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Nursing HomeMedicaid Investigative

Orchards of Cascadia, the

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

404 North Horton Street, Nampa, ID 83651100 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 82 Google reviews

5
4
3
2
1
Orchards of Cascadia, the Nursing Home in Nampa, ID — Street View
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7/ 10
critical Risk

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)

Source: Medicare data

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 details
Food3.0Staff7.0Clean6.0Activities8.0MedsN/AMemoryN/AComms4.0Value7.0

Strengths

  • 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

2344.0'19(7)3.42.8'21(4)2.33.9'23(10)4.94.8'25(37)3.0'26(2)

Distribution · 86 analyzed

5
64
4
8
3
1
2
1
1
12
14 reviews posted between Oct 19, 2025Oct 24, 2025 · 14 were 5-star
12 reviews posted between Oct 6, 2025Oct 10, 2025 · 9 were 5-star

How They Respond to Reviews

0%response rate

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

Long-term resident's family · 2025★★★★★

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.

Long-term resident · 2025★★★★

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

Long-term resident's family · 2022☆☆☆☆
Source: 82 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.63hrs
84%
Registered nurses for medical care
Total Nursing
3.94hrs
96%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
46%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

3

measures

Mixed Results

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.9%
Better than Avg
Here
3.9%
US
12.1%
ID
14.4%
Canyon
7.9%

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

↓ Lower is better
This Facility12.7%
Better than Avg
Here
12.7%
US
19.4%
ID
22.6%
Canyon
18.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility22.2%
Mixed vs Avgs
Here
22.2%
US
15.5%
ID
20.1%
Canyon
22.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.1%
Better than Avg
Here
10.1%
US
14.4%
ID
16.6%
Canyon
16.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.2%
Mixed vs Avgs
Here
13.2%
US
15.3%
ID
17.6%
Canyon
11.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility19.2%
Mixed vs Avgs
Here
19.2%
US
19.5%
ID
16.3%
Canyon
15.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.6%
Better than Avg
Here
96.6%
US
81.8%
ID
90.6%
Canyon
90.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility91.5%
Better than Avg
Here
91.5%
US
79.8%
ID
86.5%
Canyon
86.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
1.6%
ID
1.7%
Canyon
3.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
2penalties
Near state avg (8.8)
3 complaint-triggered
$8,824 in fines

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, 2026Complaint
1
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Dec 1, 2025Routine
5
0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 14, 2025Complaint
1
0698Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Jun 6, 2024Routine
5
0024Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for volunteers.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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.

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.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Jun 6, 2024Complaint
1
0689Actual harm · IsolatedCorrected

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, 2019Routine
17
0761Potential for harm · WidespreadCorrected

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 · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0914Potential for harm · WidespreadCorrected

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.

0584Potential for harm · PatternCorrected

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.

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.

0585Potential for harm · IsolatedCorrected

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.

0622Potential for harm · IsolatedCorrected

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.

0623Potential for harm · IsolatedCorrected

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.

0625Potential for harm · IsolatedCorrected

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.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0511Potential for harm · IsolatedCorrected

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

Owner / Operator

Orchards of Cascadia, the

Organization Type

for profit

Chain Affiliation

Chain Name

Cascadia Healthcare

Chain Size

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

Timberline Ctre Tenant LLC5% or Greater Security InterestWhite Oak Healthcare Finance LLC5% or Greater Security InterestCascadia Services LLCManagerAllen, DanielManagerDrucker, ChanelManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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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