Orchards of Cascadia, the
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 82 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.
- Special Focus Facility (under heightened CMS scrutiny)
- Low overall rating (1/5 stars)
- High staff turnover (50%)
- High RN turnover (59%)
Bottom 25% in ID · Below recommended RN staffing · Worst in CASCADIA HEALTHCARE chain · $8,824 in fines · Special Focus Facility (CMS)
What this means for your family
This facility features a highly regarded rehabilitation team and many staff members who are deeply committed to resident well-being. However, because multiple families have reported significant delays in response times and concerns regarding management communication, we strongly recommend visiting during off-hours and asking specifically about their current staffing ratios.
Google Reviews
Google Reviews
82 reviews on Google“The Orchards of Cascadia receives polarized feedback, with many families praising the compassionate, attentive nursing and therapy teams who treat residents like family. However, a significant number of reviewers report serious concerns regarding chronic understaffing, slow response times to call lights, and instances of neglect or poor communication from management. Families should weigh the strong rehabilitation outcomes against the inconsistent quality of daily care and potential staffing shortages.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Effective physical and speech therapy teams
- Clean and well-maintained facility
- Strong sense of community and family-like environment
Concerns
- Chronic understaffing leading to slow response times (mentioned by 5 reviewers)
- Neglect of basic care needs and hygiene (mentioned by 4 reviewers)
- Poor communication and dismissive attitude from management (mentioned by 3 reviewers)
- Poor food quality (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 86 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given that some families have noted challenges with response times, could you walk me through your current process for ensuring residents receive timely assistance when they press their call lights?
- 2I noticed the CMS health inspection rating is currently low; what specific improvements or new protocols has the facility implemented over the past year to address those findings?
- 3How does the management team approach communication with families, and what is the best way for us to stay updated on our loved one's daily care and health status?
- 4With the focus on maintaining a family-like environment, what does a typical day look like for a resident in terms of social engagement and activities outside of their care routine?
- 5Since therapy services are a noted strength here, how do your physical and speech therapy teams collaborate with the nursing staff to ensure a resident's progress is consistent throughout the day?
- 6Regarding the dining experience, what steps are you taking to improve the quality and variety of meals to ensure residents are getting the nutrition and enjoyment they need?
Personalized based on this facility's data
Key Review Excerpts
“The staff at orchards of cascadia was awesome especially RN Amber and CNA Connor they took care of my cousin like she was a member of their family”
“I’m a resident at orchards. I have been here for five years. When I got here I could not walk or take care of myself. The whole staff helped me walk and take care of myself again.”
“My grandmother was here for 20 days and only had 1 shower.. they did not even encourage her to do therapy , they only went in here room to give her food she would have to use her call light if she needed anything and would have to wait 20 to 30 minutes before they would come check on her”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
3
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents needing more daily help over time
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaints leading to deficiencies in recent years, including concerns about dialysis care safety and accident prevention. The facility shows recurring issues with medication management, resident rights protections, and infection control across multiple surveys from 2017 to 2025. While all deficiencies have correction dates, the pattern of repeated problems in core care areas suggests ongoing operational challenges families should consider.
Jan 8, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Dec 1, 2025Routine5
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Nov 14, 2025Complaint1
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Jun 6, 2024Routine5
Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Jun 6, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 15, 2019Routine17
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
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
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 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 voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Federal Penalties
Fine
Nov 14, 2025
$26,130
Fine
Jun 6, 2024
$8,824
Ownership & Operations
Who Operates This Facility
Orchards of Cascadia, the
for profit
Chain Affiliation
Cascadia Healthcare
44 facilities nationwide
Chain avg rating: 3.2/5 · Rank 38 of 43 (Worst)
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
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
82 reviews from families & visitors
Official Website
Visit theorchardsofcascadia.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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