Nursing homes › Idaho › Clearwater Health & Rehabilitation of Cascadia
1204 Shriver Road, Orofino, ID 83544 · (208) 476-4568 · 60 certified beds
Per CMS filings, this facility is affiliated with Cascadia Healthcare, a group operating 46 facilities in 5 states. Group record: average rating 3.0/5, 2 abuse citation icons, 5 facilities on the Special Focus list, $950,260 in federal fines. This facility rates below its group average (3.0/5).
Total nurse staffing: 3.27 (Idaho median: 3.85). RN hours: 0.85. Weekend total: 2.66. Nursing staff turnover: 54%.
All-time on record: 24 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-26 | Dispose of garbage and refuse properly. | F | complaint | corrected 2026-07-30 |
| 2026-06-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2026-07-30 |
| 2026-06-26 | 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. | D | complaint | corrected 2026-07-30 |
| 2026-06-26 | 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. | D | complaint | corrected 2026-07-30 |
| 2026-06-26 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-07-30 |
| 2026-06-26 | Respond appropriately to all alleged violations. | D | complaint | corrected 2026-07-30 |
| 2026-06-26 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2026-07-30 |
| 2026-06-26 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2026-07-30 |
| 2026-06-26 | PASARR screening for Mental disorders or Intellectual Disabilities | D | complaint | corrected 2026-07-30 |
| 2026-06-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-07-30 |
| 2026-06-26 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2026-07-30 |
| 2026-06-26 | 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. | D | complaint | corrected 2026-07-30 |
| 2026-06-26 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2026-07-30 |
| 2026-06-26 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | complaint | corrected 2026-07-30 |
| 2025-04-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2025-05-09 |
| 2025-04-17 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2024-11-01 |
| 2025-04-17 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2025-05-09 |
| 2025-04-17 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | complaint | corrected 2025-05-09 |
| 2025-04-17 | 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. | D | complaint | corrected 2025-05-09 |
| 2025-04-17 | Provide or get specialized rehabilitative services as required for a resident. | D | complaint | corrected 2025-05-09 |
| 2025-04-17 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-05-09 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CASCADIA IDAHO OPERATIONS LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 01/01/2017 |
| CASCADIA HC GROUP LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 06/05/2025 |
| CASCADIA HEALTHCARE LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 01/01/2017 |
| CASCADIA HOLDCO LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 06/05/2025 |
| HAMMOND, OWEN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 01/01/2017 |
| LAFORTE, STEPHEN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 06/05/2025 |
| NELSON, TIMOTHY | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 06/05/2025 |
| CASCADIA HC GROUP LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 06/05/2025 |
| CASCADIA HEALTHCARE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2017 |
| CASCADIA HOLDCO LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 06/05/2025 |
| CASCADIA IDAHO OPERATIONS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2017 |
| CASCADIA SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/13/2025 |
| BOWEN, ANDREA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/11/2023 |
| HAMMOND, OWEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2017 |
| LAFORTE, STEPHEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/05/2025 |
| NELSON, TIMOTHY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/05/2025 |
| SHOLAR, COLLEEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2023 |
How to cite this page: CareRecords, “Clearwater Health & Rehabilitation of Cascadia — compliance, penalty and ownership record” (CCN 135048), compiled from the CMS Provider Data Catalog, July 2026 release. https://carerecords.org/nursing-home/clearwater-health-rehabilitation-of-cascadia-orofino-id/
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 135048. Corrections: data@carerecords.org.