Paradise Creek Health and Rehab of Cascadia

Nursing Home · Moscow, ID

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

CMS certification number135067

Contact & location

640 North Eisenhower Street
Moscow, ID 83843
Latah County
Phone
(208) 882-6560
ZIP code
83843 – all care providers

Open in Google Maps

Facility details

Certified beds
63
Residents per day
46.9 (74% occupied)
Ownership
For profit - Limited Liability company
Legal name
Moscow North of Cascadia LLC
Chain
Cascadia Healthcare (46 facilities, avg 3.0★)
Medicare certified since
June 1, 1977
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★★★★★ 3/5
State avg 4.1
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 3/5

Staffing

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

Total nurse staffing
3.36 (state 4.04 · U.S. 3.86)
Registered nurses (RN)
0.67 (state 0.86 · U.S. 0.69)
Licensed practical nurses
0.63 (state 0.74 · U.S. 0.86)
Nurse aides
2.07 (state 2.44 · U.S. 2.32)
Weekend total
2.94 (state 3.49 · U.S. 3.42)
Nursing staff turnover
70.9 (state 50.3 · U.S. 45.8)%
RN turnover
75.0 (state 40.9 · U.S. 42.9)%

Inspections

Last standard inspection
May 7, 2026
Health deficiencies (last cycle)
3.0 (state 10.2 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
27 health · 13 fire safety · includes actual harm
DateCitationSeverityStatus
2026-05-07 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
F
No actual harm, potential for more than minimal harm
Corrected 2026-06-11
2026-05-07 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-11
2026-05-07 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-11
2024-08-29 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2024-09-27
2024-08-29 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
F
No actual harm, potential for more than minimal harm
Corrected 2024-09-27
2024-08-29 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-27
2024-08-29 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-27
2024-08-29 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-27
2024-08-29 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 2024-09-27
2024-08-29 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-27
2023-07-14 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
G
Actual harm
Corrected 2023-08-08
2023-07-14 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
G
Actual harm
Corrected 2023-08-08
2023-07-14 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-08-08
2023-07-14 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-08-08
2023-07-14 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-08-08
2023-07-14 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 2023-08-08
2023-07-14 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-08
2023-07-14 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-08
2023-07-14 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
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-08
2023-07-14 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-08
2023-07-14 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 2023-08-08
2023-07-14 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 2023-08-08
2023-07-14 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-08
2023-07-14 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-08
2023-07-14 Provide a neutral and fair arbitration process and agree to arbitrator and venue.
F0848 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-08
2023-07-14 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-08
2023-07-14 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-08

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

7 penalties in the last three years, including $48,758 in fines.

DateTypeAmount
2024-08-29Fine$21,320
2023-09-25Fine$4,587
2023-09-18Fine$4,587
2023-09-11Fine$4,545
2023-09-05Fine$4,587
2023-08-28Fine$4,587
2023-08-21Fine$4,545

Ownership & management

NameRoleSince
Moscow 640 Realty, LLC (organization)5%+ Security Interest · NOT APPLICABLE
White Oak Healthcare Finance LLC (organization)5%+ Security Interest · NOT APPLICABLE
Bong, Daniel (individual)Administrator · NOT APPLICABLE
Cascadia Services LLC (organization)Administrator · NOT APPLICABLE
Moscow 640 Realty, LLC (organization)Administrator · NOT APPLICABLE
Spady, Robert (individual)Administrator · NOT APPLICABLE
Bong, Daniel (individual)Operational/managerial Control · NOT APPLICABLE
Cascadia Services LLC (organization)Operational/managerial Control · NOT APPLICABLE
Hammond, Owen (individual)Operational/managerial Control · NOT APPLICABLE
Nelson, Timothy (individual)Operational/managerial Control · NOT APPLICABLE
Spady, Robert (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Paradise Creek Health and Rehab of Cascadia?

Paradise Creek Health and Rehab 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 Paradise Creek Health and Rehab of Cascadia have?

It has 63 certified beds and cares for about 47 residents per day.

Has Paradise Creek Health and Rehab of Cascadia been fined?

Yes. CMS lists 7 penalties totaling $48,758 in the last three years.

Who owns Paradise Creek Health and Rehab 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 Paradise Creek Health and Rehab of Cascadia?

(208) 882-6560. The facility is located at 640 North Eisenhower Street, Moscow, ID 83843.

Other nursing homes in Moscow

Compare all nursing homes in Moscow, ID →

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