Cascadia Healthcare

PBJ Takeaway: Cascadia Healthcare

44 Facilities5 States100% For-ProfitAvg. Overall Rating: 3.3Avg. Staffing Rating: 2.9Staffing Rating: 2.9

Cascadia Healthcare operates 44 nursing homes across 5 states, all classified as for-profit. Its average CMS overall rating is 3.3 stars.

Across the portfolio, facilities report an average of 3.80 total nurse HPRD, including 0.80 RN hours, near the national ratio of 3.77 HPRD.

18% of Cascadia Healthcare facilities meet PBJ320 high-risk criteria (e.g. special focus facility, one-star overall, abuse icon). CMS reports a total of 56 fines ($968,947) for the chain's nursing homes.

320 Consulting

Cascadia Healthcare Key Metrics

Providers

States

Avg. Rating

3.3

Total Fines

$968,947

– Cascadia Healthcare

Special Focus Facilities (SFFs)

SFF Candidates

1-Star Overall

Cited for Abuse

Avg. CMS 5-Star Rating – Cascadia Healthcare

Overall

3.3

Health Inspection

3.0

Staffing

2.9

Quality Measures

4.0

Cascadia Healthcare Facilities

Nursing homes affiliated with this entity. Latest quarter staffing from CMS PBJ data. Click column headers to sort.

State	Provider	City	Total HPRD	RN HPRD	Overall Rating	Staffing Rating
AZ	Boswell Transitional Care of Cascadia	Sun City	4.26	0.72	5	4
AZ	Northpark Health and Rehabilitation of Cascadia	Phoenix	4.13	0.84	5	1
ID	Cascadia of Nampa ⚠	Nampa	3.91	1.04	1	4
ID	Cascadia of Lewiston	Lewiston	3.92	1.12	2	1
ID	Cascadia of Boise	Boise	4.25	0.59	3	2
MT	Libby Care Center	Libby	2.90	0.50	3	3
MT	Mount Ascension Transitional Care of Cascadia	Helena	3.34	0.62	2	3
MT	Mountain View of Cascadia	Eureka	2.90	1.11	4	4
OR	Fairlawn Health and Rehab of Cascadia	Gresham	4.71	0.80	4	4
OR	Creekside Health and Rehab of Cascadia	Eugene	4.81	0.66	5	4
OR	Curry Village Health and Rehab of Cascadia ⚠	Brookings	4.43	0.83	2	4
OR	Secora Rehabilitation of Cascadia	Portland	4.39	0.63	3	4
WA	Alderwood Park Health and Rehab of Cascadia	Bellingham	3.80	0.93	3	3
WA	Spokane Valley Health and Rehabilitation of Cascad	Spokane Valley	3.75	0.81	2	3
WA	Highland Health and Rehabilitation of Cascadia	Bellingham	4.01	1.44	4	4
WA	Colfax Health and Rehabilitation of Cascadia ⚠	Colfax	3.85	0.77	1	3
WA	Hudson Bay Health and Rehabilitation	Vancouver	3.91	1.01	5	2
WA	Colville Health and Rehabilitation of Cascadia ⚠	Colville	3.78	0.66	1	2
WA	Clarkston Health and Rehab of Cascadia	Clarkston	3.73	1.25	4	3
WA	Brookfield Health and Rehab of Cascadia	Battle Ground	3.62	1.00	3	3
WA	Snohomish of Cascadia, Llc	Snohomish	4.12	1.03	3	3
ID	Teton Healthcare of Cascadia ⚠	Idaho Falls	3.76	1.16	1	4
ID	Royal Plaza Health and Rehabilitation of Cascadia	Lewiston	3.71	0.97	4	4
ID	Twin Falls Transitional Care of Cascadia	Twin Falls	3.54	0.63	5	2
ID	Silverton Health and Rehabilitation of Cascadia ⚠	Silverton	3.30	0.55	—	—
ID	Weiser Care of Cascadia	Weiser	3.63	0.75	3	2
ID	Caldwell Care of Cascadia	Caldwell	3.80	0.53	2	4
ID	Payette Healthcare of Cascadia	Payette	3.84	1.30	5	5
ID	Orchards of Cascadia, The ⚠	Nampa	4.01	0.67	1	3
ID	Lewiston Transitional Care of Cascadia	Lewiston	3.47	0.50	4	2
ID	Clearwater Health & Rehabilitation of Cascadia	Orofino	3.15	0.79	5	3
ID	Canyon West of Cascadia	Caldwell	3.09	0.73	4	2
ID	Coeur D Alene Health of Cascadia ⚠	Coeur D'Alene	3.68	0.51	1	1
ID	Mountain Valley of Cascadia	Kellogg	3.81	0.64	4	4
ID	Cherry Ridge of Cascadia	Emmett	3.08	0.66	3	3
ID	Paradise Creek Health and Rehab of Cascadia	Moscow	3.24	0.71	2	2
ID	Cove of Cascadia, The	Bellevue	4.66	1.23	4	3
ID	Arbor Valley of Cascadia	Boise	3.62	0.56	4	2
ID	Grangeville Health & Rehabilitation of Cascadia	Grangeville	3.53	0.70	4	3
ID	Shaw Mountain of Cascadia	Boise	3.99	0.44	3	2
ID	Eagle Rock Health and Rehabilitation of Cascadia	Idaho Falls	3.85	1.02	3	4
ID	Aspen Park of Cascadia	Moscow	3.53	0.41	3	1
ID	Wellspring Health & Rehabilitation of Cascadia	Nampa	3.99	0.72	4	2
WA	Stafholt Health and Rehabilitation of Cascadia	Blaine	3.88	1.52	5	4

1–20 of 44

Methodology

This dashboard uses CMS Payroll-Based Journal (PBJ) data (2017–2025), along with other public datasets (Provider Information, Affiliated Entity). State staffing standards via MACPAC (2022).

Metrics

Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
Contract Staff %: Share of hours provided by contract staff.
Census: Average number of residents during the period.

Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.

Data transparency

The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.

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