Royal Plaza Health and Rehabilitation of Cascadia

2870 Juniper Drive, Lewiston, ID 83501 · CCN 135116 · 76 certified beds · Data as of 2026-07-01

CMS overall4 of 5CMS inspections4 of 5CMS staffing3 of 5CMS quality2 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.

27 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.

Serious inspection findings

2021-07-24 IMMEDIATE JEOPARDY (tag F0740, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
2021-07-24 IMMEDIATE JEOPARDY (tag F0689, severity J)
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.
2021-07-24 ACTUAL HARM (tag F0677, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide care and assistance to perform activities of daily living for any resident who is unable.
2021-07-24 ACTUAL HARM (tag F0725, severity H)
Nursing and Physician Services Deficiencies · correction not recorded in CMS data
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
2021-07-24 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Staffing, from payroll records

Nursing hours / resident / day

2.67

state median 3.39

Weekend staffing gap

−22%

fewer nursing hours on weekends · state median −11%

RN hours / resident / day

0.80

registered nurses only

Contract (agency) staff

12%

share of all nursing hours

Nursing staff turnover

53%

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

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Partnership. Part of the CASCADIA HEALTHCARE chain.

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

Full citation history

By severity: Actual harm: 3 · Potential for more than minimal harm: 22 · Immediate jeopardy: 2

Survey dateTagCategorySeverityCorrected
2025-04-17F0684Quality of Life and Care DeficienciesDnot recorded
2025-04-17F0760Pharmacy Service DeficienciesDnot recorded
2025-04-17F0812Nutrition and Dietary DeficienciesFnot recorded
2024-11-08F0565Resident Rights DeficienciesEnot recorded
2024-11-08F0585Resident Rights DeficienciesEnot recorded
2024-11-08F0622Resident Rights DeficienciesDnot recorded
2024-11-08F0623Resident Rights DeficienciesDnot recorded
2024-11-08F0625Resident Rights DeficienciesDnot recorded
2024-11-08F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-08F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-08F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-08F0760Pharmacy Service DeficienciesDnot recorded
2024-11-08F0908Environmental DeficienciesEnot recorded
2021-07-24F0578Resident Rights DeficienciesEnot recorded
2021-07-24F0584Resident Rights DeficienciesDnot recorded
2021-07-24F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2021-07-24F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2021-07-24F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2021-07-24F0677Quality of Life and Care DeficienciesGnot recorded
2021-07-24F0684Quality of Life and Care DeficienciesDnot recorded
2021-07-24F0686Quality of Life and Care DeficienciesGnot recorded
2021-07-24F0689Quality of Life and Care DeficienciesJnot recorded
2021-07-24F0725Nursing and Physician Services DeficienciesHnot recorded
2021-07-24F0740Quality of Life and Care DeficienciesJnot recorded
2021-07-24F0744Quality of Life and Care DeficienciesDnot recorded
2021-07-24F0865Administration DeficienciesFnot recorded
2021-07-24F0880Infection Control DeficienciesDnot 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 “Royal Plaza Health and Rehabilitation of Cascadia, Lewiston” at medicare.gov/care-compare.