Nursing homes › Idaho › Silverton Health and Rehabilitation of Cascadia
405 West Seventh Street, Silverton, ID 83867 · 2085561147 · 55 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.
Total nurse staffing: 3.29 (Idaho median: 3.85). RN hours: 0.56. Weekend total: 2.75. Nursing staff turnover: 51%.
All-time on record: 46 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-01-09 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | complaint | corrected 2026-02-06 |
| 2026-01-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2026-02-06 |
| 2026-01-09 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | complaint | corrected 2026-02-06 |
| 2026-01-09 | 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. | E | complaint | corrected 2026-02-06 |
| 2026-01-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-02-06 |
| 2026-01-09 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2026-02-06 |
| 2026-01-09 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-02-06 |
| 2026-01-09 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-02-06 |
| 2026-01-09 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-02-06 |
| 2025-06-27 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | complaint | corrected 2025-08-09 |
| 2025-06-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2025-08-09 |
| 2025-06-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2025-08-09 |
| 2025-06-27 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | complaint | corrected 2025-08-09 |
| 2025-06-27 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2025-08-09 |
| 2025-06-27 | 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 2025-08-09 |
| 2025-06-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-08-09 |
| 2025-06-27 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2025-08-09 |
| 2025-06-27 | 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. | D | complaint | corrected 2025-08-09 |
| 2025-06-27 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | complaint | corrected 2025-08-09 |
| 2025-06-27 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-08-09 |
| 2025-06-27 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | complaint | corrected 2025-08-09 |
| 2025-06-27 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-08-09 |
| 2023-10-04 | Ensure that residents are free from significant medication errors. | G | complaint | corrected 2023-11-10 |
| 2023-10-04 | 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. | F | complaint | corrected 2023-11-10 |
| 2023-10-04 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2023-11-10 |
| 2023-10-04 | 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 2023-11-10 |
| 2023-10-04 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2023-11-10 |
| 2023-10-04 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | complaint | corrected 2023-11-10 |
| 2023-10-04 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2023-11-10 |
| Date | Type | Amount |
|---|---|---|
| 2023-10-04 | Fine | $41,954 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CASCADIA IDAHO OPERATIONS LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 03/01/2023 |
| CASCADIA HC GROUP LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 06/05/2025 |
| CASCADIA HEALTHCARE LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 03/01/2023 |
| CASCADIA HOLDCO LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 06/05/2025 |
| HAMMOND, OWEN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 03/01/2023 |
| 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 SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/21/2022 |
| HAMMOND, OWEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2023 |
| LAFORTE, STEPHEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/05/2025 |
| MEZA, MICHAEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2023 |
| NAHMENSEN, ROBERT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/24/2023 |
| NELSON, TIMOTHY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/05/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 135058. Corrections: data@carerecords.org.