Grangeville Health & Rehabilitation of Cascadia
410 East North Second Street, Grangeville, ID 83530 · (208) 983-1131
For profit - Corporation · 60 certified beds
Grangeville Health & Rehabilitation of Cascadia has a 4-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 6 citations (the Idaho average is 10.3). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 4 out of 5 stars · Above average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 4 out of 5 stars · Above average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 8, 2025 found 6 citations. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 8, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure each resident receives an accurate assessment.August 8, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.August 8, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.August 8, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures for flu and pneumonia vaccinations.August 8, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.August 8, 2025 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 8 citations.
- Ensure each resident receives an accurate assessment.August 8, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.August 8, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 8, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.August 8, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures for flu and pneumonia vaccinations.August 8, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.August 8, 2025 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- PASARR screening for Mental disorders or Intellectual DisabilitiesOctober 25, 2024 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.October 25, 2024 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Idaho average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.43 | 4.04 | 3.86 |
| Registered nurses (RN) | 0.71 | 0.86 | 0.69 |
| Licensed practical nurses (LPN) | 0.41 | 0.74 | 0.86 |
| Nurse aides | 2.31 | 2.44 | 2.32 |
| Total nursing staff turnover | 75% | 50.3% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 60 |
| Average residents per day | 43.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Life Care Center of Lewiston Lewiston · ★★★★★ 5 out of 5 stars
- Idaho State Veterans Home - Lewiston Lewiston · ★★★★★ 5 out of 5 stars
- Cascadia of Lewiston Lewiston · ★★★★★ 4 out of 5 stars
- Lewiston Transitional Care of Cascadia Lewiston · ★★★★★ 4 out of 5 stars
- Orchard View Post Acute Lewiston · ★★★★★ 2 out of 5 stars
Comparing nursing homes?
See whether help at home or assisted living fits better. Answer four questions and we'll suggest where to start: a medical alert, help at home, or assisted living.
Free for families. This isn't medical advice.
Who are you looking for help for?
Data from Medicare (CMS), updated October 2026, from Grangeville Health & Rehabilitation of Cascadia on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.