Staffing
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 1.23 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 3-star staffing rating for this facility.
RN staffing was 1.23 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Apr 2, 2026 cited 20 deficiencies.
View inspection evidenceCMS-published records list 48 ownership or control parties.
CMS records show an ownership change effective March 2023.
View ownership evidenceCMS groups this facility with a chain covering 45 facilities across 5 states or territories.
View chain evidenceCMS records show a $8,018 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 17, 2025
Other facilities connected through this exact CMS organization identity: 0 across ID.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 2, 2025
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: Jul 2, 2025
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Mar 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across ID.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 0 across ID.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Mar 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across ID.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 5, 2025
Other facilities connected through this exact CMS organization identity: 0 across ID.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Mar 1, 2023
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 5, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 5, 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: Mar 1, 2023
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: Mar 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across ID.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 21, 2022
Other facilities connected through this exact CMS organization identity: 0 across ID.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 3, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2023
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: Mar 1, 2023
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Oct 21, 2022
Other facilities connected through this exact CMS organization identity: 43 across ID, MT, OR, WA.
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
Published ownership percentage: 100%
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 17, 2025
Other facilities connected through this exact CMS organization identity: 42 across ID, MT, OR, WA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 2, 2025
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: Jul 2, 2025
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2023
Other facilities connected through this exact CMS organization identity: 24 across ID.
Organization · 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 · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2023
Other facilities connected through this exact CMS organization identity: 43 across ID, MT, OR, WA.
Organization · 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 · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.34%
Association date reported to CMS: Mar 1, 2023
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.33%
Association date reported to CMS: Jun 5, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.33%
Association date reported to CMS: Jun 5, 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: Mar 1, 2023
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: Mar 1, 2023
Other facilities connected through this exact CMS organization identity: 24 across ID.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 21, 2022
Other facilities connected through this exact CMS organization identity: 42 across ID, MT, OR, WA.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 3, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2023
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: Mar 1, 2023
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her 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 (Apr 19, 2026)
Ensure that residents are fully informed and understand their health status, care and treatments.
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 (Apr 19, 2026)
Allow residents to self-administer drugs if determined clinically appropriate.
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 (Apr 19, 2026)
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 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 (Apr 19, 2026)
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.
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 (Apr 19, 2026)
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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 (Apr 19, 2026)
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
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 (Apr 19, 2026)
Assess the resident when there is a significant change in condition
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 (Apr 19, 2026)
PASARR screening for Mental disorders or Intellectual Disabilities
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 (Apr 19, 2026)
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 (Apr 19, 2026)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 (Apr 19, 2026)
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 (Apr 19, 2026)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 (Apr 19, 2026)
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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 (Apr 19, 2026)
Provide safe and appropriate respiratory care for a resident when needed.
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 (Apr 19, 2026)
Provide safe, appropriate pain management for a resident who requires such 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 (Apr 19, 2026)
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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 (Apr 19, 2026)
Post nurse staffing information every day.
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 (Apr 19, 2026)
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.
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 (Apr 19, 2026)
Provide and implement an infection prevention and control program.
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 (Apr 19, 2026)
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
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 (Oct 8, 2025)
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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 (Oct 8, 2025)
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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 (Oct 8, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 (Mar 25, 2025)
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 (Mar 25, 2025)
Provide safe and appropriate respiratory care for a resident when needed.
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 (Mar 25, 2025)
Ensure that residents are free from significant medication errors.
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 (Mar 25, 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 (Mar 25, 2025)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 (Sep 18, 2024)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 (Nov 13, 2024)
Ensure that residents are free from significant medication errors.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 13, 2024)
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.
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 (Nov 13, 2024)
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.
Penalties & enforcement
Published fine amount: $8,018.00
Questions to ask
Facility history
10 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
20 deficiencies were recorded.
CMS · Recorded event date · View related evidence
RN staffing increased from 1.11 to 1.23 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
1.11 → 1.23
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 3.64 to 3.85 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
3.64 → 3.85
CMS · Reported in a source release · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $8,018 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
An ownership change was recorded. New organization: IDAHO FALLS NORTH OF CASCADIA LLC.
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY → IDAHO FALLS NORTH OF CASCADIA LLC
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 3 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 | 3.839 | 3.242 |
| RN categories | 1.368 | 0.896 |
Contract staff accounted for 1.8% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.118 higher 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 | 3.637 | 1.078 | 0.56 | 1.937 | 3% | 91 |
| 2025Q3 | 3.848 | 1.017 | 0.631 | 2.117 | 7.4% | 92 |
| 2025Q4 | 3.72 | 1.113 | 0.619 | 1.957 | 2.8% | 92 |
| 2026Q1 | 3.667 | 1.232 | 0.492 | 1.944 | 1.8% | 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.