Senior Care Records.

Clearwater Health & Rehabilitation of Cascadia

1204 Shriver Road, Orofino, ID, 83544

Nursing home60 licensed beds0 citations on record
LocationOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 7 deficiencies against Clearwater Health & Rehabilitation of Cascadia in Orofino, Idaho at its most recent standard inspection on 2025-04-17, 7 of them arising from complaints. Medicare rates it 4 out of 5 overall.

4 / 5Medicare overall rating
60certified beds
7deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.16
Potential for minimal harmThe least serious band.1
Most recent

The last 17 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · F0812 · 2025-04-17 · from a complaint · No actual harm, potential for more than minimal harm

E

Protect each resident from the wrongful use of the resident's belongings or money.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0602 · 2025-04-17 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies · F0641 · 2025-04-17 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies · F0757 · 2025-04-17 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies · F0761 · 2025-04-17 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide or get specialized rehabilitative services as required for a resident.

Quality of Life and Care Deficiencies · F0825 · 2025-04-17 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-04-17 · from a complaint · No actual harm, potential for more than minimal harm

D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies · F0657 · 2022-02-04 · standard survey · No actual harm, potential for more than minimal harm

E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · F0656 · 2022-02-04 · standard survey · No actual harm, potential for more than minimal harm

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2022-02-04 · standard survey · No actual harm, potential for more than minimal harm

D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies · F0755 · 2021-06-14 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies · F0761 · 2021-06-14 · standard survey · No actual harm, potential for more than minimal harm

E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2021-06-14 · standard survey · No actual harm, potential for more than minimal harm

E

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies · F0578 · 2021-06-14 · standard survey · No actual harm, potential for more than minimal harm

D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies · F0657 · 2021-06-14 · standard survey · No actual harm, potential for more than minimal harm

D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies · F0883 · 2021-06-14 · standard survey · No actual harm, potential for more than minimal harm

D

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Nutrition and Dietary Deficiencies · F0801 · 2021-06-14 · standard survey · No actual harm, potential for minimal harm

C
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below4 of 5
Health inspectionBased on the last three inspection cycles4 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.26521
Nursing staff turnoverShare of nursing staff who left in a year54.1%
Ownership

Who owns Clearwater Health & Rehabilitation of Cascadia

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
CASCADIA IDAHO OPERATIONS LLCOrganizationNOT APPLICABLEsince 01/01/2017
CASCADIA HC GROUP LLCOrganizationNOT APPLICABLEsince 06/05/2025
CASCADIA HEALTHCARE LLCOrganizationNOT APPLICABLEsince 01/01/2017
CASCADIA HOLDCO LLCOrganizationNOT APPLICABLEsince 06/05/2025
HAMMOND, OWENIndividualNOT APPLICABLEsince 01/01/2017
LAFORTE, STEPHENIndividualNOT APPLICABLEsince 06/05/2025
NELSON, TIMOTHYIndividualNOT APPLICABLEsince 06/05/2025
OROFINO 1204 REALTY, LLCOrganizationNOT APPLICABLEsince 06/05/2025
WHITE OAK HEALTHCARE FINANCE LLCOrganizationNOT APPLICABLEsince 08/11/2022
CASCADIA HC GROUP LLCOrganizationNOT APPLICABLEsince 06/05/2025
CASCADIA HEALTHCARE LLCOrganizationNOT APPLICABLEsince 01/01/2017
CASCADIA HOLDCO LLCOrganizationNOT APPLICABLEsince 06/05/2025

Part of the CASCADIA HEALTHCARE group.

Contact

Ask Clearwater Health & Rehabilitation of Cascadia a question

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What is needed

Clearwater Health & Rehabilitation of Cascadia has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 2084764568 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 135048.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction