Home›Browse›Washington›Clarkston›Clarkston Health and Rehab of Cascadia

Nursing homeFAID #12777

Clarkston Health and Rehab of Cascadia

1242 ELEVENTH STREET, CLARKSTON, WA, 99403

(509) 758-2523

90 licensed beds

CMS rates Clarkston Health and Rehab of Cascadia 3 out of 5 overall. Federal inspectors issued 86 citations across 11 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall2/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Address

1242 Eleventh Street

Clarkston, WA 99403

Get directions

Map facilities in this area

All facilities in Clarkston

Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

505283

Care type

Nursing home

County

Asotin

Facility name

Clarkston Health and Rehab of Cascadia

Street address

1242 ELEVENTH STREET

City / state / ZIP

Clarkston, WA 99403

Phone

(509) 758-2523

Website

cascadiahc.com

About this facility — Clarkston Health and Rehab of Cascadia

Clarkston Health and Rehab of Cascadia is a Medicare/Medicaid-certified skilled nursing facility in Clarkston, Washington. It is licensed for 90 beds — close to the median for skilled nursing facilities in Washington (97 beds).

It is one of 4 senior care facilities in Clarkston and 193 skilled nursing facilities across Washington. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Cascadia Healthcare, a group of 47 facilities on this site.

Federal inspectors have cited Clarkston Health and Rehab of Cascadia 86 times across 11 inspections in the last three years, including 6 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.

Facility background

What the public record shows.

Ownership & operator

Parent company

Cascadia Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

Cascadia Hc Group Llc

Indirect owner — since 2025

Cascadia Healthcare Llc

Indirect owner — since 2021

Cascadia Holdco Llc

Indirect owner — since 2025

Cascadia Services Llc

Operational control · Additional disclosable party — since 2021

Cascadia Washington Operations Llc

Direct owner — since 2021

Hammond, Owen

Indirect owner · Operational control — since 2021

Laforte, Stephen

Indirect owner · Operational control — since 2025

Nelson, Timothy

Indirect owner · Operational control — since 2025

Rudolph, John

Operational control · Additional disclosable party — since 2025

Schiller, Andrew

Operational control · Additional disclosable party — since 2021

Timberline Ohi Tenant Llc

Security-interest holder · Additional disclosable party — since 2025

White Oak Healthcare Finance Llc

Security-interest holder — since 2022

Regulatory standing

Federal court records

3 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1984-01-01

CMS overall rating

3 of 5 stars

Health deficiencies

16 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-08-18

Nurse staffing

3.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$421 per day (≈ $12,800/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

55% Medicaid · 22% Medicare · 22% private/other

Occupancy

80% (fiscal year 2023)

Vs. state median

12% below the WA median of $480/day — full state cost breakdown

Services & coverage

Licensed beds

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.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 6 food-safety citations on its three-year record — flagged below among the inspections.

2025-08-18Health inspection16 citations

F-0577

F · No harm found

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-10-03

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-10-03

F-0628

D · No harm found

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-10-03

F-0645

E · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-10-03

F-0656

D · No harm found

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

Corrected 2025-10-03

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 2025-10-03

F-0684

E · No harm found

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

Corrected 2025-10-03

F-0688

D · No harm found

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 2025-10-03

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-10-03

F-0728

E · No harm found

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Corrected 2025-10-03

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2025-10-03

F-0791

D · No harm found

Provide or obtain dental services for each resident.

Corrected 2025-10-03

F-0804

F · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-10-03

F-0812

F · 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 2025-10-03

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-10-03

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-10-03

2025-04-15Health inspectionComplaint-triggered1 citation

F-0690

D · No harm foundFrom a complaint

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-05-16

8 earlier / fire-safety inspections (69 citations)

2024-11-01Health inspectionComplaint-triggered2 citations

F-0607

D · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-12-03

F-0760

E · No harm foundFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2024-12-03

2024-10-04Health inspectionComplaint-triggered2 citations

F-0552

E · No harm foundFrom a complaint

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-11-15

F-0791

D · No harm foundFrom a complaint

Provide or obtain dental services for each resident.

Corrected 2024-11-15

2024-01-26Health inspectionComplaint-triggered16 citations

F-0552

E · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-03-01

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2024-03-01

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-03-01

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-03-01

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2024-03-01

F-0684

E · No harm found

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

Corrected 2024-03-01

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-03-01

F-0730

D · No harm found

Observe each nurse aide's job performance and give regular training.

Corrected 2024-03-01

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 2024-03-01

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 2024-03-01

F-0761

E · 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 2024-03-01

F-0801

D · No harm foundFood safety

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.

Corrected 2024-03-01

F-0802

D · No harm foundFood safety

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2024-03-01

F-0812

F · 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 2024-03-01

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-03-01

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-03-01

2024-01-16Health inspectionComplaint-triggered2 citations

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-03-01

F-0694

D · No harm foundFrom a complaint

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-03-01

2022-10-28Health inspection11 citations

F-0607

D · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2022-12-09

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2022-12-09

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2022-12-09

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2022-12-09

F-0684

D · No harm found

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

Corrected 2022-12-09

F-0697

G · Actual harm

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2022-12-09

F-0757

D · No harm found

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

Corrected 2022-12-09

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-12-09

F-0812

E · 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 2022-12-09

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-12-09

F-0921

D · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2022-12-09

2024-01-26Fire-safety inspection13 citations

E-0013

F · No harm found

Develop Emergency Preparedness policies and procedures.

