Nursing home
Silverton Health and Rehabilitation of Cascadia
405 West Seventh Street, Silverton, ID 83867 · Map
For profit - Corporation · Part of Cascadia Healthcare (44 facilities) · 55 certified beds
Silverton Health and Rehabilitation of Cascadia is a Medicare-certified nursing home in Silverton, Idaho. Nurse staffing is 3.30 hours per resident per day, below the Idaho average of 4.07. Its most recent inspection on Jan 9, 2026 cited 9 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus FacilityCMS has identified this facility for enhanced oversight.
- 1 fine totaling $41,954In 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 Silverton Health and 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) | 3.30 | 4.07 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.55 | 0.83 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.20 | 2.47 | 2.34 | below avg |
| Nursing staff turnover | 51.4% | 49.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 9.0 | 8.8 | 9.5 | above 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.
Penalties in CMS records: 1 fine totaling $41,954, 1 total penalty.
What inspectors found at Silverton Health and 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 · Jan 9, 2026 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Jan 9, 2026 · 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, 2026 · 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 · Jan 9, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 9, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jan 9, 2026 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jan 9, 2026 · Full report (PDF) - Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Jan 9, 2026 · 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 · Jan 9, 2026 · 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 27, 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 · Jun 27, 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 · Jun 27, 2025 · 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
- 405 West Seventh Street
Silverton, ID 83867 - CMS certification #
- 135058
- Ownership
- For profit - Corporation
- Certified beds
- 55
- Avg residents/day
- 47.2
- Provider type
- Medicare and Medicaid
- First certified
- 1974-10-01
- 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 Silverton Health and 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
- Shoshone Medical Center, Kellogg. 8.7 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Mountain Valley of Cascadia, Kellogg. 8.6 miles away, straight line.
- Nearest home health agency office
- Loving Care And More, Silverton. 0.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Kohal's. 2.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 83867 as rural (rural area).
- Hospice
- 1 Medicare hospice tells CMS it serves ZIP code 83867.
- Nearest geriatric medicine practice
- Montana Stillwater Health PLLC, Missoula. 99.3 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
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Silverton, ID, risk to homes is greater than 56% of communities in Idaho and 85% 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: very high. By hazard: inland flooding very high, 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.
| 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
How is Silverton Health and Rehabilitation of Cascadia staffed?
Silverton Health and Rehabilitation of Cascadia reports 3.30 total nurse hours per resident per day, compared with the Idaho average of 4.07.
Has Silverton Health and Rehabilitation of Cascadia had inspection problems?
Its most recent CMS inspection cited 9 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Silverton Health and Rehabilitation of Cascadia have?
Silverton Health and Rehabilitation of Cascadia is certified for 55 beds.