Eagle Rock Health and Rehabilitation of Cascadia
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 52 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
Below average in ID · Meets national RN staffing standard · $8,018 in fines
What this means for your family
While the facility has seen significant improvements in cleanliness and therapy services under new management, the recurring reports of medication errors and slow response times are concerning. If you choose this facility, ensure you have a clear, documented plan for medication management and maintain frequent, direct communication with the nursing staff to monitor your loved one's care.
Google Reviews
Google Reviews
52 reviews on Google“Eagle Rock Health and Rehabilitation of Cascadia has undergone a significant transition under new ownership, with many recent reviewers praising improved cleanliness, a more positive atmosphere, and a dedicated therapy team. However, the facility continues to face serious reports of medical neglect, communication failures, and inconsistent care, particularly regarding medication management and responsiveness to urgent patient needs.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy team
- Noticeable improvements in facility cleanliness and odor
- Warm and compassionate direct care staff
- Responsive leadership team under new ownership
Concerns
- Slow response times and staff unavailability (mentioned by 5 reviewers)
- Medication management and dietary errors (mentioned by 3 reviewers)
- Poor communication with family members regarding patient status (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 58 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your leadership team is very active in responding to feedback online; how do you use that family input to improve daily operations and communication?
- 2Given that physical and occupational therapy are highlighted as strengths here, how do you integrate those sessions into a resident's daily schedule to ensure they stay active?
- 3What specific protocols do you have in place to ensure accuracy in medication administration and dietary requirements for residents?
- 4When a family has a question about their loved one's health status, what is the standard process for ensuring they receive a timely and clear update?
- 5With the recent focus on facility cleanliness, how do you maintain those high standards while balancing the demands of the nursing staff?
- 6If a resident needs assistance quickly, what is the current system for ensuring staff are alerted and respond promptly to call lights?
Personalized based on this facility's data
Key Review Excerpts
“My mom has been in a snf for 16 years. After moving her Eagle Rock she began talking again to where her staff can hear her voice. She had not spoken loudly for years.”
“My mom was here for rehab after falling and lots of other health problems. It took about a month, but they are the only reason that she was able to go back home instead of a facility.”
“Staff will neglect your medication schedule due to their policies (even if scheduled by your doctor), and they will be absent for hours.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total 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
7
measures
8
measures
2
measures
Residents needing more daily help over time
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has faced significant concerns with families filing complaints that triggered 10 deficiencies over multiple surveys. The most recurring problems involve medication management, care planning, and safety issues like blocked emergency exits. While the facility has corrected each violation when cited, the pattern of repeated issues in medication safety and basic care planning, combined with the substantial number of family complaints, suggests ongoing operational challenges that families should carefully evaluate.
Apr 2, 2026Routine22
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
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.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
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.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Nursing and Physician Services Deficiencies
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.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Sep 15, 2025Complaint3
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Feb 21, 2025Routine6
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
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.
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.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Aug 14, 2024Complaint4
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Jan 11, 2024Complaint3
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Jan 11, 2024Routine7
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
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.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Federal Penalties
Fine
Aug 14, 2024
$8,018
Ownership & Operations
Who Operates This Facility
Eagle Rock Health and Rehabilitation of Cascadia
for profit
Chain Affiliation
Cascadia Healthcare
44 facilities nationwide
Chain avg rating: 3.2/5 · Rank 26 of 43
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
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
52 reviews from families & visitors
Official Website
Visit eaglerockhealthandrehab.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.