Silverton Health and Rehabilitation of Cascadia

Nursing Home · Silverton, ID

Special Focus Facility For profit - Corporation

CMS certification number135058
CMS lists this nursing home as a Special Focus Facility – a facility with a persistent record of serious quality problems that is inspected more often.

Contact & location

405 West Seventh Street
Silverton, ID 83867
Shoshone County
Phone
(208) 556-1147
ZIP code
83867 – all care providers

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Facility details

Certified beds
55
Residents per day
47.7 (87% occupied)
Ownership
For profit - Corporation
Legal name
Silverton of Cascadia LLC
Chain
Cascadia Healthcare (46 facilities, avg 3.0★)
Medicare certified since
October 1, 1974
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

OverallNot rated
State avg 3.1
Health inspectionsNot rated
State avg 2.7
StaffingNot rated
State avg 3.1
Quality measuresNot rated
State avg 4.1
Long-stay qualityNot rated
Short-stay qualityNot rated

Staffing

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

Total nurse staffing
3.29 (state 4.04 · U.S. 3.86)
Registered nurses (RN)
0.56 (state 0.86 · U.S. 0.69)
Licensed practical nurses
0.59 (state 0.74 · U.S. 0.86)
Nurse aides
2.13 (state 2.44 · U.S. 2.32)
Weekend total
2.75 (state 3.49 · U.S. 3.42)
Nursing staff turnover
51.1 (state 50.3 · U.S. 45.8)%
RN turnover
66.7 (state 40.9 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
July 10, 2026
Health deficiencies (last cycle)
3.0 (state 10.2 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
32 health · 12 fire safety · includes actual harm
DateCitationSeverityStatus
2026-07-10 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 2026-08-10
2026-07-10 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 2026-08-10
2026-07-10 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-08-10
2026-01-09 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-02-06
2026-01-09 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		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-02-06
2026-01-09 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-06
2026-01-09 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 · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-06
2026-01-09 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-06
2026-01-09 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-06
2026-01-09 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-06
2026-01-09 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-06
2026-01-09 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-06
2025-06-27 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-09
2025-06-27 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-09
2025-06-27 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 2025-08-09
2025-06-27 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-09
2025-06-27 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-09
2025-06-27 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 · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-09
2025-06-27 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-09
2025-06-27 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-09
2025-06-27 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-09
2025-06-27 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F0727 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-09
2025-06-27 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-09
2025-06-27 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-09
2025-06-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-09
2023-10-04 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2023-11-10
2023-10-04 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-11-10
2023-10-04 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-10
2023-10-04 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 · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-10
2023-10-04 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-10
2023-10-04 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-10
2023-10-04 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-10

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

1 penalty in the last three years, including $41,954 in fines.

DateTypeAmount
2023-10-04Fine$41,954

Ownership & management

NameRoleSince
Silverton 405 Realty, 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
Meza, Michael (individual)Administrator · NOT APPLICABLE
Nahmensen, Robert (individual)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
Meza, Michael (individual)Operational/managerial Control · NOT APPLICABLE
Nahmensen, Robert (individual)Operational/managerial Control · NOT APPLICABLE
Nelson, Timothy (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

How many beds does Silverton Health and Rehabilitation of Cascadia have?

It has 55 certified beds and cares for about 48 residents per day.

Has Silverton Health and Rehabilitation of Cascadia been fined?

Yes. CMS lists 1 penalty totaling $41,954 in the last three years.

Who owns Silverton Health and Rehabilitation of Cascadia?

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

What is the phone number of Silverton Health and Rehabilitation of Cascadia?

(208) 556-1147. The facility is located at 405 West Seventh Street, Silverton, ID 83867.

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