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Nursing HomeMedicaid

Payette Healthcare of Cascadia

Strong Medicare quality ratings; families often praise kind and compassionate nursing staff. Still worth an in-person visit.

1019 Third Avenue South, Payette, ID 8366180 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 42 Google reviews

5
4
3
2
1
Payette Healthcare of Cascadia Nursing Home in Payette, ID — Street View
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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 details
Food2.0Staff6.0Clean2.0Activities8.0Meds2.0MemoryN/AComms7.0ValueN/A

Strengths

  • 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

234'16(1)'18(6)'21(3)'23(7)'25(1)'26(3)

Distribution · 45 analyzed

5
32
4
2
3
0
2
0
1
11
11 reviews posted between Mar 5, 2024Mar 8, 2024 · 11 were 5-star

How They Respond to Reviews

0%response rate

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.

Community partner/Hospice · 2026★★★★★

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.

Family member · 2018☆☆☆☆

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.

Family member · 2026★★★★
Source: 42 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.10hrs
OK
Registered nurses for medical care
Total Nursing
3.53hrs
86%
All nurses + aides combined
Staff Turnover
38%
Lower is better (< 30% = good)
RN Turnover
17%
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
3/ 5
Better Than Avg

10

measures

Worse Than Avg

7

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility27.9%
Worse than Avg
Here
27.9%
US
12.1%
ID
14.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility30.2%
Worse than Avg
Here
30.2%
US
19.4%
ID
22.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.6%
Better than Avg
Here
10.6%
US
19.5%
ID
16.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility88.4%
Worse than Avg
Here
88.4%
US
95.5%
ID
96.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility22.9%
Worse than Avg
Here
22.9%
US
15.3%
ID
17.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
ID
96.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
81.8%
ID
90.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.4%
Better than Avg
Here
93.4%
US
79.8%
ID
86.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
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

10deficiencies
Above state avg (8.8)
18 complaint-triggered

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, 2025Complaint
10
0600Potential for harm · IsolatedResolved (past non-compliance)

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.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

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.

Aug 9, 2024Complaint
8
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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0693Potential for harm · IsolatedCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0730Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

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.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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

Aug 9, 2024Routine
2
0039Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Sep 6, 2019Routine
14
0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0325Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

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.

0636Potential for harm · IsolatedCorrected

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.

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.

0690Potential for harm · IsolatedCorrected

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.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0024Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for volunteers.

May 18, 2018Routine
5
0325Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0232Potential for harm · PatternCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0927Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Payette Healthcare of Cascadia

Organization Type

for profit

Chain Affiliation

Chain Name

Cascadia Healthcare

Chain Size

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

Timberline Ohi Tenant LLC5% or Greater Security InterestWhite Oak Healthcare Finance LLC5% or Greater Security InterestCascadia Hc Group LLCManagerCascadia Holdco LLCManagerCascadia Idaho Operations LLCManager
Source: Medicare provider data

Contact

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References & Resources

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