Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.56 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.56 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on May 7, 2026 cited 2 deficiencies.
View inspection evidenceCMS-published records list 38 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 45 facilities across 5 states or territories.
View chain evidenceCMS records show a $19,513 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
44 currently connected nursing homes share this CMS organization identity with CASCADIA HEALTHCARE LLC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 0 across ID.
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Aug 11, 2022
Other facilities connected through this exact CMS organization identity: 0 across ID.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 18, 2025
Other facilities connected through this exact CMS organization identity: 0 across ID.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 0 across ID.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 18, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 18, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 0 across ID.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 14, 2025
Other facilities connected through this exact CMS organization identity: 0 across ID.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 0 across ID.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2017
Other facilities connected through this exact CMS organization identity: 0 across ID.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 17, 2025
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 15, 2016
Other facilities connected through this exact CMS organization identity: 24 across ID.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 5, 2025
CMS classifications: Parent company
Other facilities connected through this exact CMS organization identity: 41 across ID, MT, OR, WA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 15, 2016
CMS classifications: Parent company
Other facilities connected through this exact CMS organization identity: 43 across ID, MT, OR, WA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 41 across ID, MT, OR, WA.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.34%
Association date reported to CMS: Nov 15, 2016
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.33%
Association date reported to CMS: Jun 5, 2025
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.33%
Association date reported to CMS: Jun 5, 2025
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 0 across ID.
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Aug 11, 2022
Other facilities connected through this exact CMS organization identity: 43 across CA, ID, MT, OR, WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 18, 2025
Other facilities connected through this exact CMS organization identity: 42 across ID, MT, OR, WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 0 across ID.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 18, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 18, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 41 across ID, MT, OR, WA.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 14, 2025
Other facilities connected through this exact CMS organization identity: 43 across ID, MT, OR, WA.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 41 across ID, MT, OR, WA.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2017
Other facilities connected through this exact CMS organization identity: 42 across ID, MT, OR, WA.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 17, 2025
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across ID.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 118 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 45 | 3.1 | 2.7 |
| Mon Jun | 44 | 3.2 | 2.8 |
| Fri May | 44 | 3.2 | 2.8 |
| Wed Apr | 44 | 3.2 | 2.8 |
| Sun Mar | 44 | 3.2 | 2.9 |
| Sun Feb | 44 | 3.3 | 2.9 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 11, 2026)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 11, 2026)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 12, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 12, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 24, 2020)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 24, 2020)
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 24, 2020)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 24, 2020)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 24, 2020)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 24, 2020)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 24, 2020)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 24, 2020)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 24, 2020)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 24, 2020)
Observe each nurse aide's job performance and give regular training.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 24, 2020)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 24, 2020)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 24, 2020)
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 24, 2020)
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 24, 2020)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 24, 2020)
Penalties & enforcement
Published fine amount: $19,513.00
Published fine amount: $14,302.00
Questions to ask
Facility history
8 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
CMS recorded a $19,513 civil monetary penalty.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
CMS recorded a $14,302 civil monetary penalty.
CMS · Recorded event date · View related evidence
16 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.721 | 3.339 |
| RN categories | 0.478 | 0.751 |
Contract staff accounted for 10.3% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.035 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.725 | 0.482 | 1.198 | 1.958 | 5.8% | 91 |
| 2025Q3 | 3.677 | 0.51 | 1.057 | 2 | 9.8% | 92 |
| 2025Q4 | 3.686 | 0.592 | 0.99 | 2.078 | 11.2% | 92 |
| 2026Q1 | 3.611 | 0.557 | 1.009 | 1.95 | 10.3% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.