Nursing home
The Orchards of Cascadia
404 North Horton Street, Nampa, ID 83651 · Map
For profit - Limited Liability company · Part of Cascadia Healthcare (44 facilities) · 100 certified beds
The Orchards of Cascadia is a Medicare-certified nursing home in Nampa, Idaho. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 4.01 hours per resident per day, below the Idaho average of 4.07. Its most recent inspection on Dec 1, 2025 cited 7 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 1 fine totaling $8,824In 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 The Orchards 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) | 4.01 | 4.07 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.67 | 0.83 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.43 | 2.47 | 2.34 | below avg |
| Nursing staff turnover | 50.5% | 49.0% | 46.4% | above 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.
- Every deficiency from the January 8, 2026 inspection was corrected by January 29, 2026
Penalties in CMS records: 1 fine totaling $8,824, 1 total penalty.
What inspectors found at The Orchards 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
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 8, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Dec 1, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 1, 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 · Dec 1, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Dec 1, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 1, 2025 · Full report (PDF) - Immediate jeopardy
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Nov 14, 2025 · Full report (PDF) - Actual 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 · Jun 6, 2024 · Full report (PDF) - 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 · Jun 6, 2024 · 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 · Jun 6, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 15, 2019 - 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 · Feb 15, 2019
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
- 404 North Horton Street
Nampa, ID 83651 - CMS certification #
- 135019
- Ownership
- For profit - Limited Liability company
- Certified beds
- 100
- Avg residents/day
- 89.2
- Provider type
- Medicare and Medicaid
- First certified
- 1970-05-01
- 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 The Orchards 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 Luke'S Nampa Medical Center, Nampa. 2.0 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Meadow View Nursing and Rehabilitation, Nampa. 0.5 miles away, straight line.
- Nearest home health agency office
- Horizon Home Health West, Caldwell. 7.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 83651 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Nampa Dialysis Center, Nampa, 0.9 miles away, straight line (CMS rating 2 of 5 stars)
Fresenius Kidney Care North Nampa, Nampa, 1.7 miles away, straight line
Liberty Dialysis - Nampa, Nampa, 2.3 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 22 Medicare hospices tell CMS they serve ZIP code 83651.
Journeys Hospice, office in Nampa, 2.0 miles away, straight line
Doctors Hospice Of Idaho, office in Nampa, 2.4 miles away, straight line
Horizon Hospice West, office in Caldwell, 7.1 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Saint Alphonsus Regional Medical Center Inc, Meridian. 8.2 miles away, straight line. 2 geriatric medicine doctors 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)
- FEMA National Risk Index
- Overall: very low. By hazard: inland flooding very low, tornado very low, heat wave relatively low, 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 | Not shown: no FEMA wildfire rating of moderate or higher here |
| 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 The Orchards of Cascadia a good nursing home?
CMS gives The Orchards of Cascadia an overall rating of 1 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Orchards of Cascadia staffed?
The Orchards of Cascadia reports 4.01 total nurse hours per resident per day, compared with the Idaho average of 4.07.
Has The Orchards of Cascadia had inspection problems?
Its most recent CMS inspection cited 7 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does The Orchards of Cascadia have?
The Orchards of Cascadia is certified for 100 beds.