Royal Plaza Health and Rehabilitation of Cascadia

Nursing Home · Lewiston, ID

CMS overall rating 2/5 For profit - Corporation

CMS certification number135116

Contact & location

2870 Juniper Drive
Lewiston, ID 83501
Nez Perce County
Phone
(208) 746-2855
ZIP code
83501 – all care providers

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Facility details

Certified beds
76
Residents per day
70.4 (93% occupied)
Ownership
For profit - Corporation
Legal name
Lewiston Center of Cascadia, LLC
Chain
Cascadia Healthcare (46 facilities, avg 3.0★)
Medicare certified since
December 1, 1993
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.1
Health inspections★★★★★ 2/5
State avg 2.7
Staffing★★★★★ 3/5
State avg 3.1
Quality measures★★★★★ 2/5
State avg 4.1
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 2/5

Staffing

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

Total nurse staffing
3.24 (state 4.04 · U.S. 3.86)
Registered nurses (RN)
0.96 (state 0.86 · U.S. 0.69)
Licensed practical nurses
0.27 (state 0.74 · U.S. 0.86)
Nurse aides
2.01 (state 2.44 · U.S. 2.32)
Weekend total
2.67 (state 3.49 · U.S. 3.42)
Nursing staff turnover
53.4 (state 50.3 · U.S. 45.8)%
RN turnover
41.7 (state 40.9 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
June 26, 2026
Health deficiencies (last cycle)
12.0 (state 10.2 · U.S. 9.3)
From complaints
12
Citations on record (3 years)
25 health · 7 fire safety
DateCitationSeverityStatus
2026-06-26 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 2026-07-31
2026-06-26 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 2026-07-31
2026-06-26 Provide a neutral and fair arbitration process and agree to arbitrator and venue.
F0848 · Administration Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-07-31
2026-06-26 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 · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-31
2026-06-26 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-21
2026-06-26 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-31
2026-06-26 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 2026-07-31
2026-06-26 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 2026-07-31
2026-06-26 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-31
2026-06-26 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 2026-07-31
2026-06-26 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 2026-07-31
2026-06-26 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-31
2025-04-17 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 2025-05-19
2025-04-17 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 2025-05-19
2025-04-17 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-19
2024-11-08 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-13
2024-11-08 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 · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-13
2024-11-08 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-13
2024-11-08 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
F0622 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-13
2024-11-08 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 · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-13
2024-11-08 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-13
2024-11-08 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 2024-12-13
2024-11-08 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 2024-12-13
2024-11-08 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-13
2024-11-08 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-13

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 Ohi 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
Flemming, Thomas (individual)Administrator · NOT APPLICABLE
Rudolph, John (individual)Administrator · NOT APPLICABLE
Timberline Ohi 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 HC Group LLC (organization)Operational/managerial Control · NOT APPLICABLE
Cascadia Healthcare LLC (organization)Operational/managerial Control · NOT APPLICABLE
Cascadia Holdco LLC (organization)Operational/managerial Control · NOT APPLICABLE
Cascadia Services LLC (organization)Operational/managerial Control · NOT APPLICABLE
Flemming, Thomas (individual)Operational/managerial Control · NOT APPLICABLE
Hammond, Owen (individual)Operational/managerial Control · NOT APPLICABLE
Laforte, Stephen (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 Royal Plaza Health and Rehabilitation of Cascadia?

Royal Plaza Health and Rehabilitation of Cascadia has a 2-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 Royal Plaza Health and Rehabilitation of Cascadia have?

It has 76 certified beds and cares for about 70 residents per day.

Has Royal Plaza Health and Rehabilitation of Cascadia been fined?

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

Who owns Royal Plaza 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 Royal Plaza Health and Rehabilitation of Cascadia?

(208) 746-2855. The facility is located at 2870 Juniper Drive, 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.