Nursing homes › Idaho › Royal Plaza Health and Rehabilitation of Cascadia
2870 Juniper Drive, Lewiston, ID 83501 · 2087462855 · 76 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 above its group average (3.1/5).
Total nurse staffing: 3.24 (Idaho median: 3.85). RN hours: 0.96. Weekend total: 2.67. Nursing staff turnover: 53%.
All-time on record: 27 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-04-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2025-05-19 |
| 2025-04-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-05-19 |
| 2025-04-17 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-05-19 |
| 2024-11-08 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | complaint | corrected 2024-12-13 |
| 2024-11-08 | 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. | E | complaint | corrected 2024-12-13 |
| 2024-11-08 | Keep all essential equipment working safely. | E | complaint | corrected 2024-12-13 |
| 2024-11-08 | 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. | D | complaint | corrected 2024-12-13 |
| 2024-11-08 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | complaint | corrected 2024-12-13 |
| 2024-11-08 | 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. | D | complaint | corrected 2024-12-13 |
| 2024-11-08 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | complaint | corrected 2024-12-13 |
| 2024-11-08 | 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 2024-12-13 |
| 2024-11-08 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-12-13 |
| 2024-11-08 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2024-12-13 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CASCADIA IDAHO OPERATIONS LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2022 |
| CASCADIA HC GROUP LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 06/05/2025 |
| CASCADIA HEALTHCARE LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2022 |
| CASCADIA HOLDCO LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 06/05/2025 |
| HAMMOND, OWEN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 02/01/2022 |
| 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 02/01/2022 |
| CASCADIA HOLDCO LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 06/05/2025 |
| CASCADIA SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/23/2025 |
| FLEMMING, THOMAS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/05/2024 |
| HAMMOND, OWEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2022 |
| LAFORTE, STEPHEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/05/2025 |
| NELSON, TIMOTHY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/05/2025 |
| RUDOLPH, JOHN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/04/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 135116. Corrections: data@carerecords.org.