Royal Plaza Health and Rehabilitation of Cascadia
2870 Juniper Drive, Lewiston, ID 83501 · Nez Perce County · (208) 746-2855
78 certified beds, about 70 residents a day · For profit - Corporation · Medicare and Medicaid since 1993
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 135116 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 26, 2026, inspectors cited 12 health deficiencies (the Idaho average is 10.3, the national average 9.2).
None of its 25 health citations since November 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.24 hours per resident per day, against 4.04 across Idaho and 3.86 nationally. Registered nurses accounted for 0.96 of those hours.
53.4% of nursing staff left within the year CMS measured (Idaho average 50.3%).
CMS links it to Cascadia Healthcare, an affiliated group of 47 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1011/24
304/25
1206/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 25 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
18D
5E
2F
Potential for minimal harm
0A
0B
0C
June 26, 2026Standard inspection, Complaint inspection · 12 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, review of the FDA Food Code, and staff interview it was determined the facility failed to follow sanitary requirements for food safety, including an appropriate hand washing sink, food sanitation, and appropriate cleaning and storage for resident's freezers. This was true for 76 residents who received food plated and delivered by the facility's meal serving room, and whose personal foods were stored in the residents freezer's. This deficient practice created the potential for harm by placing residents at risk for foodborne illnesses and/or adverse health outcomes.
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure residents and/or their representatives were provided with complete facility discharge information. This was true for 3 of 6 residents (#4, #5, and #46) whose records were reviewed for hospital discharges. This failure placed the residents at risk for psychosocial harm, advanced directive misunderstandings, and a lack of medical history if the transferring facility did not receive a completed resident discharge record.
- E Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Inspectors wroteBased on the review of the Facility's Arbitration agreement, CMS SOM Appendix PP, and staff interview, it was determined the facility failed to ensure the facility's arbitration agreement provided the selection of a venue that is convenient to both parties. This was true for all residents who reside in the facility who signed an Arbitration Agreement. This failure created the potential for residents to be inconvenienced or the inability to participate during the arbitration process.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure residents were offered the opportunity to create an advance directive. This was true for 1 of 10 residents (Resident #13) whose advance directive was reviewed. This failure created the potential for Resident #13 to not have their wishes met if they were to require end of life care.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure a resident was free from abuse. This was true for 1 of 3 residents (Resident #63) reviewed for abuse. This failure placed Resident #63 at risk for psychosocial harm when a video recording was taken of them during a sensitive moment and the video was shared with people not privileged to Resident #63's protected information.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, CMS SOM Appendix PP, and staff interviews, it was determined the facility failed to create a comprehensive care plan. This was true for 2 of 18 residents (#9 and #19) reviewed for care plan development. This deficient practice had the potential for harm if their care plans were not developed to ensure Resident's and/or their representatives, and facility staff were educated on individual diagnoses, treatment interventions, and treatment outcome goals specific for each resident.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure quality care was provided related to medication administration. This was true for 1 of 7 residents (Resident #35) whose medication regimen records were reviewed. This failure placed Resident #35 at risk for harm if they were to suffer adverse effects from receiving a medication outside the physicians prescribed parameters.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, and staff interview, it was determined the facility failed to ensure residents were provided respiratory services consistent with professional standards of practice. This was true for 1 of 2 residents (Resident #4) whose respiratory device was not stored properly; and 1 of 2 residents (Resident # 56) reviewed for physician orders for oxygen therapy. This deficient practice created the potential for residents to develop infection and to receive too little or too much oxygen.
- D 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.
Inspectors wroteBased on observation, policy review, staff interview and record review, it was determined the facility failed to ensure that expired medication was removed from medication storage area and discarded in accordance with professional standards and facility policy. This was true for 1 of 2 medication carts reviewed for medication storage and cart review. This deficient practice had the potential to affect the strength, quality and purity of the medication.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure resident records were complete and accurate. This was true for 1 of 7 residents (Resident #68) whose medication regimen was reviewed. This failure created the potential for poor continuity of care for Resident #68.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, policy review, and staff interview, the facility failed to ensure the facility staff followed proper infection control practices and glove change protocols. This was true for 1 of 18 residents (Resident #6) when staff failed to perform hand hygiene when going from a dirty environment to a clean environment. This deficient practice placed residents at risk for cross-contamination, and the spread of healthcare associated infections.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on policy review, CDC guidelines, record review, and staff interview, it was determined the facility failed to ensure immunizations were offered and/or provided as indicated. This was true for 2 of 5 residents (#2 and #13) reviewed for pneumococcal immunization. This deficient practice placed residents at risk of developing pneumococcal pneumonia and developing serious, potentially life-threatening complications.
April 17, 2025Standard inspection, Complaint inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, Food Drug Administration (FDA) Food Code, record review, and staff interview, it was determined the facility failed to ensure kitchen equipment was maintained, cleaned, and sanitized, and food was within the correct temperature at service. These deficiencies had the potential to affect the 57 residents who consumed food prepared by the facility. This placed residents at risk for potential foodborne illnesses and adverse health outcomes.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure professional standards of practice were followed for 1 of 15 residents (Resident #40) reviewed for bowel and bladder care. This failed practice created the potential for Resident #40 to experience discomfort when his medications were not administered according to the physician's order.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure residents were free from significant medication errors. This was true for 1 of 3 residents (Resident #10) reviewed for insulin administration. This failure created the potential for Resident #10 to experience hypoglycemia when she was administered insulin which was not according to her physician's order.
November 8, 2024Standard inspection, Complaint inspection · 10 citations
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on Resident Group interview, Resident Council Meeting minutes review, and staff interview, it was determined the facility failed to ensure resident concerns were addressed. These negative practices placed residents at risk of ongoing frustration and decreased sense of self-worth, as well as, unmet care needs, when issues of concern to them were not promptly addressed by the facility.
- E Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on policy review, review of grievances, and staff interview, it was determined the facility failed to ensure resident grievances were investigated and resolutions were documented. This deficient practice placed all residents at risk of having unmet needs and poor quality of life when their concerns were not properly addressed.
- E Keep all essential equipment working safely.
Inspectors wroteBased on review of records and staff interview, it was determined the facility failed to ensure glucometers were calibrated to maintain accuracy of results for 3 of 3 halls (Oak Hall, Maple Hall, and Transitional Care Unit - TCU) whose glucometers were reviewed. This deficient practice had the potential for a higher risk for inaccurate blood glucose readings of residents who required blood glucose monitoring.
- D Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on record review, and staff interview, it was determined the facility failed to ensure information was provided to the receiving hospital for 3 of 5 residents (#3, #45 and #51) reviewed for transfers. This deficient practice had the potential to cause harm if residents were not treated in a timely manner due to lack of information.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure transfer notices were provided to the ombudsman. This was true for 3 of 5 residents (#3, #45, and #51) reviewed for transfers to the hospital. This deficient practice had the potential for harm if residents were not aware of or able to exercise their rights related to transfers.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on record review, and staff interview, it was determined the facility failed to ensure a bed-hold notice was provided to residents or their representatives upon transfer to the hospital. This was true for 3 of 5 residents (#3, #45, and #51) reviewed for transfer. This deficient practice created the potential for harm if residents were not informed of their right to return to their former bed/room at the facility within a specified time.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on policy review, record review, and staff interview, it was determined the facility failed to refer residents for further evaluation when residents were diagnosed with a major mental illness. This was true for 1 of 1 resident (Resident #19) reviewed for Pre-admission Screening and Resident Review (PASARR) level II evaluations. This deficient practice had the potential to cause harm if the residents' specialized services for mental health needs were not evaluated by an appropriate state-designated authority to provide coordinated care.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on , policy review, record review, and staff interview, it was determined the facility failed to ensure residents' care plans were revised and updated. This was true for 1 of 18 residents (Resident #19) whose care plans were reviewed. This created the potential for harm if cares and/or services were not provided appropriately due to inaccurate information on the care plan.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, record review, and staff interview, it was determined the facility failed to ensure medication was administered according to professional standards of practice. This was true for 2 of 2 residents (#55 and #57) reviewed for medication errors. This created the potential for Resident #55 and Resident #57 to experience adverse effects when their medications were not administered according to physician orders.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review, review of facility policies and procedure, review of Incidents and Accidents (I&As), and staff interview, it was determined the facility failed to ensure residents were free from significant medication errors. This was true for 1 of 1 resident (Resident #44) reviewed for medication administration. This failure created the potential for Resident #44 to experience hypoglycemia when he was administered insulin which was not according to the physician's order.
Fire safety inspections
7 fire safety citations on file: 2 on June 26, 2026, 5 on April 17, 2025.
Every fire safety citation7 citations
- F Conduct testing and exercise requirements.
- D Have generator or other power source capable of supplying service within 10 seconds.
- E Establish emergency prep training and testing.
