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Nursing homeFAID #2874

Royal Plaza Health and Rehabilitation of Cascadia

2870 JUNIPER DRIVE, LEWISTON, ID, 83501
(208) 746-2855
cascadiahc.com
76 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing2/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
76
CMS facility ID
135116
Care type
Nursing home
County
Nez Perce
Facility name
Royal Plaza Health and Rehabilitation of Cascadia
Street address
2870 JUNIPER DRIVE
City / state / ZIP
Lewiston, ID 83501
Phone
(208) 746-2855
Website
cascadiahc.com

About this facility — Royal Plaza Health and Rehabilitation of Cascadia

Royal Plaza Health and Rehabilitation of Cascadia is a Medicare/Medicaid-certified skilled nursing facility in Lewiston, Idaho. It is licensed for 76 beds — close to the median for skilled nursing facilities in Idaho (70 beds).

It is one of 17 senior care facilities in Lewiston 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 Royal Plaza Health and Rehabilitation of Cascadia 32 times across 9 inspections in the last three years, including 2 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 - Corporation

Registered owners & officers

Cascadia Hc Group Llc
Indirect owner · Operational control — since 2025
Cascadia Healthcare Llc
Indirect owner · Operational control — since 2022
Cascadia Holdco Llc
Indirect owner · Operational control — since 2025
Cascadia Idaho Operations Llc
Direct owner — since 2022
Cascadia Services Llc
Operational control · Additional disclosable party — since 2025
Flemming, Thomas
Operational control · Additional disclosable party — since 2024
Hammond, Owen
Indirect owner · Operational control — since 2022
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
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
1993-12-01
CMS overall rating
2 of 5 stars
Health deficiencies
12 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-06-26
Nurse staffing
3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$473 per day (≈ $14,380/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
53% Medicaid · 15% Medicare · 32% private/other
Occupancy
74% (fiscal year 2023)
Vs. state median
5% above the ID median of $452/day — full state cost breakdown

Services & coverage

Licensed beds
76
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 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-26Health inspectionComplaint-triggered12 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 2026-07-31
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-08-21
F-0628
E · No harm foundFrom a complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-07-31
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 2026-07-31
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-07-31
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-07-31
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 2026-07-31
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 2026-07-31
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 2026-07-31
F-0848
E · No harm foundFrom a complaint
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2026-07-31
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-07-31
F-0883
D · No harm foundFrom a complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2026-07-31
2025-04-17Health inspectionComplaint-triggered3 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-19
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-05-19
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 2025-05-19
3 earlier / fire-safety inspections (17 citations)
2024-11-08Health inspectionComplaint-triggered10 citations
F-0565
E · No harm foundFrom a complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-12-13
F-0585
E · 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 2024-12-13
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 2024-12-13
F-0623
D · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-12-13
F-0625
D · 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 2024-12-13
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 2024-12-13
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 2024-12-13
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-12-13
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-12-13
F-0908
E · No harm foundFrom a complaint
Keep all essential equipment working safely.
Corrected 2024-12-13
2026-06-26Fire-safety inspection2 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2026-05-20
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-05-20
2025-04-17Fire-safety inspection5 citations
E-0036
E · No harm found
Establish emergency prep training and testing.
Corrected 2024-12-31
E-0037
E · No harm found
Establish staff and initial training requirements.
Corrected 2024-12-31
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-12-31
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-11
K-0927
D · No harm found
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2024-12-31
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 135116.

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 32 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