Nursing home · Top rated by CMS
Clearwater Health & Rehabilitation of Cascadia
1204 Shriver Road, Orofino, ID 83544 · Map
For profit - Limited Liability company · Part of Cascadia Healthcare (44 facilities) · 60 certified beds
Clearwater Health & Rehabilitation of Cascadia is a Medicare-certified nursing home in Orofino, Idaho. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.15 hours per resident per day, below the Idaho average of 4.07. Its most recent inspection on Apr 17, 2025 cited 7 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Clearwater Health & Rehabilitation of Cascadia 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) | 3.15 | 4.07 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.79 | 0.83 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.06 | 2.47 | 2.34 | below avg |
| Nursing staff turnover | 44.4% | 49.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 7.0 | 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.
What inspectors found at Clearwater Health & Rehabilitation of Cascadia
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
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 17, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · Apr 17, 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 17, 2025 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Apr 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 17, 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 · Feb 4, 2022 - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Feb 4, 2022 - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Feb 4, 2022 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 14, 2021 - 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 · Jun 14, 2021
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
- 1204 Shriver Road
Orofino, ID 83544 - CMS certification #
- 135048
- Ownership
- For profit - Limited Liability company
- Certified beds
- 60
- Avg residents/day
- 40.5
- Provider type
- Medicare and Medicaid
- First certified
- 1969-11-19
- Chain
- Cascadia Healthcare (44 facilities)
- Setting
- Rural
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 Clearwater Health & Rehabilitation of Cascadia using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Clearwater Valley Hospital & Clinics, Orofino. 0.7 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Orchard View Post Acute, Lewiston. 34.8 miles away, straight line.
- Nearest home health agency office
- Elite Home Health, Lewiston. 36.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 35.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 83544 as rural (rural area).
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 83544.
- Nearest geriatric medicine practice
- Montana Stillwater Health PLLC, Missoula. 109.1 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)
- Wildfire risk to homes
- In Orofino, ID, risk to homes is greater than 95% of communities in Idaho and 99% 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 low, 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 | 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 | Could not read the site |
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Frequently asked questions
Is Clearwater Health & Rehabilitation of Cascadia a good nursing home?
CMS gives Clearwater Health & Rehabilitation of Cascadia an overall rating of 5 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Clearwater Health & Rehabilitation of Cascadia staffed?
Clearwater Health & Rehabilitation of Cascadia reports 3.15 total nurse hours per resident per day, compared with the Idaho average of 4.07.
Has Clearwater Health & Rehabilitation of Cascadia had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Clearwater Health & Rehabilitation of Cascadia have?
Clearwater Health & Rehabilitation of Cascadia is certified for 60 beds.