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Nursing homeFAID #2858

Cascades At Desert View

820 SPRAGUE AVENUE, BUHL, ID, 83316
(208) 543-6401
57 licensed beds

CMS rates Cascades At Desert View 1 out of 5 overall. Federal inspectors issued 55 citations across 9 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
57
CMS facility ID
135089
Care type
Nursing home
County
Twin Falls
Facility name
Cascades At Desert View
Street address
820 SPRAGUE AVENUE
City / state / ZIP
Buhl, ID 83316
Phone
(208) 543-6401

Cascades At Desert View is a Medicare/Medicaid-certified skilled nursing facility in Buhl, Idaho. It is licensed for 57 beds — below the median for skilled nursing facilities in Idaho (70 beds).

It is one of 5 senior care facilities in Buhl and 80 skilled nursing facilities across Idaho. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Cascades Healthcare, a group of 19 facilities on this site.

Federal inspectors have cited Cascades At Desert View 55 times across 9 inspections in the last three years, including 5 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Cascades Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Takayama Flp
Indirect owner · Operational control — 23% stake — since 2023
Tower Bridge Flp
Indirect owner · Operational control — 23% stake — since 2023
Moore, Thomas
Indirect owner · Director · Operational control — 10% stake — since 2023
Bentzler, Lori
Operational control · Additional disclosable party — since 2018
Cascades At Desert View Llc
Direct owner · Additional disclosable party — since 2023
Crump, Jason
Director · Operational control — since 2023
Desert View Holdings of Buhl, Llc
Direct owner · Additional disclosable party — since 2023
Eelir Flp
Partner — since 2023
Fullmer, Chad
Director · Operational control — since 2023
Kirei Kazoku, Llc
Additional disclosable party — since 2023
Marshall, Samantha
Operational control · Additional disclosable party — since 2018
Mcspadden, Darin
Director · Operational control — since 2023
Nadroj Llc
Additional disclosable party — since 2023
Oxford Assets Llc
Additional disclosable party — since 2023
Pippin Llc
Additional disclosable party — since 2023
Quest Flp
Operational control · Partner · Additional disclosable party — since 2023
Ronnmark Flp
Operational control · Partner — since 2023
White, Derek
Director · Operational control — since 2023

Regulatory standing

Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1981-10-01
CMS overall rating
1 of 5 stars
Health deficiencies
24 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-05-15
Nurse staffing
4.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$303 per day (≈ $9,210/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
78% Medicaid · 4% Medicare · 18% private/other
Occupancy
70% (fiscal year 2023)
Vs. state median
33% below the ID median of $452/day — full state cost breakdown

