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Nursing home · Top rated by CMS

Payette Healthcare of Cascadia

1019 Third Avenue South, Payette, ID 83661 · Map
For profit - Limited Liability company · Part of Cascadia Healthcare (44 facilities) · 80 certified beds

Medicare and Medicaid certified
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Payette Healthcare of Cascadia is a Medicare-certified nursing home in Payette, Idaho. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.84 hours per resident per day, below the Idaho average of 4.07. Its most recent inspection on Sep 12, 2025 cited 10 deficiencies.

5 out of 5Overall CMS rating
4 out of 5Health inspections
5 out of 5Staffing
80 bedsCertified beds

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating5/5
Health inspections4/5
Staffing5/5
Quality measures3/5
Long-stay quality3/5
Short-stay quality2/5

How Payette Healthcare 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.

MetricThis facilityIdaho avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.844.073.89below avg
RN staffing (hrs/resident/day)1.300.830.68above avg
Aide staffing (hrs/resident/day)2.302.472.34below avg
Nursing staff turnover37.2%49.0%46.4%below avg
Deficiencies cited, last inspection10.08.89.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.84Total nurse hrs/resident/day
1.30RN hrs/resident/day
0.24LPN hrs/resident/day
2.30Aide hrs/resident/day
3.13Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff37.2%
Registered nurses25.0%
Administrator changes0 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Sep 12, 2025Most recent inspection
10Deficiencies found
40Health inspection score
0Fines

What inspectors found at Payette Healthcare 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

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Sep 12, 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 · Sep 12, 2025 · Full report (PDF)
  • Potential for harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Pharmacy Service Deficiencies · Sep 12, 2025 · Full report (PDF)
  • Potential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Quality of Life and Care Deficiencies · Sep 12, 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 · Sep 12, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Resident Assessment and Care Planning Deficiencies · Sep 12, 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 · Sep 12, 2025 · Full report (PDF)
  • Potential for harm

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies · Sep 12, 2025 · Full report (PDF)
  • Potential for harm

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Resident Rights Deficiencies · Sep 12, 2025 · Full report (PDF)
  • Potential for harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 12, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Aug 9, 2024 · Full report (PDF)
  • Potential for harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Resident Rights Deficiencies · Aug 9, 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
1019 Third Avenue South
Payette, ID 83661
CMS certification #
135015
Ownership
For profit - Limited Liability company
Certified beds
80
Avg residents/day
48.4
Provider type
Medicare and Medicaid
First certified
1977-07-01
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 →

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Location and nearby

Explore the area around Payette Healthcare 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
Saint Alphonsus Medical Center Ontario, Ontario. 3.9 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
Nearest Medicare nursing home
Weiser Care of Cascadia, Weiser. 12.4 miles away, straight line.
Nearest home health agency office
Canyon Home Care & Hospice, Fruitland. 3.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
The Prescription Pad. 3.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 83661 as micropolitan (micropolitan core).
Dialysis within 15 miles
Davita Four Rivers Dialysis Center, Ontario, 3.5 miles away, straight line (CMS rating 3 of 5 stars)
Davita Fruitland Dialysis, Fruitland, 7.1 miles away, straight line (CMS rating 3 of 5 stars)
Hospice
10 Medicare hospices tell CMS they serve ZIP code 83661.
Canyon Home Care & Hospice, office in Fruitland, 3.2 miles away, straight line
Enhabit Hospice Of Idaho, office in Fruitland, 3.9 miles away, straight line
Ancora Hospice & Palliative Services, LLC, office in Fruitland, 3.9 miles away, straight line (CMS family survey rating 3 of 5 stars)
Nearest geriatric medicine practice
Saint Alphonsus Regional Medical Center Inc, Eagle. 39.1 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 (effective February 15, 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 Payette, ID, risk to homes is greater than 61% of communities in Idaho and 87% 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 low. By hazard: inland flooding relatively moderate, wildfire relatively moderate, 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.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026See above
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteCould not read the site

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Frequently asked questions

Is Payette Healthcare of Cascadia a good nursing home?

CMS gives Payette Healthcare of Cascadia an overall rating of 5 out of 5 stars, including 5/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Payette Healthcare of Cascadia staffed?

Payette Healthcare of Cascadia reports 3.84 total nurse hours per resident per day, compared with the Idaho average of 4.07.

Has Payette Healthcare of Cascadia had inspection problems?

Its most recent CMS inspection cited 10 deficiencies.

How many beds does Payette Healthcare of Cascadia have?

Payette Healthcare of Cascadia is certified for 80 beds.