Lewiston Transitional Care of Cascadia

Nursing Home · Lewiston, ID

CMS overall rating 4/5 For profit - Limited Liability company

CMS certification number135021

Contact & location

3315 8th Street
Lewiston, ID 83501
Nez Perce County
Phone
(208) 743-9543
ZIP code
83501 – all care providers

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Facility details

Certified beds
96
Residents per day
65.9 (69% occupied)
Ownership
For profit - Limited Liability company
Legal name
Lewiston of Cascadia LLC
Chain
Cascadia Healthcare (46 facilities, avg 3.0★)
Medicare certified since
September 1, 1972
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 3.1
Health inspections★★★★★ 4/5
State avg 2.7
Staffing★★★★★ 2/5
State avg 3.1
Quality measures★★★★★ 2/5
State avg 4.1
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.51 (state 4.04 · U.S. 3.86)
Registered nurses (RN)
0.42 (state 0.86 · U.S. 0.69)
Licensed practical nurses
0.73 (state 0.74 · U.S. 0.86)
Nurse aides
2.36 (state 2.44 · U.S. 2.32)
Weekend total
3.10 (state 3.49 · U.S. 3.42)
Nursing staff turnover
48.1 (state 50.3 · U.S. 45.8)%
RN turnover
55.6 (state 40.9 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
August 21, 2025
Health deficiencies (last cycle)
6.0 (state 10.2 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
20 health · 11 fire safety
DateCitationSeverityStatus
2025-08-21 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-22
2025-08-21 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-22
2025-08-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-22
2025-08-21 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-22
2025-08-21 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-22
2025-08-21 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-22
2024-06-13 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-07-12
2024-06-13 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-12
2024-06-13 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-12
2020-01-09 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-02-13
2020-01-09 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-02-13
2020-01-09 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-02-13
2020-01-09 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-02-13
2020-01-09 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-02-13
2020-01-09 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-02-13
2020-01-09 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-02-13
2020-01-09 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-02-13
2020-01-09 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-02-13
2020-01-09 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-02-13
2020-01-09 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2020-02-13

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Timberline Ctre Tenant LLC (organization)5%+ Security Interest · NOT APPLICABLE
White Oak Healthcare Finance LLC (organization)5%+ Security Interest · NOT APPLICABLE
Cascadia Services LLC (organization)Administrator · NOT APPLICABLE
McKay, Breanna (individual)Administrator · NOT APPLICABLE
Rudolph, John (individual)Administrator · NOT APPLICABLE
Timberline Ctre Tenant LLC (organization)Administrator · NOT APPLICABLE
Cascadia Idaho Operations LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Cascadia HC Group LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Cascadia Healthcare LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Cascadia Holdco LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Hammond, Owen (individual)Indirect Ownership Interest · NOT APPLICABLE
Laforte, Stephen (individual)Indirect Ownership Interest · NOT APPLICABLE
Nelson, Timothy (individual)Indirect Ownership Interest · NOT APPLICABLE
Cascadia Services LLC (organization)Operational/managerial Control · NOT APPLICABLE
Hammond, Owen (individual)Operational/managerial Control · NOT APPLICABLE
Laforte, Stephen (individual)Operational/managerial Control · NOT APPLICABLE
McKay, Breanna (individual)Operational/managerial Control · NOT APPLICABLE
Nelson, Timothy (individual)Operational/managerial Control · NOT APPLICABLE
Rudolph, John (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Lewiston Transitional Care of Cascadia?

Lewiston Transitional Care of Cascadia has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Idaho.

How many beds does Lewiston Transitional Care of Cascadia have?

It has 96 certified beds and cares for about 66 residents per day.

Has Lewiston Transitional Care of Cascadia been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Lewiston Transitional Care of Cascadia?

It is part of Cascadia Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Lewiston Transitional Care of Cascadia?

(208) 743-9543. The facility is located at 3315 8th Street, Lewiston, ID 83501.

Other nursing homes in Lewiston

Compare all nursing homes in Lewiston, ID →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.