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Nursing homeFAID #2833

Clearwater Health & Rehabilitation of Cascadia

1204 SHRIVER ROAD, OROFINO, ID, 83544
(208) 476-4568
cascadiahc.com
60 licensed beds
★★★★★3/5CMS Five-Star overall3/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

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Bed capacity
60
CMS facility ID
135048
Care type
Nursing home
County
Clearwater
Facility name
Clearwater Health & Rehabilitation of Cascadia
Street address
1204 SHRIVER ROAD
City / state / ZIP
Orofino, ID 83544
Phone
(208) 476-4568
Website
cascadiahc.com

About this facility — Clearwater Health & Rehabilitation of Cascadia

Clearwater Health & Rehabilitation of Cascadia is a Medicare/Medicaid-certified skilled nursing facility in Orofino, Idaho. It is licensed for 60 beds — close to the median for skilled nursing facilities in Idaho (70 beds).

It is one of 2 senior care facilities in Orofino and 80 skilled nursing facilities across Idaho. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Clearwater Health & Rehabilitation of Cascadia 30 times across 8 inspections in the last three years, including 3 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 August 31, 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

Bowen, Andrea
Operational control · Additional disclosable party — since 2023
Cascadia Hc Group Llc
Indirect owner · Operational control — since 2025
Cascadia Healthcare Llc
Indirect owner · Operational control — since 2017
Cascadia Holdco Llc
Indirect owner · Operational control — since 2025
Cascadia Idaho Operations Llc
Direct owner · Operational control — since 2017
Cascadia Services Llc
Operational control · Additional disclosable party — since 2025
Hammond, Owen
Indirect owner · Operational control — since 2017
Laforte, Stephen
Indirect owner · Operational control — since 2025
Nelson, Timothy
Indirect owner · Operational control — since 2025
Orofino 1204 Realty, Llc
Security-interest holder · Additional disclosable party — since 2025
Sholar, Colleen
Operational control · Additional disclosable party — since 2023
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
1969-11-19
CMS overall rating
3 of 5 stars
Health deficiencies
14 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-06-26
Nurse staffing
3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$425 per day (≈ $12,920/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
74% Medicaid · 13% Medicare · 13% private/other
Occupancy
68% (fiscal year 2023)
Vs. state median
6% below the ID median of $452/day — full state cost breakdown

Services & coverage

Licensed beds
60
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 2026-08-31. 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 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-26Health inspectionComplaint-triggered14 citations
F-0578
D · 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 2026-07-30
F-0584
D · No harm foundFrom a complaint
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 2026-07-30
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 2026-07-30
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-07-30
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 2026-07-30
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2026-07-30
F-0645
D · No harm foundFrom a complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-07-30
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 2026-07-30
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-07-30
F-0728
D · No harm foundFrom a complaint
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 2026-07-30
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-07-30
F-0812
E · 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 2026-07-30
F-0814
F · No harm foundFood safetyFrom a complaint
Dispose of garbage and refuse properly.
Corrected 2026-07-30
F-0947
D · No harm foundFrom a complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2026-07-30
2025-04-17Health inspectionComplaint-triggered7 citations
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-11-01
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2025-05-09
F-0757
D · No harm foundFrom a complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-05-09
F-0761
D · No harm foundFrom a complaint
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 2025-05-09
F-0812
E · 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 2025-05-09
F-0825
D · No harm foundFrom a complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-05-09
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-05-09
4 earlier / fire-safety inspections (9 citations)
2022-02-04Health inspection3 citations
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 2022-04-14
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 2022-04-14
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-04-14
2026-06-26Fire-safety inspection1 citation
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-11-24
2025-04-17Fire-safety inspection2 citations
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2025-02-06
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-06
2022-02-04Fire-safety inspection3 citations
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2021-08-30
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2021-09-01
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-08-31
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 135048.

Inside your report

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Ownership & corporate history

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

Inspection citations — last 5 years

Locked
The 30 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
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
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