Silverton Health and Rehabilitation of Cascadia
405 West Seventh Street, Silverton, ID 83867
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Follow this homeSilverton Health and Rehabilitation of Cascadia is a nursing home in Silverton, 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 ratingnot rated by CMS
- Last standard health inspectionJuly 10, 2026 (4 months ago)
- Health citations since October 4, 202332 (Idaho average 27)
- Fines in the past three yearsNone listed by CMS
- CMS flagsSpecial Focus Facility
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CMS flags
Special Focus Facility
CMS puts a small number of homes in this program. CMS inspects them more often until they meet the program's exit rules.
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.
Health inspection on July 10, 2026
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
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 August 10, 2026.
CMS has cited this home for F0657 3 times since 2023.
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 August 10, 2026.
CMS has cited this home for F0684 3 times since 2025.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 10, 2026.
CMS has cited this home for F0689 2 times since 2025.
Fire safety inspection on July 10, 2026
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation E0036. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish emergency prep training and testing.
CMS lists it as corrected on October 14, 2025.
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 October 14, 2025.
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 October 14, 2025.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on October 14, 2025.
CMS has cited this home for K0353 2 times since 2021.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on October 14, 2025.
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on October 14, 2025.
Health inspection on January 9, 2026
9 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 9 citations
Citation F0804. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on February 6, 2026.
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 February 6, 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 February 6, 2026.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
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 February 6, 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 February 6, 2026.
Citation F0697. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate pain management for a resident who requires such services.
CMS lists it as corrected on February 6, 2026.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on February 6, 2026.
CMS has cited this home for F0755 2 times since 2023.
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 February 6, 2026.
CMS has cited this home for F0842 3 times since 2023.
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 February 6, 2026.
CMS has cited this home for F0880 2 times since 2025.
CMS update of November 20, 2025
Health citation
CMS changed citation F0684 from severity D to E. It is from the health inspection on August 6, 2021. Severity E: potential for more than minimal harm, pattern.
CMS update of September 24, 2025
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 3 of 5 to not rated by CMS.
Star rating
The CMS quality measures star rating changed from 3 of 5 to not rated by CMS.
Special Focus Facility
CMS now lists this home as a Special Focus Facility.
Health inspection on June 27, 2025
13 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 13 citations
Citation F0600. Severity E: potential for more than minimal harm, pattern.
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 9, 2025.
Citation F0684. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on August 9, 2025.
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 August 9, 2025.
Citation F0605. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS lists it as corrected on August 9, 2025.
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 August 9, 2025.
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 August 9, 2025.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 9, 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 August 9, 2025.
Citation F0726. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 9, 2025.
CMS has cited this home for F0726 2 times since 2023.
Citation F0727. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 9, 2025.
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 August 9, 2025.
Citation F0865. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have a plan that describes the process for conducting QAPI and QAA activities.
CMS lists it as corrected on August 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 August 9, 2025.
Fire safety inspection on June 27, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
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 April 9, 2025.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.7 to 3.3 hours per resident per day.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of April 25, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Fine
CMS changed the fine from April 17, 2023 from $3,145 to $3,174.
CMS update of December 21, 2023
Name
CMS lists a new legal business name for this home.
Ownership
CMS lists this home under a new chain.
Health inspection on October 4, 2023
7 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
7 of 80 Idaho homes (9%) got a citation at the actual harm level in 2023.
Show the 7 citations
Citation F0760. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on November 10, 2023.
Citation F0726. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on November 10, 2023.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on November 10, 2023.
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 November 10, 2023.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on November 10, 2023.
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 November 10, 2023.
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 November 10, 2023.
Fire safety inspection on August 6, 2021
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation K0222. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on April 1, 2021.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on April 2, 2021.
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on April 8, 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 April 22, 2021.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on April 9, 2021.
CMS star ratings
- not rated by CMS CMS overall star rating
- not rated by CMS CMS health inspection star rating
- not rated by CMS CMS staffing star rating
- not rated by CMS CMS quality measures star rating
CMS does not give star ratings to homes in its Special Focus Facility program.
Facts from CMS
- Phone
- (208) 556-1147
- Last standard health inspection
- July 10, 2026 (4 months ago)
- Certified beds
- 55
- Residents per day, on average
- 47.6
- Ownership type
- For profit - Corporation
- Legal business name
- Silverton of Cascadia LLC
- Chain
- Cascadia Healthcare
- Takes part in
- Medicare and Medicaid
More health citations than the Idaho average (32 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 03/01/2023
- CASCADIA HC GROUP LLCIndirect ownership interest · not applicable · since 06/05/2025
- CASCADIA HEALTHCARE LLCIndirect ownership interest · not applicable · since 03/01/2023
- CASCADIA HOLDCO LLCIndirect ownership interest · not applicable · since 06/05/2025
- HAMMOND, OWENIndirect ownership interest · not applicable · since 03/01/2023
Show 8 more
- LAFORTE, STEPHENIndirect ownership interest · not applicable · since 06/05/2025
- NELSON, TIMOTHYIndirect ownership interest · not applicable · since 06/05/2025
- CASCADIA SERVICES LLCOperational/managerial control · not applicable · since 10/21/2022
- HAMMOND, OWENOperational/managerial control · not applicable · since 03/01/2023
- LAFORTE, STEPHENOperational/managerial control · not applicable · since 06/05/2025
- MEZA, MICHAELOperational/managerial control · not applicable · since 03/01/2023
- NAHMENSEN, ROBERTOperational/managerial control · not applicable · since 05/24/2023
- NELSON, TIMOTHYOperational/managerial control · not applicable · since 06/05/2025
Questions
When was Silverton Health and Rehabilitation of Cascadia last inspected?
CMS lists July 10, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Silverton Health and Rehabilitation of Cascadia have?
CMS lists 32 health citations since October 4, 2023. CMS also calls these deficiencies.
Has Silverton 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 Silverton Health and Rehabilitation of Cascadia?
CMS does not give star ratings to homes in its Special Focus Facility program.
Is Silverton Health and Rehabilitation of Cascadia a Special Focus Facility?
Yes. CMS lists it as a Special Focus Facility.