Royal Plaza Health and Rehabilitation of Cascadia
2930 Juniper Drive, Lewiston, ID 83501
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Follow this homeRoyal Plaza Health and Rehabilitation of Cascadia is a nursing home in Lewiston, Idaho. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionJune 26, 2026 (4 months ago)
- Health citations since November 8, 202425 (Idaho average 27)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of October 8, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 2 of 5.
Health inspection on June 26, 2026
12 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 12 citations
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 31, 2026.
CMS has cited this home for F0812 2 times since 2025.
Citation F0628. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on July 31, 2026.
Citation F0848. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
CMS lists it as corrected on July 31, 2026.
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on July 31, 2026.
Citation F0600. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on August 21, 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on July 31, 2026.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on July 31, 2026.
CMS has cited this home for F0684 2 times since 2025.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on July 31, 2026.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on July 31, 2026.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on July 31, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on July 31, 2026.
Citation F0883. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on July 31, 2026.
Fire safety inspection on June 26, 2026
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation E0039. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on May 20, 2026.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on May 20, 2026.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.7 to 3.3 hours per resident per day.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from not rated by CMS to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from not rated by CMS to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from not rated by CMS to 4 of 5.
Star rating
The CMS quality measures star rating changed from not rated by CMS to 4 of 5.
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility.
Health inspection on April 17, 2025
3 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 3 citations
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on May 19, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on May 19, 2025.
Citation F0760. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on May 19, 2025.
CMS has cited this home for F0760 2 times since 2024.
Fire safety inspection on April 17, 2025
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation E0036. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Establish emergency prep training and testing.
CMS lists it as corrected on December 31, 2024.
Citation E0037. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Establish staff and initial training requirements.
CMS lists it as corrected on December 31, 2024.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on December 11, 2024.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on December 31, 2024.
Citation K0927. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
CMS lists it as corrected on December 31, 2024.
CMS update of December 20, 2024
Star rating
The CMS overall star rating changed from 1 of 5 to not rated by CMS.
Star rating
The CMS health inspection star rating changed from 1 of 5 to not rated by CMS.
Star rating
The CMS staffing star rating changed from 2 of 5 to not rated by CMS.
Star rating
The CMS quality measures star rating changed from 4 of 5 to not rated by CMS.
Special Focus Facility
CMS now lists this home as a Special Focus Facility.
Health inspection on November 8, 2024
10 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 10 citations
Citation F0565. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to organize and participate in resident/family groups in the facility.
CMS lists it as corrected on December 13, 2024.
Citation F0585. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on December 13, 2024.
Citation F0908. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep all essential equipment working safely.
CMS lists it as corrected on December 13, 2024.
Citation F0622. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on December 13, 2024.
Citation F0623. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS lists it as corrected on December 13, 2024.
Citation F0625. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on December 13, 2024.
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on December 13, 2024.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on December 13, 2024.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on December 13, 2024.
Citation F0760. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on December 13, 2024.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS star ratings
- 2 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (208) 746-2855
- Last standard health inspection
- June 26, 2026 (4 months ago)
- Certified beds
- 78
- Residents per day, on average
- 70.2
- Ownership type
- For profit - Corporation
- Legal business name
- Lewiston Center of Cascadia, LLC
- Chain
- Cascadia Healthcare
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Idaho average (25 vs 27).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- CASCADIA IDAHO OPERATIONS LLCDirect ownership interest · not applicable · since 02/01/2022
- CASCADIA HC GROUP LLCIndirect ownership interest · not applicable · since 06/05/2025
- CASCADIA HEALTHCARE LLCIndirect ownership interest · not applicable · since 02/01/2022
- CASCADIA HOLDCO LLCIndirect ownership interest · not applicable · since 06/05/2025
- HAMMOND, OWENIndirect ownership interest · not applicable · since 02/01/2022
Show 11 more
- LAFORTE, STEPHENIndirect ownership interest · not applicable · since 06/05/2025
- NELSON, TIMOTHYIndirect ownership interest · not applicable · since 06/05/2025
- CASCADIA HC GROUP LLCOperational/managerial control · not applicable · since 06/05/2025
- CASCADIA HEALTHCARE LLCOperational/managerial control · not applicable · since 02/01/2022
- CASCADIA HOLDCO LLCOperational/managerial control · not applicable · since 06/05/2025
- CASCADIA SERVICES LLCOperational/managerial control · not applicable · since 01/23/2025
- FLEMMING, THOMASOperational/managerial control · not applicable · since 02/05/2024
- HAMMOND, OWENOperational/managerial control · not applicable · since 02/01/2022
- LAFORTE, STEPHENOperational/managerial control · not applicable · since 06/05/2025
- NELSON, TIMOTHYOperational/managerial control · not applicable · since 06/05/2025
- RUDOLPH, JOHNOperational/managerial control · not applicable · since 07/04/2025
Questions
When was Royal Plaza Health and Rehabilitation of Cascadia last inspected?
CMS lists June 26, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Royal Plaza Health and Rehabilitation of Cascadia have?
CMS lists 25 health citations since November 8, 2024. CMS also calls these deficiencies.
Has Royal Plaza Health and Rehabilitation of Cascadia been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Royal Plaza Health and Rehabilitation of Cascadia?
Its CMS overall star rating is 2 of 5.
Is Royal Plaza Health and Rehabilitation of Cascadia a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.