Royal Plaza Health and Rehabilitation of Cascadia
Certified for Medicare and Medicaid since 1993-12-01, Royal Plaza Health and Rehabilitation of Cascadia is a 76-bed nursing home in Lewiston, Idaho, averaging 70.4 residents a day.
Has Royal Plaza Health and Rehabilitation of Cascadia been cited for violations?
CMS lists 25 health-inspection deficiencies for Royal Plaza Health and Rehabilitation of Cascadia, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-06-26.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-26 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2026-06-26 | F0628, F0848 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide a neutral and fair arbitration process and agree to arbitrator and venue. | E |
| 2026-06-26 | F0578, F0600, F0656, F0684, F0695, F0761, F0842, F0880, F0883 | 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2025-04-17 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-04-17 | F0684, F0760 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that residents are free from significant medication errors. | D |
| 2024-11-08 | F0565, F0585, F0908 | Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / Keep all essential equipment working safely. | E |
| 2024-11-08 | F0622, F0623, F0625, F0644, F0657, F0658, F0760 | 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that residents are free from significant medication errors. | D |
How is Royal Plaza Health and Rehabilitation of Cascadia staffed relative to the ID average?
| Measure | This facility | ID average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.24027 | 4.04398 |
| Total nursing staff turnover (%) | 53.4 | 50.3 |
| Average number of residents per day | 70.4 | 56.9 |
Who owns Royal Plaza Health and Rehabilitation of Cascadia, and what chain is it in?
Royal Plaza Health and Rehabilitation of Cascadia is registered with CMS as For profit - Corporation, operates under the legal business name LEWISTON CENTER OF CASCADIA, LLC and belongs to the CASCADIA HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | CASCADIA IDAHO OPERATIONS LLC | since 02/01/2022 |
| INDIRECT OWNERSHIP INTEREST | CASCADIA HC GROUP LLC, CASCADIA HEALTHCARE LLC, CASCADIA HOLDCO LLC, HAMMOND, OWEN, LAFORTE, STEPHEN, NELSON, TIMOTHY | since 02/01/2022 |
| 5% OR GREATER SECURITY INTEREST | TIMBERLINE OHI TENANT LLC, WHITE OAK HEALTHCARE FINANCE LLC | since 06/05/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | CASCADIA HC GROUP LLC, CASCADIA HEALTHCARE LLC, CASCADIA HOLDCO LLC, CASCADIA SERVICES LLC, FLEMMING, THOMAS, HAMMOND, OWEN, LAFORTE, STEPHEN, NELSON, TIMOTHY, RUDOLPH, JOHN | since 01/23/2025 |
| ADP OF THE SNF | CASCADIA SERVICES LLC, TIMBERLINE OHI TENANT LLC, FLEMMING, THOMAS, RUDOLPH, JOHN | since 01/23/2025 |
Were you or a family member harmed at Royal Plaza Health and Rehabilitation of Cascadia?