Nursing home
Cascades at Desert View
820 Sprague Avenue, Buhl, ID 83316 · Map
For profit - Limited Liability company · Part of Cascades Healthcare (20 facilities) · 57 certified beds
Cascades at Desert View is a Medicare-certified nursing home in Buhl, Idaho. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 1/5 for health inspections). Nurse staffing is 4.43 hours per resident per day, above the Idaho average of 4.07. Its most recent inspection on Apr 3, 2025 cited 17 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Cascades at Desert View compares
This facility vs. the Idaho and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Idaho avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.43 | 4.07 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.60 | 0.83 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.00 | 2.47 | 2.34 | above avg |
| Nursing staff turnover | 40.8% | 49.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 17.0 | 8.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Cascades at Desert View
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Nov 19, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 19, 2025 · Full report (PDF) - Potential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 3, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 3, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 820 Sprague Avenue
Buhl, ID 83316 - CMS certification #
- 135089
- Ownership
- For profit - Limited Liability company
- Certified beds
- 57
- Avg residents/day
- 32.6
- Provider type
- Medicare and Medicaid
- First certified
- 1981-10-01
- Chain
- Cascades Healthcare (20 facilities)
- Setting
- Urban
Part of Cascades Healthcare
Cascades Healthcare operates 20 nursing facilities across the United States. View all Cascades Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Cascades at Desert View using Google Maps.
Other public records
- Website says Respite stays, diabetes care
Full public records, with dates and sources
Care and services
From the community’s website
What Cascades at Desert View says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Location and nearby care
- Nearest hospital with an emergency room
- St Lukes Magic Valley Medical Center, Twin Falls. 14.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Serenity Transitional Care, Twin Falls. 13.2 miles away, straight line.
- Nearest home health agency office
- Idaho Home Health & Hospice, Twin Falls. 14.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 13.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 83316 as rural (rural area).
- Dialysis within 15 miles
- Davita Twin Falls Dialysis Center, Twin Falls, 13.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Magic Valley Kidney Center, Twin Falls, 13.4 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 83316.
Harrison'S Hope Twin Falls, office in Twin Falls, 14.5 miles away, straight line
Idaho Home Health & Hospice, office in Twin Falls, 14.6 miles away, straight line (CMS family survey rating 5 of 5 stars)
Horizon Hospice Magic Valley, office in Twin Falls, 14.7 miles away, straight line - Nearest geriatric medicine practice
- St Lukes Clinic-Treasure Valley LLC, Boise. 101.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Buhl, ID, risk to homes is greater than 64% of communities in Idaho and 89% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire relatively high, tornado very low, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Cascades at Desert View a good nursing home?
CMS gives Cascades at Desert View an overall rating of 2 out of 5 stars, including 4/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Cascades at Desert View staffed?
Cascades at Desert View reports 4.43 total nurse hours per resident per day, compared with the Idaho average of 4.07.
Has Cascades at Desert View had inspection problems?
Its most recent CMS inspection cited 17 deficiencies.
How many beds does Cascades at Desert View have?
Cascades at Desert View is certified for 57 beds.