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Nursing HomeMedicaid

Clearwater Health & Rehabilitation of Cascadia

Strong Medicare quality ratings. Still worth an in-person visit before deciding.

1204 Shriver Road, Orofino, ID 8354460 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Clearwater Health & Rehabilitation of Cascadia Nursing Home in Orofino, ID — Street View
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What this means for your family

Choosing Clearwater Health & Rehabilitation of Cascadia means your loved one is in a facility that ranks well on Medicare quality measures. High RN hours correlate directly with lower rates of hospital readmission and better specialized care coordination. While no facility is perfect, the clinical data here is encouraging.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.87hrs
OK
Registered nurses for medical care
Total Nursing
3.06hrs
75%
All nurses + aides combined
Staff Turnover
47%
Lower is better (< 30% = good)
RN Turnover
20%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

3

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility6.5%
Better than Avg
Here
6.5%
US
19.5%
ID
16.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility24.8%
Worse than Avg
Here
24.8%
US
14.4%
ID
16.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.1%
Worse than Avg
Here
27.1%
US
19.4%
ID
22.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
ID
96.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility9.2%
Better than Avg
Here
9.2%
US
12.1%
ID
14.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
5.3%
ID
5.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.2%
Mixed vs Avgs
Here
90.2%
US
81.8%
ID
90.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility87.2%
Better than Avg
Here
87.2%
US
79.8%
ID
86.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
ID
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Near state avg (8.8)
7 complaint-triggered

Families have filed multiple complaints leading to 7 deficiencies in 2025, including concerns about medication management, care planning, and infection control. The facility shows recurring issues across surveys with medication services, resident assessments, and safety systems, though all violations have correction dates. Recent complaint-driven findings suggest ongoing problems that warrant careful consideration during your visit.

Apr 17, 2025Complaint
7
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 17, 2025Routine
2
0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Feb 4, 2022Routine
6
0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jun 14, 2021Routine
14
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0161Potential for harm · PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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

0311Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0801Minimal · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Clearwater Health & Rehabilitation of Cascadia

Organization Type

for profit

Chain Affiliation

Chain Name

Cascadia Healthcare

Chain Size

44 facilities nationwide

Chain avg rating: 3.2/5 · Rank 8 of 43 (Best)

Ownership & Management

Owners

Cascadia Idaho Operations LLC

Owner · Organization

Cascadia Hc Group LLC

Owner (parent company) · Organization

Cascadia Healthcare LLC

Owner (parent company) · Organization

Cascadia Holdco LLC

Owner (parent company) · Organization

Hammond, Owen

Owner (parent company)

Laforte, Stephen

Owner (parent company)

Nelson, Timothy

Owner (parent company)

Key personnel

Orofino 1204 Realty, LLC5% or Greater Security InterestWhite Oak Healthcare Finance LLC5% or Greater Security InterestCascadia Hc Group LLCManagerCascadia Healthcare LLCManagerCascadia Holdco LLCManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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