Clearwater Health & Rehabilitation of Cascadia
1204 Shriver Road, Orofino, ID 83544
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Follow this homeClearwater Health & Rehabilitation of Cascadia is a nursing home in Orofino, 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 rating3 of 5
- Last standard health inspectionJune 26, 2026 (4 months ago)
- Health citations since February 4, 202224 (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 8, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Health inspection on June 26, 2026
14 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 14 citations
Citation F0814. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Dispose of garbage and refuse properly.
CMS lists it as corrected on July 30, 2026.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
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 30, 2026.
CMS has cited this home for F0812 2 times since 2025.
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 30, 2026.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on July 30, 2026.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on July 30, 2026.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on July 30, 2026.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
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 30, 2026.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on July 30, 2026.
CMS has cited this home for F0641 2 times since 2025.
Citation F0645. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS lists it as corrected on July 30, 2026.
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 30, 2026.
CMS has cited this home for F0656 2 times since 2022.
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 30, 2026.
Citation F0728. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
CMS lists it as corrected on July 30, 2026.
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 July 30, 2026.
Citation F0947. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
CMS lists it as corrected on July 30, 2026.
Fire safety inspection on June 26, 2026
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on November 24, 2025.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Health inspection on April 17, 2025
7 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 7 citations
Citation F0812. Severity E: potential for more than minimal harm, pattern.
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 9, 2025.
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on November 1, 2024.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on May 9, 2025.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on May 9, 2025.
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 May 9, 2025.
Citation F0825. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide or get specialized rehabilitative services as required for a resident.
CMS lists it as corrected on May 9, 2025.
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 May 9, 2025.
Fire safety inspection on April 17, 2025
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on February 6, 2025.
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 February 6, 2025.
CMS has cited this home for K0918 2 times since 2022.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Health inspection on February 4, 2022
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0657. Severity E: potential for more than minimal harm, pattern.
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 April 14, 2022.
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 April 14, 2022.
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 April 14, 2022.
Fire safety inspection on February 4, 2022
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation E0037. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish staff and initial training requirements.
CMS lists it as corrected on August 30, 2021.
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 September 1, 2021.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on August 31, 2021.
CMS star ratings
- 3 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (208) 476-4568
- Last standard health inspection
- June 26, 2026 (4 months ago)
- Certified beds
- 60
- Residents per day, on average
- 36.5
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Clearwater of Cascadia
- Chain
- Cascadia Healthcare
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Idaho average (24 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 01/01/2017
- CASCADIA HC GROUP LLCIndirect ownership interest · not applicable · since 06/05/2025
- CASCADIA HEALTHCARE LLCIndirect ownership interest · not applicable · since 01/01/2017
- CASCADIA HOLDCO LLCIndirect ownership interest · not applicable · since 06/05/2025
- HAMMOND, OWENIndirect ownership interest · not applicable · since 01/01/2017
Show 12 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 01/01/2017
- CASCADIA HOLDCO LLCOperational/managerial control · not applicable · since 06/05/2025
- CASCADIA IDAHO OPERATIONS LLCOperational/managerial control · not applicable · since 01/01/2017
- CASCADIA SERVICES LLCOperational/managerial control · not applicable · since 01/13/2025
- BOWEN, ANDREAOperational/managerial control · not applicable · since 06/11/2023
- HAMMOND, OWENOperational/managerial control · not applicable · since 01/01/2017
- LAFORTE, STEPHENOperational/managerial control · not applicable · since 06/05/2025
- NELSON, TIMOTHYOperational/managerial control · not applicable · since 06/05/2025
- SHOLAR, COLLEENOperational/managerial control · not applicable · since 05/01/2023
Questions
When was Clearwater Health & 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 Clearwater Health & Rehabilitation of Cascadia have?
CMS lists 24 health citations since February 4, 2022. CMS also calls these deficiencies.
Has Clearwater Health & Rehabilitation of Cascadia been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Clearwater Health & Rehabilitation of Cascadia?
Its CMS overall star rating is 3 of 5.
Is Clearwater Health & Rehabilitation of Cascadia a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.