Clarkston Health and Rehab of Cascadia
Nursing Home · Clarkston, WA
CMS certification number505283
Contact & location
1242 Eleventh StreetClarkston, WA 99403
Asotin County
- Phone
- (509) 758-2523
- ZIP code
- 99403 – all care providers
Facility details
- Certified beds
- 90
- Residents per day
- 81.8 (91% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Clarkston of Cascadia, LLC
- Chain
- Cascadia Healthcare (46 facilities, avg 3.0★)
- Medicare certified since
- January 1, 1984
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.47 (state 4.37 · U.S. 3.86)
- Registered nurses (RN)
- 1.10 (state 0.94 · U.S. 0.69)
- Licensed practical nurses
- 0.45 (state 0.77 · U.S. 0.86)
- Nurse aides
- 1.92 (state 2.66 · U.S. 2.32)
- Weekend total
- 2.92 (state 3.81 · U.S. 3.42)
- Nursing staff turnover
- 22.5 (state 45.1 · U.S. 45.8)%
- RN turnover
- 22.7 (state 45.4 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- August 18, 2025
- Health deficiencies (last cycle)
- 16.0 (state 16.1 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 53 health · 27 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-08-18 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577 · Resident Rights Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-18 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-18 | 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 2025-10-03 |
| 2025-08-18 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-18 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-18 | 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 2025-10-03 |
| 2025-08-18 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. F0728 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-18 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-18 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-18 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-18 | 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 2025-10-03 |
| 2025-08-18 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-18 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-18 | Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-08-18 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-03 |
| 2025-04-15 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-16 |
| 2024-11-01 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-03 |
| 2024-11-01 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-03 |
| 2024-10-04 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-15 |
| 2024-10-04 | Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-15 |
| 2024-01-26 | 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 |
F No actual harm, potential for more than minimal harm |
Corrected 2024-03-01 |
| 2024-01-26 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-01 |
| 2024-01-26 | 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 2024-03-01 |
| 2024-01-26 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-01 |
| 2024-01-26 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-01 |
| 2024-01-26 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-01 |
| 2024-01-26 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-01 |
| 2024-01-26 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-01 |
| 2024-01-26 | 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 2024-03-01 |
| 2024-01-26 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-01 |
| 2024-01-26 | 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 2024-03-01 |
| 2024-01-26 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-01 |
| 2024-01-26 | 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 2024-03-01 |
| 2024-01-26 | 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 2024-03-01 |
| 2024-01-26 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-01 |
| 2024-01-26 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-01 |
| 2024-01-16 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-01 |
| 2024-01-16 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-01 |
| 2023-09-25 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-10-16 |
| 2023-09-25 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-31 |
| 2023-09-25 | 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 2023-10-31 |
| 2022-10-28 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2022-12-09 |
| 2022-10-28 | 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 2022-12-09 |
| 2022-10-28 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2022-12-09 |
| 2022-10-28 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-12-09 |
| 2022-10-28 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-12-09 |
| 2022-10-28 | 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 2022-12-09 |
| 2022-10-28 | 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 2022-12-09 |
| 2022-10-28 | 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 2022-12-09 |
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 $32,711 in fines.
| Date | Type | Amount |
|---|---|---|
| 2023-09-25 | Fine | $32,711 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| 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 | |
| Rudolph, John (individual) | Administrator · NOT APPLICABLE | |
| Schiller, Andrew (individual) | Administrator · NOT APPLICABLE | |
| Timberline Ohi Tenant LLC (organization) | Administrator · NOT APPLICABLE | |
| Cascadia Washington 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 | |
| Nelson, Timothy (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Rudolph, John (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Schiller, Andrew (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Clarkston Health and Rehab of Cascadia?
Clarkston Health and Rehab of Cascadia has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Washington.
How many beds does Clarkston Health and Rehab of Cascadia have?
It has 90 certified beds and cares for about 82 residents per day.
Has Clarkston Health and Rehab of Cascadia been fined?
Yes. CMS lists 1 penalty totaling $32,711 in the last three years.
Who owns Clarkston 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 Clarkston Health and Rehab of Cascadia?
(509) 758-2523. The facility is located at 1242 Eleventh Street, Clarkston, WA 99403.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.