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Cascadia Healthcare nursing homes
47 nursing homes with 3,848 beds in Idaho (25), Washington (10), Oregon (7), Montana (3), Arizona (2).
CMS affiliated entity 118 · data as of September 1, 2026
The group's record in brief
CMS links 47 certified nursing homes in 5 states to Cascadia Healthcare: 47 for profit, 0 nonprofit. 45 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 1,398 health citations; 59 citations were rated actual harm or immediate jeopardy, 7 of them immediate jeopardy. At their latest standard inspections the homes averaged 8.8 health deficiencies (national average 9.2).
21 homes in the group were fined in the last three years, $920,509 in all across 39 fines. Average nursing staff turnover across its homes was 52.2% (national 45.8%).
Staffing across the group
Daily payroll records from 47 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 17% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 3.76 | 3.75 |
| Registered nurses | 0.81 | 0.62 |
| Weekdays | 3.96 | 3.92 |
| Weekends | 3.27 | 3.33 |
| Share of nursing hours by contract staff | 6.5% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
Cascadia Healthcare homes by state
| State | Homes | Average stars | Fines, 3 years | Special focus |
|---|---|---|---|---|
| Idaho | 25 | 3.0 | $295,380 | 3 |
| Washington | 10 | 2.9 | $509,505 | 1 |
| Oregon | 7 | 3.7 | $22,523 | |
| Montana | 3 | 3.3 | $80,366 | 1 |
| Arizona | 2 | 4.0 | $12,735 |
How the group's homes are rated
46 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 3.1 overall, 2.8 health inspections, 2.8 staffing, 3.9 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 11 | |
| 4 of 5 | 10 | |
| 3 of 5 | 9 | |
| 2 of 5 | 6 | |
| 1 of 5 | 10 |
Across the group: 59 citations rated actual harm or immediate jeopardy, and an average of 3.77 nursing staff hours per resident per day (national 3.86).
Every home in the group
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.
Companies the CMS ownership file lists as owners of most of these homes: Cascadia Healthcare LLC, Cascadia HC Group LLC, Cascadia Holdco LLC.