Twin Falls County, Idaho · Nursing home
Cascades at Desert View
1 of 5 overall from CMS
820 Sprague Avenue, Buhl, ID 83316
At a glance
- Overall rating 1 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.98 hours Below the state average of 4.04
- Nursing staff who left in a year 34.1% Below the state average of 50.3%
- Health citations, last 3 inspection cycles 52 1 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 63.3% of 57 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.
Cascades at Desert View is a 57-bed nursing home in Buhl, Idaho (Twin Falls County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.98 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
- 57
- Residents per day (average)
- 36.1
- Certified since
- 1981 (45 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Cascades Healthcare (19 homes)CMS Special Focus: SFF Candidate
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.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
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 Cascades at Desert View
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS counts 24 health deficiencies in the latest inspection cycle (the standard inspection on May 15, 2026 plus complaint and infection-control inspections); the Idaho average is 10.3. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 3.50 hours per resident on weekends against 3.98 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Idaho average 3.2
- Health inspections 1 of 5 Idaho average 2.7
- Staffing 2 of 5 Idaho average 3.1
- Quality measures 4 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 3.98 h Idaho average 4.04
- Nurse aides 2.66 h Idaho average 2.44
- Licensed practical nurses 0.71 h Idaho average 0.74
- Registered nurses 0.61 h Idaho average 0.86
- All staff, weekends 3.50 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 turnover34.1%
- Idaho average50.3%
- Registered nurse turnoverNot reported
- Idaho average40.9%
- Administrators who left1
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 | 12.6% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.4% | 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 | 7.5% | 2.0% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 25.7% | 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 | 1.6% | 3.0% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 83.6% | 97.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 4.3% | 16.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.5% | 16.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 96.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.8% | 3.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.1% | 22.1% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 45.9% | 20.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.17 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 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 | 69.0% | 91.2% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 8.1% | 1.8% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.9% | 86.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.6% | 17.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 11.6% | 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 52 health deficiencies in the three most recent inspection cycles. Of these, 1 involved actual harm; the rest were graded as no actual harm. 36 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on May 31, 2024: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 15, 2026 | 24 | 0 |
| Apr 3, 2025 | 15 | 3 |
| May 31, 2024 | 13 | 0 |
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 (52)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 18, 2026)
-
FPotential for more than minimal harm, widespread
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 18, 2026)
-
FPotential for more than minimal harm, widespread
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jun 18, 2026)
-
FPotential for more than minimal harm, widespread
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 (Jun 18, 2026)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Jun 18, 2026)
Show 25 more
-
EPotential for more than minimal harm, pattern
Ensure the activities program is directed by a qualified professional.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 18, 2026)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 18, 2026)
-
EPotential for more than minimal harm, pattern
Post nurse staffing information every day.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 18, 2026)
-
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.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 18, 2026)
-
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.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 18, 2026)
-
FPotential for more than minimal harm, widespread
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 (Nov 26, 2025)
-
FPotential for more than minimal harm, widespread
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Nov 26, 2025)
-
EPotential for more than minimal harm, pattern
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 (May 8, 2025)
-
EPotential for more than minimal harm, pattern
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services · Deficient, Provider has date of correction (May 8, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (May 8, 2025)
-
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 (May 8, 2025)
-
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 (May 8, 2025)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 8, 2025)
Showing the 30 most recent of 52.
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
- Size55 of 80 by certified beds
- Idaho average residents per day56.9
- ChainCascades Healthcare
- Chain average overall rating2.0 of 5
- Resident or family councilResident
- Homes in Twin Falls County5
Common questions
What is the CMS star rating for Cascades at Desert View?
Cascades at Desert View has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 4.
How many beds does Cascades at Desert View have?
Cascades at Desert View has 57 certified beds. It averages 36.1 residents per day, about 63.3% of its certified beds.
How much nursing care do residents get at Cascades at Desert View?
The home reports 3.98 hours of nurse staffing per resident per day, including 0.61 hours from registered nurses. The Idaho average is 4.04 hours and 0.86 hours from registered nurses.
Has Cascades at Desert View been fined?
CMS lists no fines for this home in the past three years.
Does Cascades at Desert View 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
- 3 of 5 Serenity Transitional Care 60beds 89.2%in use 3.91nurse hours a day
- 3 of 5 Bridgeview Estates 116beds 41.1%in use 3.98nurse hours a day
- 5 of 5 Twin Falls Transitional Care of Cascadia 116beds 67.9%in use 3.70nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Twin Falls County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 135089. 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.