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Nursing HomeMedicaid

Grangeville Health & Rehabilitation of Cascadia

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

410 East North Second Street, Grangeville, ID 8353060 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 2 Google reviews

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What this means for your family

Choosing Grangeville 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
0.82hrs
OK
Registered nurses for medical care
Total Nursing
3.50hrs
85%
All nurses + aides combined
Staff Turnover
72%
Lower is better (< 30% = good)
RN Turnover
14%
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
2/ 5
Better Than Avg

4

measures

Worse Than Avg

10

measures

Mixed Results

3

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility31.5%
Worse than Avg
Here
31.5%
US
15.3%
ID
17.6%
🚿

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 on antipsychotic medication

↓ Lower is better
This Facility22.9%
Worse than Avg
Here
22.9%
US
15.5%
ID
20.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility18.9%
Worse than Avg
Here
18.9%
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 Facility11.1%
Worse than Avg
Here
11.1%
US
5.3%
ID
5.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility90.7%
Worse than Avg
Here
90.7%
US
95.5%
ID
96.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility57.1%
Worse than Avg
Here
57.1%
US
79.8%
ID
86.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.1%
Mixed vs Avgs
Here
90.1%
US
81.8%
ID
90.6%
💊

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

6deficiencies
Near state avg (8.8)
8 complaint-triggered

Families have filed multiple complaint reports triggering investigations, with the most recent in August 2025 citing issues with infection control, nursing competency, and food safety. Emergency preparedness and fire safety systems have been recurring problems across multiple surveys. While all deficiencies show correction dates, the pattern of ongoing complaints about basic care areas like infection control and staffing raises concerns about sustained quality improvements.

Aug 8, 2025Complaint
6
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0726Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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

0887Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Oct 25, 2024Complaint
2
0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Oct 25, 2024Routine
3
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

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.

Feb 6, 2020Routine
10
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Oct 26, 2018Routine
8
0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0013Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0100Potential for harm · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

0911Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0916Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0036Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Grangeville 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 13 of 43

Ownership & Management

Owners

Hammond, Owen

Owner (parent company)

Laforte, Stephen

Owner (parent company)

Nelson, Timothy

Owner (parent company)

Key personnel

Grangeville 410 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

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References & Resources

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