Nursing homeActive
Royal Plaza Health and Rehabilitation of Cascadia
2870 Juniper Drive, Lewiston, ID 83501208746285576 certified beds · 70 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2024
Deficiencies
25
● 0● 25● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-06-26
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Idaho Bureau of Facility Standards · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-26 | Standard | 0120 | CMS-2567 (Care Compare) | — |
| 2025-04-17 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-11-08 | Standard | 0100 | CMS-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.
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 DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-31Record 135116-20260626-F578
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-21Record 135116-20260626-F600
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-31Record 135116-20260626-F628
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 2026-07-31Record 135116-20260626-F656
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 2026-07-31Record 135116-20260626-F684
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 2026-07-31Record 135116-20260626-F695
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 2026-07-31Record 135116-20260626-F761
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 2026-07-31Record 135116-20260626-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 2026-07-31Record 135116-20260626-F842
F848Provide a neutral and fair arbitration process and agree to arbitrator and venue.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-31Record 135116-20260626-F848
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 2026-07-31Record 135116-20260626-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 2026-07-31Record 135116-20260626-F883
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 2025-05-19Record 135116-20250417-F684
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-19Record 135116-20250417-F760
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 2025-05-19Record 135116-20250417-F812
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 135116-20241108-F565
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 EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 135116-20241108-F585
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 2024-12-13Record 135116-20241108-F622
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 135116-20241108-F623
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 DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 135116-20241108-F625
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 2024-12-13Record 135116-20241108-F644
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 2024-12-13Record 135116-20241108-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 2024-12-13Record 135116-20241108-F658
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 135116-20241108-F760
F908Keep all essential equipment working safely.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 135116-20241108-F908
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.96
Facility
Idaho
National
Idaho 0.86 · National 0.69
Total nurse hours per resident day3.24
Facility
Idaho
National
Idaho 4.04 · National 3.86
Weekend total nurse hours2.67
Facility
Idaho
National
Idaho 3.49 · National 3.42
Total nursing staff turnover53%
Facility
Idaho
National
Idaho 50% · National 46%
Registered nurse turnover42%
Facility
Idaho
National
Idaho 41% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Idaho | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.6% | 3.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.1% | 3.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 22.5% | 20.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 6.1% | 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 | 20.5% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.3% | 5.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 13.9% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Cascadia Hc Group LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cascadia Healthcare LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cascadia Holdco LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cascadia Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Flemming, Thomas Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hammond, Owen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Laforte, Stephen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nelson, Timothy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rudolph, John Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cascadia Hc Group LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Cascadia Healthcare LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Cascadia Holdco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Cascadia Idaho Operations LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Cascadia Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Flemming, Thomas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hammond, Owen Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Laforte, Stephen Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Nelson, Timothy Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Rudolph, John Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Timberline Ohi Tenant LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Timberline Ohi Tenant LLC Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| White Oak Healthcare Finance LLC Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Cascadia Healthcare — 46 facilities
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 Nez Perce.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Cascadia of Lewiston Lewiston | 0.0 mi | 2026-05-21 | 0201 |
| Lewiston Transitional Care of Cascadia Lewiston | 0.9 mi | 2025-08-21 | 090 |
| Orchard View Post Acute Lewiston | 1.4 mi | 2025-08-15 | 0321 |
| Life Care Center of Lewiston Lewiston | 1.3 mi | 2025-08-01 | 060 |
| Idaho State Veterans Home - Lewiston Lewiston | 1.4 mi | 2025-07-17 | 051 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |