ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA
2870 JUNIPER DRIVE, LEWISTON, ID 83501 · CCN 135116
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Partnership
- Certified beds
- 76
- Avg residents/day
- 61.9
- Phone
- 2087462855
Inspection history vs Idaho & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Idaho avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-17 | 3 | 8.9 | 9.5 | -5.9 better |
| 2 | 2024-11-08 | 10 | 7.7 | 9.8 | +2.3 worse |
| 3 | 2021-07-24 | 14 | 9.1 | 9.3 | +4.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.71 | 41.7% |
| RN staffing (reported) | 0.97 | 30.8% |
| Total nurse staffing (adjusted) | 3.69 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- CASCADIA HEALTHCARE
- Facilities in chain
- 44
- Chain avg overall
- 3.20 / 5
Inspection citations (27)2 immediate jeopardy3 actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-17 · Health · corrected 2025-05-19
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-04-17 · Health · corrected 2025-05-19
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-17 · Health · corrected 2025-05-19
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-11-08 · Health · corrected 2024-12-13
Potential for more than minimal harm
- EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-11-08 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-11-08 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-11-08 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-11-08 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-11-08 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-11-08 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-11-08 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-11-08 · Health · corrected 2024-12-13
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2024-11-08 · Health · corrected 2024-12-13
Potential for more than minimal harm
- EF0578Honor 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.2021-07-24 · Health · corrected 2021-09-20
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2021-07-24 · Health · corrected 2021-09-20
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2021-07-24 · Health · corrected 2021-09-20
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-07-24 · Health · corrected 2021-09-20
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-07-24 · Health · corrected 2021-09-20
Potential for more than minimal harm
- GF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-07-24 · Health · corrected 2021-09-20
Actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-07-24 · Health · corrected 2021-11-19
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-07-24 · Health · corrected 2021-09-20
Actual harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-07-24 · Health · corrected 2021-09-20
Immediate jeopardy
- HF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2021-07-24 · Health · corrected 2021-09-20
Actual harm
- JF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2021-07-24 · Health · corrected 2021-09-20
Immediate jeopardy
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2021-07-24 · Health · corrected 2021-09-20
Potential for more than minimal harm
- FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2021-07-24 · Health · corrected 2021-09-20
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2021-07-24 · Health · corrected 2021-09-20
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CASCADIA HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-27 |
| CASCADIA HC GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-05 |
| CASCADIA HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-02-01 |
| CASCADIA HOLDCO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-05 |
| CASCADIA SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-23 |
| FLEMMING, THOMAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-05 |
| HAMMOND, OWEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-02-01 |
| LAFORTE, STEPHEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-05 |
| NELSON, TIMOTHY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-05 |
| RUDOLPH, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-04 |
| TIMBERLINE OHI TENANT LLC | Organization | 5% OR GREATER SECURITY INTEREST | — | 2025-06-05 |
| WHITE OAK HEALTHCARE FINANCE LLC | Organization | 5% OR GREATER SECURITY INTEREST | — | 2022-08-11 |
Other facilities in LEWISTON
| Name | Overall | Beds |
|---|---|---|
| LIFE CARE CENTER OF LEWISTON | ★★★★★ | 121 |
| IDAHO STATE VETERANS HOME - LEWISTON | ★★★★★ | 66 |
| LEWISTON TRANSITIONAL CARE OF CASCADIA | ★★★★☆ | 96 |
| ORCHARD VIEW POST ACUTE | ★★☆☆☆ | 127 |
| CASCADIA OF LEWISTON | ★★☆☆☆ | 34 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.