SNF
ARBOR VALLEY OF CASCADIA
CCN: 135079 · BOISE, ID 83704 · Ada County
Overview
- Address
- 8211 USTICK ROAD, BOISE, ID 83704
- Phone
- 2083753700
- Certified beds
- 148
- Avg daily residents
- 130 (88% of beds filled)
- Ownership
- For-profit partnership
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1980-01-28
- Setting
- Urban
4 /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 | 3.62 | 4.52 | 3.09 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.56 | 0.79 | 0.48 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.10 | 1.00 | 0.94 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.95 | 2.73 | 1.67 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.67 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.08 | — | — | — |
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)
3.13
hrs / resident / day
RN (weekend)
0.29
hrs / resident / day
Total nurse (adjusted, weekend)
2.68
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
53.9%
annual
RN turnover
52.4%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.60
higher acuity than avg
Case-Mix Index Ratio
1.16
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) | 2025-05-16 | 11 | 11 | 1 | 48 | 1 | 48 |
| Cycle 2/3 (prior) | 2024-04-05 | 11 | 11 | 11 | 56 | 1 | 56 |
Total weighted health score
50.0
lower is better
Deficiencies (25)
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).
25 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-05-16 | 2025-06-18 |
| 0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2025-05-16 | 2025-06-18 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-05-16 | 2025-06-18 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-05-16 | 2025-06-18 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-05-16 | 2025-06-18 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-05-16 | 2025-06-18 |
| 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-05-16 | 2025-06-18 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-05-16 | 2025-06-18 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-05-16 | 2025-06-18 |
| 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2025-05-16 | 2025-06-18 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2025-05-16 | 2025-06-18 |
| 0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-04-05 | 2024-05-03 |
| 0584 | 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. | E | 2024-04-05 | 2024-05-03 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-04-05 | 2024-05-03 |
| 0610 | Respond appropriately to all alleged violations. | D | 2024-04-05 | 2024-05-03 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-04-05 | 2024-05-03 |
| 0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-04-05 | 2024-05-03 |
| 0687 | Provide appropriate foot care. | D | 2024-04-05 | 2024-05-03 |
| 0688 | 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. | D | 2024-04-05 | 2024-05-03 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-04-05 | 2024-05-03 |
| 0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2024-04-05 | 2024-05-03 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-04-05 | 2024-05-03 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-12-02 | 2023-01-04 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-12-02 | 2023-01-04 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2022-12-02 | 2023-01-04 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 5.1% Medicaid 64.5% Other 30.4%
Operating performance
Operating Margin
4.1%
Total Margin
4.1%
Occupancy Rate
63.1%
Cost per Resident Day
$29
Revenue & costs
Net Patient Revenue
$12.8M
Total Costs
$999K
Net Income
$530K
Balance sheet
Total Assets
$9.5M
Total Liabilities
$5.7M
Fund Balance
$3.8M
Current Ratio
1.01
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
- BOISE WEST OF CASCADIA LLC
Chain-average star ratings (for peer context)
Overall
3.2
Health
2.9
Staffing
2.9
QM
4.0
Owner / manager organizations (5)
| Organization | Role | Association |
|---|---|---|
| CASCADIA IDAHO OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 06/01/2020 |
| CASCADIA HC GROUP LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/05/2025 |
| CASCADIA HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/01/2020 |
| CASCADIA HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/05/2025 |
| CASCADIA SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | since 06/01/2020 |
Owner / manager individuals (6)
| Name | Role | Association |
|---|---|---|
| HAMMOND, OWEN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/01/2020 |
| LAFORTE, STEPHEN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/05/2025 |
| NELSON, TIMOTHY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/05/2025 |
| HAMMOND, OWEN | OPERATIONAL/MANAGERIAL CONTROL | since 06/01/2020 |
| HOPKINS, NICHOLAS | OPERATIONAL/MANAGERIAL CONTROL | since 03/11/2025 |
| WILLIAMS, RYAN | OPERATIONAL/MANAGERIAL CONTROL | since 05/01/2021 |
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 ($) | $29 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.01 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 64.5% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 5.1% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $529,506 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $12,811,454 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 63.1% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 4.1% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $9,518,358 | metrics.total_assets |
| Cost Report | Total Costs ($) | $999,162 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $3,771,664 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $5,746,694 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 4.1% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.94300 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.66734 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.48131 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.09165 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.67530 | 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 | 129.9 | 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 | 1.00323 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.72656 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.79077 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.52055 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.98439 | 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 | BOISE | City/Town |
| Provider Information | CMS Certification Number (CCN) | 135079 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Ada | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1980-01-28 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 43.6339 | Latitude |
| Provider Information | Legal Business Name | BOISE WEST OF CASCADIA LLC | Legal Business Name |
| Provider Information | Location | 8211 USTICK ROAD,BOISE,ID,83704 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -116.28 | 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 | 148 | 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 | 1.60143 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.16244 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Partnership | 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 | 8211 USTICK ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | ARBOR VALLEY OF CASCADIA | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 000 | 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 | 48 | 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 | 1 | 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 | 11 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-05-16 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 48 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 11 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 11 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-04-05 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 56 | 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 | 11 | 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 | 56 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 11 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.29068 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 52.4 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.66764 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.10410 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.95220 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.07620 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.56354 | 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 | 3.61985 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | 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 | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | ID | State |
| Provider Information | Telephone Number | 2083753700 | 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 | 3.13236 | 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 | 53.9 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 50.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 83704 | ZIP Code |