SNF
CLEARWATER HEALTH & REHABILITATION OF CASCADIA
CCN: 135048 · OROFINO, ID 83544 · Clearwater County
Overview
- Address
- 1204 SHRIVER ROAD, OROFINO, ID 83544
- Phone
- 2084764568
- Certified beds
- 60
- Avg daily residents
- 41 (68% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1969-11-19
- Setting
- Rural
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.15 | 3.95 | 3.09 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.79 | 0.69 | 0.77 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.30 | 0.88 | 0.30 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.06 | 2.38 | 2.02 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.09 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.02 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
2.53
hrs / resident / day
RN (weekend)
0.31
hrs / resident / day
Total nurse (adjusted, weekend)
2.48
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
44.4%
annual
RN turnover
18.2%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.40
higher acuity than avg
Case-Mix Index Ratio
1.01
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-04-17 | 7 | 7 | 7 | 32 | 1 | 32 |
| Cycle 2/3 (prior) | 2022-02-04 | 3 | 3 | 0 | 16 | 1 | 16 |
Total weighted health score
28.0
lower is better
Deficiencies (17)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
1 A/B/C No actual harm — minor
16 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-04-17 | 2024-11-01 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2025-04-17 | 2025-05-09 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-04-17 | 2025-05-09 |
| 0761 | 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. | D | 2025-04-17 | 2025-05-09 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-04-17 | 2025-05-09 |
| 0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2025-04-17 | 2025-05-09 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-04-17 | 2025-05-09 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2022-02-04 | 2022-04-14 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2022-02-04 | 2022-04-14 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-02-04 | 2022-04-14 |
| 0578 | 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. | D | 2021-06-14 | 2021-07-16 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2021-06-14 | 2021-07-16 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2021-06-14 | 2021-07-16 |
| 0761 | 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. | E | 2021-06-14 | 2021-07-16 |
| 0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | C | 2021-06-14 | 2021-07-16 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2021-06-14 | 2021-07-16 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2021-06-14 | 2021-07-16 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 13.1% Medicaid 73.7% Other 13.3%
Operating performance
Operating Margin
2.9%
Total Margin
2.9%
Occupancy Rate
67.9%
Cost per Resident Day
$29
Revenue & costs
Net Patient Revenue
$5.1M
Total Costs
$437K
Net Income
$149K
Balance sheet
Total Assets
$7.0M
Total Liabilities
$4.6M
Fund Balance
$2.4M
Current Ratio
0.43
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: CASCADIA HEALTHCARE
- Chain ID
118- Facilities in chain
- 44
- Legal business name
- CLEARWATER OF CASCADIA
Chain-average star ratings (for peer context)
Overall
3.2
Health
2.9
Staffing
2.9
QM
4.0
Owner / manager organizations (8)
| Organization | Role | Association |
|---|---|---|
| CASCADIA HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/15/2016 |
| CASCADIA HC GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | since 06/05/2025 |
| CASCADIA HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2017 |
| CASCADIA HOLDCO LLC | OPERATIONAL/MANAGERIAL CONTROL | since 06/05/2025 |
| CASCADIA IDAHO OPERATIONS LLC | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2017 |
| CASCADIA SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | since 01/13/2025 |
| OROFINO 1204 REALTY, LLC | 5% OR GREATER SECURITY INTEREST | since 06/05/2025 |
| WHITE OAK HEALTHCARE FINANCE LLC | 5% OR GREATER SECURITY INTEREST | since 08/11/2022 |
Owner / manager individuals (5)
| Name | Role | Association |
|---|---|---|
| BOWEN, ANDREA | OPERATIONAL/MANAGERIAL CONTROL | since 06/11/2023 |
| HAMMOND, OWEN | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2017 |
| LAFORTE, STEPHEN | OPERATIONAL/MANAGERIAL CONTROL | since 06/05/2025 |
| NELSON, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | since 06/05/2025 |
| SHOLAR, COLLEEN | OPERATIONAL/MANAGERIAL CONTROL | since 05/01/2023 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $29 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.43 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 73.7% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 13.1% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $148,873 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $5,064,847 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 67.9% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 2.9% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $7,017,033 | metrics.total_assets |
| Cost Report | Total Costs ($) | $437,005 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $2,416,655 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $4,600,378 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 2.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.29738 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.01922 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.76873 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.08533 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.47793 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 40.5 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.87555 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.37955 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.69012 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.94522 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.47730 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.9 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.2 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.0 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.9 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 118 | Chain ID |
| Provider Information | Chain Name | CASCADIA HEALTHCARE | Chain Name |
| Provider Information | City/Town | OROFINO | City/Town |
| Provider Information | CMS Certification Number (CCN) | 135048 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Clearwater | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1969-11-19 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 46.493 | Latitude |
| Provider Information | Legal Business Name | CLEARWATER OF CASCADIA | Legal Business Name |
| Provider Information | Location | 1204 SHRIVER ROAD,OROFINO,ID,83544 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -116.27 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 60 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 44 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.39762 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.01449 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 1204 SHRIVER ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | CLEARWATER HEALTH & REHABILITATION OF CASCADIA | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 170 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 32 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 7 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 7 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-04-17 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 32 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 7 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 3 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2022-02-04 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 16 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 16 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 3 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.30991 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 18.2 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.08939 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.30387 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.06331 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.02189 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.78551 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.15269 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | ID | State |
| Provider Information | Telephone Number | 2084764568 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.53203 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 44.4 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 28.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | N | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 83544 | ZIP Code |