Nursing homeActiveSpecial Focus Facility candidate · what this means

Cascades at Desert View

820 Sprague Avenue, Buhl, ID 83316208543640157 certified beds · 36 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2024
Deficiencies
52
0511
Penalties · 3 yrs
none on file
Last survey
2026-05-15
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Idaho Bureau of Facility Standards · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-05-15Standard0220CMS-2567 (Care Compare)
2025-11-19Complaint020CMS-2567 (Care Compare)
2025-04-03Standard0150CMS-2567 (Care Compare)
2024-05-31Standard0121CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Idaho Bureau of Facility Standards publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-05-15Standard survey · 22 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F550
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F552
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F558
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F582
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F585
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F605
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F628
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F645
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F658
F680Ensure the activities program is directed by a qualified professional.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F680
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F684
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F688
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F695
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F727
F732Post nurse staffing information every day.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F732
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F842
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 135089-20260515-F880
2025-11-19Complaint survey · 2 deficienciesOfficial report
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-11-26Record 135089-20251119-F812
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-11-26Record 135089-20251119-F925
2025-04-03Standard survey · 15 deficienciesOfficial report
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-08Record 135089-20250403-F552
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-08Record 135089-20250403-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-08Record 135089-20250403-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-08Record 135089-20250403-F645
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-08Record 135089-20250403-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-08Record 135089-20250403-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-08Record 135089-20250403-F689
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-08Record 135089-20250403-F755
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-08Record 135089-20250403-F756
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-08Record 135089-20250403-F758
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-08Record 135089-20250403-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-08Record 135089-20250403-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-08Record 135089-20250403-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-08Record 135089-20250403-F880
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-08Record 135089-20250403-F947
2024-05-31Standard survey · 13 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-02-14Record 135089-20240531-F600
F578Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 135089-20240531-F578
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 135089-20240531-F622
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 135089-20240531-F625
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 135089-20240531-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 135089-20240531-F644
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 135089-20240531-F695
F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 135089-20240531-F700
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 135089-20240531-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 135089-20240531-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 135089-20240531-F883
F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 135089-20240531-F909
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 135089-20240531-F919

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.61
Facility
Idaho
National
Idaho 0.86 · National 0.69
Total nurse hours per resident day3.98
Facility
Idaho
National
Idaho 4.04 · National 3.86
Weekend total nurse hours3.50
Facility
Idaho
National
Idaho 3.49 · National 3.42
Total nursing staff turnover34%
Facility
Idaho
National
Idaho 50% · National 46%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityIdahoNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.8%3.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.6%3.0%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
45.9%20.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
7.5%2.0%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
12.6%15.6%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
5.4%5.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
20.5%16.3%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Cascades At Desert View LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Desert View Holdings Of Buhl, LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Moore, Thomas
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST10%
Takayama Flp
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST23%
Tower Bridge Flp
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST23%
Bentzler, Lori
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Crump, Jason
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Fullmer, Chad
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Marshall, Samantha
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mcspadden, Darin
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Moore, Thomas
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Quest Flp
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ronnmark Flp
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Takayama Flp
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Tower Bridge Flp
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
White, Derek
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Bentzler, Lori
Individual
ADP OF THE SNFNOT APPLICABLE
Cascades At Desert View LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Crump, Jason
Individual
CORPORATE DIRECTORNOT APPLICABLE
Desert View Holdings Of Buhl, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Eelir Flp
Organization
GENERAL PARTNERSHIP INTERESTNOT APPLICABLE
Fullmer, Chad
Individual
CORPORATE DIRECTORNOT APPLICABLE
Kirei Kazoku, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Marshall, Samantha
Individual
ADP OF THE SNFNOT APPLICABLE
Mcspadden, Darin
Individual
CORPORATE DIRECTORNOT APPLICABLE
Moore, Thomas
Individual
CORPORATE DIRECTORNOT APPLICABLE
Nadroj LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Oxford Assets LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Pippin LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Quest Flp
Organization
GENERAL PARTNERSHIP INTERESTNOT APPLICABLE
Quest Flp
Organization
ADP OF THE SNFNOT APPLICABLE
Ronnmark Flp
Organization
GENERAL PARTNERSHIP INTERESTNOT APPLICABLE
White, Derek
Individual
CORPORATE DIRECTORNOT APPLICABLE
Part of a chain
Cascades Healthcare19 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Idaho.

No county cost figures on file for Twin Falls.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Bridgeview Estates
Twin Falls
14.6 mi2025-07-090120
Serenity Transitional Care
Twin Falls
13.2 mi2026-06-260261
Twin Falls Transitional Care of Cascadia
Twin Falls
16.0 mi2025-06-120170
Bennett Hills Rehabilitation and Care Center
Gooding
23.6 mi2026-04-300371
Oak Creek Rehabilitation Center of Kimberly
Kimberly
20.2 mi2025-12-050142
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01