Corrected 2024-02-23

E-0030

D · No harm found

List the names and contact information of those in the facility.

Corrected 2024-02-23

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-02-23

K-0100

D · No harm found

Meet other general requirements.

Corrected 2024-02-23

K-0341

F · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-02-23

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-23

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-02-23

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-02-23

K-0374

F · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-02-23

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-02-23

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-02-23

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-02-23

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-02-23

2022-10-28Fire-safety inspection19 citations

E-0025

F · No harm found

Create arrangements with other facilities to receive patients.

Corrected 2022-11-30

E-0026

F · No harm found

Establish roles under a Waiver declared by secretary.

Corrected 2022-11-30

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2022-11-30

E-0042

F · No harm found

Meet the requirements of an integrated health system.

Corrected 2022-11-30

K-0100

D · No harm found

Meet other general requirements.

Corrected 2022-11-30

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2022-11-30

K-0346

D · No harm found

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2022-11-30

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-30

K-0354

D · No harm found

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2022-11-30

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-11-30

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2022-11-30

K-0374

D · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2022-11-30

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2022-11-30

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-11-30

K-0541

F · No harm found

Install properly constructed and protected linen or trash chutes.

Corrected 2022-11-30

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2022-11-30

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2022-11-30

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-11-30

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2022-11-30

2019-06-21Fire-safety inspection4 citations

K-0161

E · No harm found

Use approved construction type or materials.

Corrected 2019-07-30

K-0223

E · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2019-07-30

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-07-30

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2019-07-30

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 505283.

Quality of care & staffing

How it compares in Washington.

Inspection citations, 3 years

More than 60% of nursing homes in the state

State median: 78

Federal fines, 3 years

No federal fines on record

State median: $13,065

Nurse staffing, hours per resident per day

3.5

Among the lowest of nursing homes in the state

State median: 4.1

Nursing staff turnover, annual

27%

Higher than 7% of nursing homes in the state

State median: 43%

Resident outcomes

On 21 federal quality measures, this facility does better than the Washington average on 9 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	18.9%	13.8%	13.5%	Worse than state
Lose too much weight	0.4%	5.6%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.8%	0.7%	Better than state
With a urinary tract infection	0.8%	1.7%	1.5%	Better than state
Have depressive symptoms	28.3%	17.9%	13.5%	Worse than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	3.3%	2.6%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	99.6%	96.2%	93.7%	Near state average
Ability to walk independently worsened	17.6%	15.6%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	16.4%	12.5%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	97.3%	94.3%	95.3%	Near state average
With pressure ulcers	2.2%	4.4%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	15.8%	21.6%	18.3%	Better than state
Received an antipsychotic medication	5.9%	15.0%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	0.80	1.26	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	2.01	1.54	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	94.8%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	0.0%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	88.8%	84.4%	80.1%	Near state average
Were rehospitalized after a nursing home admission	20.2%	19.7%	23.4%	Near state average
Had an outpatient emergency department visit	22.7%	13.0%	11.8%	Worse than state

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-0609 3 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-0684 3 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0842 3 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
K-0353 3 inspections. Inspect, test, and maintain automatic sprinkler systems.
F-0645 2 inspections. PASARR screening for Mental disorders or Intellectual Disabilities

What its owners also hold

Cascadia Healthcare Llc has an ownership stake on file at 42 nursing homes, averaging 3.2 of 5 on CMS's overall rating.
Cascadia Hc Group Llc has an ownership stake on file at 42 nursing homes, averaging 3.2 of 5 on CMS's overall rating.
Cascadia Holdco Llc has an ownership stake on file at 41 nursing homes, averaging 3.2 of 5 on CMS's overall rating.
Cascadia Washington Operations Llc has an ownership stake on file at 9 nursing homes, averaging 3.1 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Washington

Licensing: Washington State Department of Social and Health Services (DSHS), Residential Care Services (RCS)
File a complaint: 800-562-6078 · Online
Long-Term Care Ombudsman: 800-562-6028. A free advocate for residents and families.
Adult Protective Services: 877-734-6277. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Tri-state Memorial Hospital, about 0.3 miles. CMS rating 4 of 5.
St Joseph Regional Medical Center, about 1.4 miles. CMS rating 2 of 5.
Pullman Regional Hospital, about 22 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Idaho State Veterans Home - Lewiston, Lewiston, about 1.5 miles. CMS rating 2 of 5.
Life Care Center of Lewiston, Lewiston, about 2.5 miles. CMS rating 5 of 5.
Cascadia of Lewiston, Lewiston, about 2.9 miles. CMS rating 4 of 5.
Royal Plaza Health and Rehabilitation of Cascadia, Lewiston, about 2.9 miles. CMS rating 2 of 5.
Lewiston Transitional Care of Cascadia, Lewiston, about 3.3 miles. CMS rating 4 of 5.

Inside your report

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 86 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.

$79 $99 Advanced

Original records

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