Paradise Creek Health and Rehab of Cascadia

640 North Eisenhower Street, Moscow, ID 83843 · CCN 135067 · 63 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing2 of 5CMS quality3 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 citation(s) in the last three years where CMS determined a resident was actually harmed.

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Serious inspection findings

2024-08-29 — ACTUAL HARM (tag F0684, severity G)

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

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

2023-07-14 — 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.

2023-07-14 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Staffing, from payroll records

Nursing hours / resident / day

2.77

state median 3.39

Weekend staffing gap

−15%

fewer nursing hours on weekends · state median −11%

RN hours / resident / day

0.53

registered nurses only

Contract (agency) staff

40%

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

71%

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

9 enforcement action(s), totaling $63,834 in fines.

Date	Type	Amount
2024-08-29	Fine	$21,320
2023-09-25	Fine	$4,587
2023-09-18	Fine	$4,587
2023-09-11	Fine	$4,545
2023-09-05	Fine	$4,587
2023-08-28	Fine	$4,587
2023-08-21	Fine	$4,545
2023-08-14	Fine	$4,587
2023-07-17	Fine	$10,489

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
Orchards of Cascadia, The (Nampa, ID) — CMS overall1 of 5
Lewiston Transitional Care of Cascadia (Lewiston, ID) — CMS overall4 of 5
Clearwater Health & Rehabilitation of Cascadia (Orofino, ID) — CMS overall4 of 5

Full citation history

By severity: Actual harm: 3 · Potential for more than minimal harm: 24

Survey date	Tag	Category	Severity	Corrected
2026-05-07	F0692	Quality of Life and Care Deficiencies	D	not recorded
2026-05-07	F0695	Quality of Life and Care Deficiencies	D	not recorded
2026-05-07	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2024-08-29	F0585	Resident Rights Deficiencies	D	not recorded
2024-08-29	F0684	Quality of Life and Care Deficiencies	G	not recorded
2024-08-29	F0689	Quality of Life and Care Deficiencies	D	not recorded
2024-08-29	F0730	Nursing and Physician Services Deficiencies	E	not recorded
2024-08-29	F0756	Pharmacy Service Deficiencies	D	not recorded
2024-08-29	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2024-08-29	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2023-07-14	F0550	Resident Rights Deficiencies	D	not recorded
2023-07-14	F0558	Resident Rights Deficiencies	D	not recorded
2023-07-14	F0565	Resident Rights Deficiencies	E	not recorded
2023-07-14	F0578	Resident Rights Deficiencies	D	not recorded
2023-07-14	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2023-07-14	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-07-14	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-07-14	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-07-14	F0677	Quality of Life and Care Deficiencies	D	not recorded
2023-07-14	F0684	Quality of Life and Care Deficiencies	E	not recorded
2023-07-14	F0689	Quality of Life and Care Deficiencies	G	not recorded
2023-07-14	F0695	Quality of Life and Care Deficiencies	D	not recorded
2023-07-14	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2023-07-14	F0848	Administration Deficiencies	D	not recorded
2023-07-14	F0880	Infection Control Deficiencies	F	not recorded
2023-07-14	F0882	Infection Control Deficiencies	D	not recorded
2023-07-14	F0883	Infection Control Deficiencies	D	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 “Paradise Creek Health and Rehab of Cascadia, Moscow” at medicare.gov/care-compare.