Nursing home
Grangeville Health & Rehabilitation of Cascadia
410 East North Second Street, Grangeville, ID 83530 · Map
For profit - Corporation · Part of Cascadia Healthcare (44 facilities) · 60 certified beds
Grangeville Health & Rehabilitation of Cascadia is a Medicare-certified nursing home in Grangeville, Idaho. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.53 hours per resident per day, below the Idaho average of 4.07. Its most recent inspection on Aug 8, 2025 cited 6 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Grangeville 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) | 3.53 | 4.07 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.70 | 0.83 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.41 | 2.47 | 2.34 | below avg |
| Nursing staff turnover | 75.5% | 49.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 6.0 | 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.
- Every deficiency from the August 8, 2025 inspection was corrected by September 10, 2025
What inspectors found at Grangeville 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 · Aug 8, 2025 · Full report (PDF) - Potential for harm
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · Aug 8, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Aug 8, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 8, 2025 · Full report (PDF) - Potential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Aug 8, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Aug 8, 2025 · Full report (PDF) - Potential for harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Oct 25, 2024 · Full report (PDF) - Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Oct 25, 2024 · 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 · Feb 6, 2020 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 6, 2020 - 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 · Feb 6, 2020 - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Feb 6, 2020
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
- 410 East North Second Street
Grangeville, ID 83530 - CMS certification #
- 135080
- Ownership
- For profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 43.6
- Provider type
- Medicare and Medicaid
- First certified
- 1980-01-01
- 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 Grangeville 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
- Syringa General Hospital, Grangeville. 0.8 miles away, straight line.
- Nearest Medicare nursing home
- Clearwater Health & Rehabilitation of Cascadia, Orofino. 39.9 miles away, straight line.
- Nearest home health agency office
- Elite Home Health, Lewiston. 55.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Irwin Drugs. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 83530 as rural (rural area).
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 83530.
Syringa General Hospital Hospice, office in Grangeville, 0.8 miles away, straight line - Nearest geriatric medicine practice
- Montana Stillwater Health PLLC, Missoula. 119.0 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 (effective June 1, 1984), 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 Grangeville, ID, risk to homes is greater than 69% of communities in Idaho and 92% 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 high. By hazard: inland flooding relatively high, wildfire very high, tornado very low, heat wave relatively moderate, 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 | Could not read the site |
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Frequently asked questions
Is Grangeville Health & Rehabilitation of Cascadia a good nursing home?
CMS gives Grangeville Health & Rehabilitation of Cascadia an overall rating of 4 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 Grangeville Health & Rehabilitation of Cascadia staffed?
Grangeville Health & Rehabilitation of Cascadia reports 3.53 total nurse hours per resident per day, compared with the Idaho average of 4.07.
Has Grangeville Health & Rehabilitation of Cascadia had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Grangeville Health & Rehabilitation of Cascadia have?
Grangeville Health & Rehabilitation of Cascadia is certified for 60 beds.