Silverton Health and Rehabilitation of Cascadia
405 West Seventh Street, Silverton, ID 83867 · (208) 556-1147
For profit - Corporation · 55 certified beds
Special Focus Facility Medicare doesn't rate this home: “This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.” Special Focus Facilities get a full inspection at least every six months.
Silverton Health and Rehabilitation of Cascadia is a Special Focus Facility, so Medicare doesn't rate it. Its last standard inspection, in July 2026, found 3 citations (the Idaho average is 10.3). It was fined 1 time in the last three years, $41,954 in all.
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. | Not available |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | Not available |
| 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. | Not available |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | Not available |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on July 10, 2026 found 3 citations. What an inspection citation means
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.July 10, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 10, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 10, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 22 citations.
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.January 9, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 9, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.January 9, 2026 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.January 9, 2026 · F0755 · 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.January 9, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.January 9, 2026 · F0804 · 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.January 9, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.January 9, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.January 9, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 27, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.June 27, 2025 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.June 27, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.June 27, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 27, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 27, 2025 · F0689 · 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 27, 2025 · F0695 · 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.June 27, 2025 · F0726 · 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.June 27, 2025 · F0727 · 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.June 27, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.June 27, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have a plan that describes the process for conducting QAPI and QAA activities.June 27, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.June 27, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $41,954October 4, 2023
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 | 3.29 | 4.04 | 3.86 |
| Registered nurses (RN) | 0.56 | 0.86 | 0.69 |
| Licensed practical nurses (LPN) | 0.59 | 0.74 | 0.86 |
| Nurse aides | 2.13 | 2.44 | 2.32 |
| Total nursing staff turnover | 51.1% | 50.3% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 55 |
| Average residents per day | 47.7 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Mountain Valley of Cascadia Kellogg · ★★★★★ 4 out of 5 stars
- Boundary County Nursing Home Bonners Ferry · ★★★★★ 4 out of 5 stars
- Advanced Health Care of Coeur d'Alene Coeur d'Alene · ★★★★★ 5 out of 5 stars
- Ironwood Rehabilitation and Care Center Coeur d'Alene · ★★★★★ 2 out of 5 stars
- Coeur d Alene Health of Cascadia Coeur d'Alene · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Silverton Health and Rehabilitation of Cascadia on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.