Payette Healthcare of Cascadia
Strong Medicare quality ratings; families often praise kind and compassionate nursing staff. Still worth an in-person visit.
based on 42 Google reviews

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What this means for your family
While recent reviews highlight a professional and caring staff, the facility has a history of severe reports regarding hygiene, pest control, and neglect. When touring, we strongly recommend inspecting the cleanliness of resident rooms and asking specifically about the facility's current pest management contract and response protocols for call lights.
Google Reviews
Google Reviews
42 reviews on Google“Payette Healthcare of Cascadia receives highly polarized feedback, with recent reviews praising the staff's kindness and professionalism, while older and some critical reviews report severe neglect, poor hygiene, and pest infestations. Families should be aware of significant historical concerns regarding patient pain management, cleanliness, and response times to call lights.”
Quality Themes
Tap a score for detailsStrengths
- Kind and compassionate nursing staff
- Professional and welcoming atmosphere
- Strong physical and occupational therapy team
- Effective discharge planning and community partnerships
Concerns
- Neglect and delayed response to call lights (mentioned by 5 reviewers)
- Poor facility cleanliness and hygiene (mentioned by 4 reviewers)
- Inadequate pain management for residents (mentioned by 3 reviewers)
- Poor food quality (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 45 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given your 5-star staffing rating, how do you ensure that staff are consistently available to respond to call lights in a timely manner?
- 2Could you walk me through your current protocols for facility sanitation and housekeeping to ensure a clean living environment for residents?
- 3With the therapy team being a noted strength here, how do you integrate physical and occupational therapy into a resident's daily routine?
- 4How does your nursing team approach pain management and medication administration to ensure residents remain comfortable throughout the day?
- 5What steps are being taken to improve the dining experience and food quality for residents who are looking for more variety in their meals?
- 6How do you handle medical emergencies or urgent health changes during overnight hours when staffing levels shift?
Personalized based on this facility's data
Key Review Excerpts
“The staff are exceptional. Specifically Jennifer Newman and Sonya the RN, they go above and beyond to work with community partners to make sure residents are fully supported at discharge and set up for success.”
“I have personally worked in care facilities for almost 20 years and this is by far the worst facility i have ever walked into. They left my father in pain for hours at a time.”
“James in Physical therapy, Shannon in Occupational Therapy and Mae in Occupational Therapy have been very helpful and engage with them on a very easy and understanding.”
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
10
measures
7
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 anti-anxiety or sleep medication
Residents vaccinated for the flu
Residents whose walking got worse
Residents vaccinated for pneumonia
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 multiple complaints triggering 18 deficiencies, indicating ongoing concerns about care quality at this facility. The most recurring problems involve medication management, care planning and assessments, and infection control practices. While the facility corrects identified issues, the pattern of repeated deficiencies in core care areas like respiratory care and resident safety suggests persistent challenges with maintaining consistent quality standards.
Sep 12, 2025Complaint10
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.
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
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
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 safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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.
Aug 9, 2024Complaint8
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
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.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
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
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Aug 9, 2024Routine2
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Sep 6, 2019Routine14
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
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
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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 care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
May 18, 2018Routine5
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Ownership & Operations
Who Operates This Facility
Payette Healthcare of Cascadia
for profit
Chain Affiliation
Cascadia Healthcare
44 facilities nationwide
Chain avg rating: 3.2/5 · Rank 3 of 43 (Best)
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
42 reviews from families & visitors
Official Website
Visit payettehealthcareofcascadia.com
Medicare data downloads
Original nursing home datasets
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