Nursing home
Lewiston Transitional Care of Cascadia
3315 8Th Street, Lewiston, ID 83501 · Map
For profit - Limited Liability company · Part of Cascadia Healthcare (44 facilities) · 96 certified beds
Lewiston Transitional Care of Cascadia is a Medicare-certified nursing home in Lewiston, Idaho. CMS rates it 4 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.47 hours per resident per day, below the Idaho average of 4.07. Its most recent inspection on Aug 21, 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 Lewiston Transitional Care 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) | 3.47 | 4.07 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.50 | 0.83 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.36 | 2.47 | 2.34 | below avg |
| Nursing staff turnover | 33.3% | 49.0% | 46.4% | below 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 21, 2025 inspection was corrected by September 22, 2025
What inspectors found at Lewiston Transitional Care 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 21, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Aug 21, 2025 · Full report (PDF)
Show all 12 deficiencies
- 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 · Aug 21, 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 · Jun 13, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jun 13, 2024 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Jun 13, 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 · Jan 9, 2020 - Potential for harm
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.
Resident Rights Deficiencies · Jan 9, 2020 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 9, 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
- 3315 8Th Street
Lewiston, ID 83501 - CMS certification #
- 135021
- Ownership
- For profit - Limited Liability company
- Certified beds
- 96
- Avg residents/day
- 65.5
- Provider type
- Medicare and Medicaid
- First certified
- 1972-09-01
- 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 Lewiston Transitional Care 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
- St Joseph Regional Medical Center, Lewiston. 2.9 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Orchard View Post Acute, Lewiston. 0.6 miles away, straight line.
- Nearest home health agency office
- Elite Home Health, Lewiston. 3.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.2 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, 1.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Tri-State Memorial Hospital-Dialysis, Clarkston, 3.4 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, 3.2 miles away, straight line
Heart 'N Home Hospice, office in Lewiston, 3.3 miles away, straight line (CMS family survey rating 5 of 5 stars)
Elite Hospice, office in Clarkston, 4.3 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Kadlec Regional Medical Center, Kennewick. 102.3 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 Lewiston Transitional Care of Cascadia a good nursing home?
CMS gives Lewiston Transitional Care of Cascadia an overall rating of 4 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Lewiston Transitional Care of Cascadia staffed?
Lewiston Transitional Care of Cascadia reports 3.47 total nurse hours per resident per day, compared with the Idaho average of 4.07.
Has Lewiston Transitional Care of Cascadia had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Lewiston Transitional Care of Cascadia have?
Lewiston Transitional Care of Cascadia is certified for 96 beds.