Orchards of Cascadia, The

404 North Horton Street, Nampa, ID 83651 · CCN 135019 · 100 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing3 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

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Serious inspection findings

2025-11-14 — IMMEDIATE JEOPARDY (tag F0698, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2024-06-06 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

3.70

state median 3.39

Weekend staffing gap

−18%

fewer nursing hours on weekends · state median −11%

RN hours / resident / day

0.53

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

47%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $34,954 in fines.

Date	Type	Amount
2025-11-14	Fine	$26,130
2024-06-06	Fine	$8,824

Ownership

Ownership type: For profit - Limited Liability company. Part of the CASCADIA HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

BOSWELL TRANSITIONAL CARE OF CASCADIA (SUN CITY, AZ) — CMS overall5 of 5
NORTHPARK HEALTH AND REHABILITATION OF CASCADIA (PHOENIX, AZ) — CMS overall5 of 5
Weiser Care of Cascadia (Weiser, ID) — CMS overall3 of 5
Caldwell Care of Cascadia (Caldwell, ID) — CMS overall1 of 5
Payette Healthcare of Cascadia (Payette, ID) — CMS overall5 of 5
Lewiston Transitional Care of Cascadia (Lewiston, ID) — CMS overall4 of 5
Clearwater Health & Rehabilitation of Cascadia (Orofino, ID) — CMS overall4 of 5
Canyon West of Cascadia (Caldwell, ID) — CMS overall4 of 5

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 21 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-01-08	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-12-01	F0565	Resident Rights Deficiencies	E	not recorded
2025-12-01	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-12-01	F0760	Pharmacy Service Deficiencies	D	not recorded
2025-12-01	F0761	Pharmacy Service Deficiencies	D	not recorded
2025-12-01	F0880	Infection Control Deficiencies	D	not recorded
2025-11-14	F0698	Quality of Life and Care Deficiencies	J	not recorded
2024-06-06	F0561	Resident Rights Deficiencies	D	not recorded
2024-06-06	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-06-06	F0689	Quality of Life and Care Deficiencies	G	not recorded
2019-02-15	F0578	Resident Rights Deficiencies	D	not recorded
2019-02-15	F0584	Resident Rights Deficiencies	E	not recorded
2019-02-15	F0585	Resident Rights Deficiencies	D	not recorded
2019-02-15	F0622	Resident Rights Deficiencies	D	not recorded
2019-02-15	F0623	Resident Rights Deficiencies	D	not recorded
2019-02-15	F0625	Resident Rights Deficiencies	D	not recorded
2019-02-15	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2019-02-15	F0684	Quality of Life and Care Deficiencies	D	not recorded
2019-02-15	F0686	Quality of Life and Care Deficiencies	D	not recorded
2019-02-15	F0687	Quality of Life and Care Deficiencies	D	not recorded
2019-02-15	F0695	Quality of Life and Care Deficiencies	D	not recorded
2019-02-15	F0761	Pharmacy Service Deficiencies	F	not recorded
2019-02-15	F0880	Infection Control Deficiencies	F	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Orchards of Cascadia, The, Nampa” at medicare.gov/care-compare.