Nursing homes › Idaho › Paradise Creek Health and Rehab of Cascadia
640 North Eisenhower Street, Moscow, ID 83843 · 2088826560 · 63 certified beds
Per CMS filings, this facility is affiliated with Cascadia Healthcare, a group operating 45 facilities in 5 states. Group record: average rating 3.1/5, 2 abuse citation icons, 5 facilities on the Special Focus list, $1,029,637 in federal fines. This facility rates below its group average (3.1/5).
Total nurse staffing: 3.36 (Idaho median: 3.85). RN hours: 0.67. Weekend total: 2.94. Nursing staff turnover: 71%.
All-time on record: 27 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-07 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-06-11 |
| 2026-05-07 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2026-06-11 |
| 2026-05-07 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-06-11 |
| 2024-08-29 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Health | corrected 2024-09-27 |
| 2024-08-29 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-09-27 |
| 2024-08-29 | Observe each nurse aide's job performance and give regular training. | E | Health | corrected 2024-09-27 |
| 2024-08-29 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2024-09-27 |
| 2024-08-29 | 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. | D | Health | corrected 2024-09-27 |
| 2024-08-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-09-27 |
| 2024-08-29 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2024-09-27 |
| 2023-07-14 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2023-08-08 |
| 2023-07-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2023-08-08 |
| 2023-07-14 | Provide and implement an infection prevention and control program. | F | complaint | corrected 2023-08-08 |
| 2023-07-14 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | complaint | corrected 2023-08-08 |
| 2023-07-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2023-08-08 |
| 2023-07-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2023-08-08 |
| 2023-07-14 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2023-08-08 |
| 2023-07-14 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2023-08-08 |
| 2023-07-14 | 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 2023-08-08 |
| 2023-07-14 | Respond appropriately to all alleged violations. | D | complaint | corrected 2023-08-08 |
| 2023-07-14 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2023-08-08 |
| 2023-07-14 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2023-08-08 |
| 2023-07-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2023-08-08 |
| 2023-07-14 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2023-08-08 |
| 2023-07-14 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | D | complaint | corrected 2023-08-08 |
| 2023-07-14 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | complaint | corrected 2023-08-08 |
| 2023-07-14 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2023-08-08 |
| Date | Type | Amount |
|---|---|---|
| 2024-08-29 | Fine | $21,320 |
| 2023-09-25 | Fine | $4,587 |
| 2023-09-18 | Fine | $4,587 |
| 2023-09-11 | Fine | $4,545 |
| 2023-09-05 | Fine | $4,587 |
| 2023-08-28 | Fine | $4,587 |
| 2023-08-21 | Fine | $4,545 |
| 2023-08-14 | Fine | $4,587 |
| 2023-07-17 | Fine | $10,489 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CASCADIA SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/21/2022 |
| BONG, DANIEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/20/2026 |
| HAMMOND, OWEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2023 |
| NELSON, TIMOTHY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/05/2025 |
| SPADY, ROBERT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 135067. Corrections: data@carerecords.org.