Services & coverage

Licensed beds
57
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-15Health inspectionComplaint-triggered22 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-06-18
F-0552
D · No harm foundFrom a complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-06-18
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-06-18
F-0582
D · No harm foundFrom a complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2026-06-18
F-0585
F · No harm foundFrom a complaint
Honor 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.
Corrected 2026-06-18
F-0605
D · No harm foundFrom a complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-06-18
F-0628
D · No harm foundFrom a complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-06-18
F-0645
D · No harm foundFrom a complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-06-18
F-0655
D · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2026-06-18
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-06-18
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-06-18
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-06-18
F-0680
E · No harm foundFrom a complaint
Ensure the activities program is directed by a qualified professional.
Corrected 2026-06-18
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-06-18
F-0688
D · No harm foundFrom a complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2026-06-18
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-06-18
F-0727
F · No harm foundFrom a complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2026-06-18
F-0732
E · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2026-06-18
F-0804
F · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-06-18
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-06-18
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-06-18
F-0880
F · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-06-18
2025-11-19Health inspectionComplaint-triggered2 citations
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-11-26
F-0925
F · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-11-26
3 earlier / fire-safety inspections (31 citations)
2025-04-03Health inspection15 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-05-08
F-0584
D · No harm found
Honor 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.
Corrected 2025-05-08
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-05-08
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-05-08
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-05-08
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-08
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-08
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-08
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-05-08
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2025-05-08
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-05-08
F-0761
D · No harm found
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.
Corrected 2025-05-08
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-08
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-05-08
F-0947
E · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-05-08
2024-05-31Health inspectionComplaint-triggered13 citations
F-0578
E · No harm foundFrom a complaint
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.
Corrected 2024-07-03
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-02-14
F-0622
D · No harm foundFrom a complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-07-03
F-0625
E · No harm foundFrom a complaint
Notify 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.
Corrected 2024-07-03
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2024-07-03
F-0644
D · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-07-03
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-03
F-0700
D · No harm foundFrom a complaint
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-07-03
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-03
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-07-03
F-0883
D · No harm foundFrom a complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-07-03
F-0909
D · No harm foundFrom a complaint
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2024-07-03
F-0919
D · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-07-03
2025-04-03Fire-safety inspection3 citations
E-0036
E · No harm found
Establish emergency prep training and testing.
Corrected 2024-07-24
E-0037
E · No harm found
Establish staff and initial training requirements.
Corrected 2024-07-24
E-0039
E · No harm found
Conduct testing and exercise requirements.
Corrected 2024-07-24
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 135089.
How it compares in Idaho.
Inspection citations, 3 years
55
More than 93% of nursing homes in the state
State median: 38
Federal fines, 3 years
$0
No federal fines on record
State median: $0
Nurse staffing, hours per resident per day
4.1
Higher than 68% of nursing homes in the state
State median: 3.8
Nursing staff turnover, annual
56%
Higher than 71% of nursing homes in the state
State median: 51%

Resident outcomes

On 19 federal quality measures, this facility does better than the Idaho average on 6 and worse on 8. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased14.6%15.4%13.5%Near state average
Lose too much weight3.6%5.1%5.1%Better than state
With a catheter inserted and left in their bladder0.0%1.0%0.7%Better than state
With a urinary tract infection5.0%2.0%1.5%Worse than state
Have depressive symptoms28.4%15.7%13.5%Worse than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury2.4%3.1%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine93.5%97.8%93.7%Near state average
Ability to walk independently worsened5.9%15.8%12.7%Better than state
Received an antianxiety or hypnotic medication21.1%16.4%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine100.0%96.2%95.3%Near state average
With pressure ulcers4.7%3.4%4.5%Worse than state
With new or worsened bowel or bladder incontinence14.4%21.2%18.3%Better than state
Received an antipsychotic medication44.2%20.3%15.4%Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine73.5%91.8%82.3%Worse than state
Newly received an antipsychotic medication10.0%1.7%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine81.0%85.4%80.1%Near state average
Were rehospitalized after a nursing home admission22.2%17.3%23.4%Worse than state
Had an outpatient emergency department visit12.3%11.9%11.8%Near state average
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0812 4 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0880 3 inspections. Provide and implement an infection prevention and control program.
  • F-0552 2 inspections. Ensure that residents are fully informed and understand their health status, care and treatments.
  • F-0645 2 inspections. PASARR screening for Mental disorders or Intellectual Disabilities
  • F-0657 2 inspections. Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  • F-0684 2 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.

What its owners also hold

  • Tower Bridge Flp has an ownership stake on file at 4 nursing homes, averaging 2 of 5 on CMS's overall rating.
  • Takayama Flp has an ownership stake on file at 4 nursing homes, averaging 2 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in Idaho

  • Licensing: Idaho Department of Health and Welfare, Residential Assisted Living Facilities Program (Licensing and Certification)
  • File a complaint: 208-364-1962 · Online
  • Long-Term Care Ombudsman: 877-471-2777. A free advocate for residents and families.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • St Lukes Magic Valley Medical Center, about 15 miles. CMS rating 4 of 5.
  • St Luke's Jerome, about 15 miles.
  • Cassia Regional Hospital, about 49 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 55 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered