Nez Perce County, Idaho · Nursing home
Lewiston Transitional Care of Cascadia
4 of 5 overall from CMS
3315 8th Street, Lewiston, ID 83501
At a glance
- Overall rating 4 of 5 Above the state average of 3.2
- Nurse time per resident, per day 3.51 hours Below the state average of 4.04
- Nursing staff who left in a year 48.1% Below the state average of 50.3%
- Health citations, last 3 inspection cycles 20 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 68.6% of 96 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Lewiston Transitional Care of Cascadia is a 96-bed nursing home in Lewiston, Idaho (Nez Perce County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 3.51 nurse staffing hours per resident per day, below the Idaho average of 4.04. CMS lists no fines in the past three years.
- Certified beds
- 96
- Residents per day (average)
- 65.9
- Certified since
- 1972 (54 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Cascadia Healthcare (47 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Lewiston Transitional Care of Cascadia
Chosen from this home's public data.
- Reported nurse staffing is 3.10 hours per resident on weekends against 3.51 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 68.6% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
- Registered nurse time is 0.42 hours per resident per day; the Idaho average is 0.86. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 Idaho average 3.2
- Health inspections 4 of 5 Idaho average 2.7
- Staffing 2 of 5 Idaho average 3.1
- Quality measures 2 of 5 Idaho average 4.1
The vertical line marks the Idaho average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.51 h Idaho average 4.04
- Nurse aides 2.36 h Idaho average 2.44
- Licensed practical nurses 0.73 h Idaho average 0.74
- Registered nurses 0.42 h Idaho average 0.86
- All staff, weekends 3.10 h Idaho average 3.49
How much nurse staffing is enough? All bars share one scale, 0 to 7 hours. The vertical line marks the Idaho average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover48.1%
- Idaho average50.3%
- Registered nurse turnover55.6%
- Idaho average40.9%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Idaho and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Idaho | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 18.0% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 18.1% | 5.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 1.2% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 2.6% | 2.0% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 42.3% | 15.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% | 3.0% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.6% | 97.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 22.9% | 16.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.9% | 16.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.4% | 96.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.3% | 3.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.0% | 22.1% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 29.7% | 20.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.22 | 1.17 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.97 | 1.66 | 1.78 |
Short-stay residents
| Measure | This home | Idaho | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.4% | 91.2% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% | 1.8% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 59.4% | 86.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.1% | 17.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 21.2% | 12.3% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 20 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 3 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Aug 21, 2025 | 6 | 0 |
| Jun 13, 2024 | 3 | 3 |
| Jan 9, 2020 | 11 | 8 |
Idaho homes averaged 10.3 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (20)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Sep 22, 2025)
Show 15 more
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 22, 2025)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jul 12, 2024)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 12, 2024)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 12, 2024)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Feb 13, 2020)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Feb 13, 2020)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Feb 13, 2020)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Feb 13, 2020)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 13, 2020)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Feb 13, 2020)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 13, 2020)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 13, 2020)
-
DPotential for more than minimal harm, isolated
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service · Deficient, Provider has date of correction (Feb 13, 2020)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 13, 2020)
-
CPotential for minimal harm, widespread
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has date of correction (Feb 13, 2020)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Idaho homes averaged 0.5 fines and $13,374 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Idaho
- Size29 of 80 by certified beds
- Idaho average residents per day56.9
- ChainCascadia Healthcare
- Chain average overall rating3.1 of 5
- Resident or family councilResident
- Homes in Lewiston6
- Homes in Nez Perce County6
Common questions
What is the CMS star rating for Lewiston Transitional Care of Cascadia?
Lewiston Transitional Care of Cascadia has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 2 and quality measures is 2.
How many beds does Lewiston Transitional Care of Cascadia have?
Lewiston Transitional Care of Cascadia has 96 certified beds. It averages 65.9 residents per day, about 68.6% of its certified beds.
How much nursing care do residents get at Lewiston Transitional Care of Cascadia?
The home reports 3.51 hours of nurse staffing per resident per day, including 0.42 hours from registered nurses. The Idaho average is 4.04 hours and 0.86 hours from registered nurses.
Has Lewiston Transitional Care of Cascadia been fined?
CMS lists no fines for this home in the past three years.
Does Lewiston Transitional Care of Cascadia accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Orchard View Post Acute 127beds 55.0%in use 3.39nurse hours a day
- 4 of 5 Cascadia of Lewiston 34beds 92.1%in use 4.31nurse hours a day
- 2 of 5 Royal Plaza Health and Rehabilitation of Cascadia 78beds 90.3%in use 3.24nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Nez Perce County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 135021. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.