Paradise Creek Health and Rehab of Cascadia
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 10 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.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- High staff turnover (69%)
- High RN turnover (62%)
Below average in ID · Below recommended RN staffing · Below chain average · $90,362 in fines
What this means for your family
While the rehab staff receives praise for their bedside manner, the facility has significant issues with administrative oversight and resident treatment. Families should be extremely cautious and verify that management has a reliable system for medication orders before choosing this facility for end-of-life or high-acuity care.
Google Reviews
Google Reviews
10 reviews on Google“Paradise Creek shows a stark divide between its independent retirement living and its skilled nursing/rehab services. While some residents praise the community atmosphere and staff friendliness, others report serious concerns regarding management incompetence, particularly in medication administration and the treatment of residents in the nursing wing.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and attentive nursing staff
- Clean and well-maintained environment
- Supportive atmosphere for independent living
Concerns
- Management incompetence regarding medication orders and end-of-life care (mentioned by 2 reviewers)
- Lack of compassion and poor treatment of residents by staff (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 11 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1Given that medication management is a top priority for our family, could you walk us through your specific process for ensuring accuracy and preventing errors in prescription orders?
- 2How does your leadership team ensure that staff maintain a compassionate and patient-centered approach when providing daily care to residents?
- 3I noticed the facility has a smaller capacity of 63 residents; how does this size influence the way you communicate with families regarding changes in a resident's health status?
- 4Could you share how you are working to improve the dining experience and meal variety for residents, as we understand this is an area you are currently focusing on?
- 5In the event of an urgent medical need or end-of-life care, what is your protocol for coordinating with families to ensure their wishes are honored and clearly communicated?
- 6I see that you actively respond to feedback online; how do you incorporate that family input into your daily operations and staff training?
Personalized based on this facility's data
Key Review Excerpts
“The nursing staff in the skilled nursing part of the facility was wonderful in my husband's last days, but the management is terrible. Hospice faxed over orders for end of life medications to manage pain, anxiety, and nausea and vomiting, as per hospice protocol. The manager didn't bother to enter the orders into the computer.”
“We have had an outstanding experience in the skilled nursing/rehab portion of this facility. The staff are consistently friendly and attentive.”
“My eldest sister lives there and says the staff in this place "turn a blind eye"/"condone by their silence" the acts of co-workers mistreating the residents that don't want to wake up in the morning”
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
7
measures
9
measures
1
measures
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
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 shows concerning patterns with families filing complaints that led to deficiencies in abuse protection, resident rights, and care quality in 2023. The most recurring issues involve food safety and preparation, infection control, and safety hazards, with problems appearing across multiple surveys from 2020 through 2024. While all deficiencies show correction dates, the persistence of similar issues across years suggests ongoing challenges with maintaining consistent standards.
May 7, 2026Routine3
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Aug 29, 2024Routine12
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Construction Deficiencies
Meet other general requirements.
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.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Jul 14, 2023Routine5
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.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Jul 14, 2023Complaint16
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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
Reasonably accommodate the needs and preferences of each resident.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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 care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Administration Deficiencies
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Federal Penalties
Fine
Aug 29, 2024
$21,320
Fine
Sep 25, 2023
$4,587
Fine
Sep 18, 2023
$4,587
Fine
Sep 11, 2023
$4,545
Fine
Sep 5, 2023
$4,587
Fine
Aug 28, 2023
$4,587
Fine
Aug 21, 2023
$4,545
Fine
Aug 14, 2023
$4,587
Fine
Jul 17, 2023
$10,489
Fine
Jul 14, 2023
$18,084
Fine
Jun 26, 2023
$2,823
Fine
Jun 20, 2023
$2,447
Ownership & Operations
Who Operates This Facility
Paradise Creek Health and Rehab of Cascadia
for profit
Chain Affiliation
Cascadia Healthcare
44 facilities nationwide
Chain avg rating: 3.2/5 · Rank 32 of 43
Ownership & Management
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
10 reviews from families & visitors
Official Website
Visit paradisecreekrl.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.