Clearwater Health & Rehabilitation of Cascadia
1204 Shriver Road, Orofino, ID 83544 · (208) 476-4568
For profit - Limited Liability company · 60 certified beds
Clearwater Health & Rehabilitation of Cascadia has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2026, found 12 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. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 3 out of 5 stars · 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 June 26, 2026 found 12 citations. What an inspection citation means
- Dispose of garbage and refuse properly.June 26, 2026 · F0814 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 26, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.June 26, 2026 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 26, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.June 26, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.June 26, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- PASARR screening for Mental disorders or Intellectual DisabilitiesJune 26, 2026 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 26, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.June 26, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.June 26, 2026 · F0728 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.June 26, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.June 26, 2026 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 9 citations.
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 26, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.June 26, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.April 17, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.April 17, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident’s drug regimen must be free from unnecessary drugs.April 17, 2025 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.April 17, 2025 · F0761 · 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.April 17, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide or get specialized rehabilitative services as required for a resident.April 17, 2025 · F0825 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.April 17, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
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 | 3.27 | 4.04 | 3.86 |
| Registered nurses (RN) | 0.85 | 0.86 | 0.69 |
| Licensed practical nurses (LPN) | 0.28 | 0.74 | 0.86 |
| Nurse aides | 2.14 | 2.44 | 2.32 |
| Total nursing staff turnover | 54.1% | 50.3% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 60 |
| Average residents per day | 39.4 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Grangeville Health & Rehabilitation of Cascadia Grangeville · ★★★★★ 4 out of 5 stars
- 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
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Data from Medicare (CMS), updated October 2026, from Clearwater Health & Rehabilitation of Cascadia on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.