PARADISE CREEK HEALTH AND REHAB OF CASCADIA

MOSCOW, ID · 63 beds · For profit - Corporation

1 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 3 citation(s) where residents suffered actual harm
  • $90,362 in fines
  • 69% total nursing staff turnover

Green Flags

No positive signals identified yet.

Quick Facts

★★☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
7
0.8x state avg
Deficiencies
$90,362
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

August 28, 2024

7 deficiencyies
F0585 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0684 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0730 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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Observe each nurse aide's job performance and give regular training.

F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F0804 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

F0812 Potential Harm Scope/Severity: F

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.

July 13, 2023

13 deficiencyies
F0883 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Develop and implement policies and procedures for flu and pneumonia vaccinations.

F0550 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0558 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Reasonably accommodate the needs and preferences of each resident.

F0565 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor the resident's right to organize and participate in resident/family groups in the facility.

F0578 Potential Harm Scope/Severity: D

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.

F0600 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

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.

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.

F0684 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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

F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

See full violation history →

Staffing

0.78
RN hrs/res/day
0.59
LPN hrs/res/day
2.17
CNA hrs/res/day
3.20
Weekend hrs/res/day
69%
Total nurse turnover
63%
RN turnover

A nurse checks on each resident roughly every 6.8 hours on average.

Fines & Penalties

  • Fine Aug 28, 2024
    $21,320
  • Fine Sep 24, 2023
    $4,587
  • Fine Sep 17, 2023
    $4,587
  • Fine Sep 10, 2023
    $4,545
  • Fine Sep 4, 2023
    $4,587
  • Fine Aug 27, 2023
    $4,587
  • Fine Aug 20, 2023
    $4,545
  • Fine Aug 13, 2023
    $4,587
  • Fine Jul 16, 2023
    $10,489
  • Fine Jul 13, 2023
    $18,084
  • Fine Jun 25, 2023
    $2,823
  • Fine Jun 19, 2023
    $2,447
  • Fine May 14, 2023
    $3,174
Total $90,362

Ownership

For profit - Corporation Chain: CASCADIA HEALTHCARE
  • CASCADIA IDAHO OPERATIONS LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 05/01/2023

    100% Organization
  • CASCADIA HC GROUP LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 06/05/2025

    NO PERCENTAGE PROVIDED Organization
  • CASCADIA HEALTHCARE LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 10/21/2022

    NO PERCENTAGE PROVIDED Organization
  • CASCADIA HOLDCO LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 06/05/2025

    NO PERCENTAGE PROVIDED Organization
  • HAMMOND, OWEN

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 05/01/2023

    NO PERCENTAGE PROVIDED Individual
  • CASCADIA SERVICES LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 10/21/2022

    Organization
  • HAMMOND, OWEN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 05/01/2023

    Individual
  • PINEDA, CHRISTOPHER

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 05/01/2023

    Individual
  • SPADY, ROBERT

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 05/01/2023

    Individual
  • MOSCOW 640 REALTY, 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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