LEWISTON TRANSITIONAL CARE OF CASCADIA

LEWISTON, ID · 96 beds · For profit - Limited Liability company

66 Trust Score
Grade: C MEDIUM Risk → Stable

Red Flags

  • RN hours significantly below state average

Green Flags

  • 4-star health inspection rating
  • No fines or penalties on record

Quick Facts

★★★★☆
CMS Overall
★★★★☆
Health Inspection
6
0.7x state avg
Deficiencies
$0
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

August 20, 2025

6 deficiencyies
F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0697 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe, appropriate pain management for a resident who requires such services.

F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

June 12, 2024

3 deficiencyies
F0644 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

January 8, 2020

11 deficiencyies
F0578 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0623 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

F0732 No Harm Scope/Severity: C

Nursing and Physician Services Deficiencies

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Post nurse staffing information every day.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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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.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

See full violation history →

Staffing

0.46
RN hrs/res/day
0.57
LPN hrs/res/day
2.17
CNA hrs/res/day
2.82
Weekend hrs/res/day
33%
Total nurse turnover
14%
RN turnover

A nurse checks on each resident roughly every 7.5 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Limited Liability company Chain: CASCADIA HEALTHCARE
  • CASCADIA HEALTHCARE LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 06/30/2017

    NO PERCENTAGE PROVIDED Organization
  • CASCADIA SERVICES LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/23/2025

    Organization
  • HAMMOND, OWEN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 10/01/2017

    Individual
  • LAFORTE, STEPHEN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/05/2025

    Individual
  • MCKAY, BREANNA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 10/01/2017

    Individual
  • NELSON, TIMOTHY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/05/2025

    Individual
  • RUDOLPH, JOHN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/04/2025

    Individual
  • TIMBERLINE CTRE TENANT LLC

    5% OR GREATER SECURITY INTEREST

    Since since 06/05/2025

    Organization
  • WHITE OAK HEALTHCARE FINANCE LLC

    5% OR GREATER SECURITY INTEREST

    Since since 08/11/2022

    Organization

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