Nursing home
Cascadia of Lewiston
2852 Juniper Drive, Lewiston, ID 83501 · Map
For profit - Limited Liability company · Part of Cascadia Healthcare (44 facilities) · 34 certified beds
Cascadia of Lewiston is a Medicare-certified nursing home in Lewiston, Idaho. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.92 hours per resident per day, below the Idaho average of 4.07. Its most recent inspection on Apr 3, 2025 cited 8 deficiencies.
- 1 fine totaling $2,098In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Cascadia of Lewiston 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) | 3.92 | 4.07 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 1.12 | 0.83 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.96 | 2.47 | 2.34 | below avg |
| Nursing staff turnover | 67.4% | 49.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 8.0 | 8.8 | 9.5 | below 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.
Penalties in CMS records: 1 fine totaling $2,098, 1 total penalty.
What inspectors found at Cascadia of Lewiston
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Apr 3, 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 · Apr 3, 2025 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Apr 3, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · May 3, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 3, 2024 · 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 · May 3, 2024 · 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 · May 3, 2024 · 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
- 2852 Juniper Drive
Lewiston, ID 83501 - CMS certification #
- 135145
- Ownership
- For profit - Limited Liability company
- Certified beds
- 34
- Avg residents/day
- 30.2
- Provider type
- Medicare
- First certified
- 2018-06-28
- Chain
- Cascadia Healthcare (44 facilities)
- Setting
- Urban
Part of Cascadia Healthcare
Cascadia Healthcare operates 44 nursing facilities across the United States. View all Cascadia Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Cascadia of Lewiston using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- St Joseph Regional Medical Center, Lewiston. 2.2 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Royal Plaza Health and Rehabilitation of Cascadia, Lewiston. 0.0 miles away, straight line.
- Nearest home health agency office
- Elite Home Health, Lewiston. 2.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 83501 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Lewis-Clark Kidney Center, Lewiston, 1.0 mile away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Tri-State Memorial Hospital-Dialysis, Clarkston, 3.1 miles away, straight line (CMS rating 1 of 5 stars) - Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 83501.
Elite Hospice, office in Lewiston, 2.5 miles away, straight line
Heart 'N Home Hospice, office in Lewiston, 2.6 miles away, straight line (CMS family survey rating 5 of 5 stars)
Elite Hospice, office in Clarkston, 3.8 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Kadlec Regional Medical Center, Kennewick. 102.4 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
- FEMA has a flood map for this community (takes effect October 29, 2026), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: inland flooding relatively moderate, wildfire relatively low, tornado very low, heat wave relatively moderate, earthquake very 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 | Not shown: FEMA rates wildfire risk here relatively low |
| 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 | Could not read the site |
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Frequently asked questions
Is Cascadia of Lewiston a good nursing home?
CMS gives Cascadia of Lewiston an overall rating of 2 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Cascadia of Lewiston staffed?
Cascadia of Lewiston reports 3.92 total nurse hours per resident per day, compared with the Idaho average of 4.07.
Has Cascadia of Lewiston had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Cascadia of Lewiston have?
Cascadia of Lewiston is certified for 34 beds.