- E Establish staff and initial training requirements.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Idaho | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.24 | 4.04 | 3.86 |
| Registered nurses | 0.96 | 0.86 | 0.69 |
| All nursing staff on weekends | 2.67 | 3.49 | 3.42 |
| Nurse aides | 2.01 | ||
| Licensed practical nurses | 0.27 | ||
| Nursing staff turnover (share who left in a year) | 53.4% | 50.3% | 45.8% |
| Registered nurse turnover | 41.7% | 40.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.75 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.47 on weekdays and 2.67 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.79 in April to June 2025 to 3.24 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.24 | 0.96 | 3.47 | 2.67 | 12.0% | 0 of 90 | 70 |
| Oct to Dec 2025 | 3.33 | 0.89 | 3.58 | 2.70 | 12.4% | 0 of 92 | 67 |
| Jul to Sep 2025 | 3.71 | 0.97 | 3.96 | 3.07 | 16.4% | 0 of 92 | 62 |
| Apr to Jun 2025 | 3.79 | 0.99 | 4.04 | 3.16 | 14.2% | 0 of 91 | 59 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Idaho, Jan to Mar 2026 | 3.90 | 0.80 | 4.11 | 3.37 | 4.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Idaho
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Idaho, all employers | |||
| CNAs (nursing assistants) | $18.58 | $17.45 to $22.23 | 7,910 |
| LPNs and LVNs | $30.67 | $28.04 to $35.60 | 1,880 |
| Registered nurses | $44.45 | $38.90 to $49.19 | 16,880 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Idaho | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.5 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 6.1 | 2.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.1 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.6 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.6 | 16.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.6 | 3.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.5 | 20.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.2 | 17.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.7 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.7 | 1.8 |
Owners and operators
Legal business name: LEWISTON CENTER OF CASCADIA, LLC. CMS links this home to Cascadia Healthcare, a group of 47 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Cascadia Idaho Operations LLC | Direct ownership interest | Organization | 02/01/2022 | |
| Cascadia Hc Group LLC | Indirect ownership interest | Organization | 06/05/2025 | |
| Cascadia Healthcare LLC | Indirect ownership interest | Organization | 02/01/2022 | |
| Cascadia Holdco LLC | Indirect ownership interest | Organization | 06/05/2025 | |
| Hammond, Owen | Indirect ownership interest | Individual | 02/01/2022 | |
| Laforte, Stephen | Indirect ownership interest | Individual | 06/05/2025 | |
| Nelson, Timothy | Indirect ownership interest | Individual | 06/05/2025 | |
| Timberline Ohi Tenant LLC | 5% or greater security interest | Organization | 06/05/2025 | |
| White Oak Healthcare Finance LLC | 5% or greater security interest | Organization | 08/11/2022 | |
| Cascadia Hc Group LLC | Operational/managerial control | Organization | 06/05/2025 | |
| Cascadia Healthcare LLC | Operational/managerial control | Organization | 02/01/2022 | |
| Cascadia Holdco LLC | Operational/managerial control | Organization | 06/05/2025 | |
| Cascadia Services LLC | Operational/managerial control | Organization | 01/23/2025 | |
| Flemming, Thomas | Operational/managerial control | Individual | 02/05/2024 | |
| Hammond, Owen | Operational/managerial control | Individual | 02/01/2022 | |
| Laforte, Stephen | Operational/managerial control | Individual | 06/05/2025 | |
| Nelson, Timothy | Operational/managerial control | Individual | 06/05/2025 | |
| Rudolph, John | Operational/managerial control | Individual | 07/04/2025 | |
| Cascadia Services LLC | Adp of the SNF | Organization | 01/23/2025 | |
| Timberline Ohi Tenant LLC | Adp of the SNF | Organization | 06/05/2025 | |
| Flemming, Thomas | Adp of the SNF | Individual | 06/19/2025 | |
| Rudolph, John | Adp of the SNF | Individual | 07/29/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on June 26, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on June 26, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on June 26, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on June 26, 2026: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.67 hours per resident per day, below the Idaho average of 3.49.
Other nursing homes nearby
- Cascadia of Lewiston Lewiston, 0 mi · 4 of 5 stars · 21 citations
- Lewiston Transitional Care of Cascadia Lewiston, 0.9 mi · 4 of 5 stars · 20 citations
- Life Care Center of Lewiston Lewiston, 1.3 mi · 5 of 5 stars · 16 citations
- Orchard View Post Acute Lewiston, 1.4 mi · 2 of 5 stars · 33 citations
- Idaho State Veterans Home - Lewiston Lewiston, 1.4 mi · 5 of 5 stars · 15 citations
- Clarkston Health and Rehab of Cascadia Clarkston, 2.9 mi · 3 of 5 stars · 53 citations
- Aspen Park of Cascadia Moscow, 22.4 mi · 5 of 5 stars · 16 citations
- Paradise Creek Health and Rehab of Cascadia Moscow, 23.7 mi · 4 of 5 stars · 27 citations
Idaho contacts for a concern about a nursing home
These are the official offices in Idaho. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Idaho Department of Health and Welfare, Bureau of Facility Standards, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Idaho Long-Term Care Ombudsman Program, Idaho Commission on Aging, (877) 471-2777. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Royal Plaza Health and Rehabilitation of Cascadia's Medicare star rating?
- CMS rates Royal Plaza Health and Rehabilitation of Cascadia 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Royal Plaza Health and Rehabilitation of Cascadia get at its last inspection?
- 12 health deficiencies at the standard inspection on June 26, 2026. The Idaho average is 10.3.
- Has Royal Plaza Health and Rehabilitation of Cascadia been fined?
- CMS lists no fines in the last three years.
- Does Royal Plaza Health and Rehabilitation of Cascadia accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Royal Plaza Health and Rehabilitation of Cascadia?
- CMS lists 22 owners and managers, and links the home to Cascadia Healthcare. Legal business name: LEWISTON CENTER OF CASCADIA, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.