
- Occupancy
- 70.2 residents on an average day (80% of 88 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 12 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.