Nursing homeActive

Teton Healthcare of Cascadia

3111 Channing Way, Idaho Falls, ID 83404208529006788 certified beds · 70 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2022
Deficiencies
37
0352
Penalties · 3 yrs
$36,190
2 fines
Last survey
2026-03-06
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 3
Quality 3
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
2026-03-06Standard0130CMS-2567 (Care Compare)
2025-08-15Complaint040CMS-2567 (Care Compare)
2024-12-20Standard0172CMS-2567 (Care Compare)
2022-08-04Standard010CMS-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.

2026-03-06Standard survey · 13 deficienciesOfficial report
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 135138-20260306-F554
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 2026-03-31Record 135138-20260306-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 2026-03-31Record 135138-20260306-F582
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 2026-03-31Record 135138-20260306-F584
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 2026-03-31Record 135138-20260306-F628
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 2026-03-31Record 135138-20260306-F655
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 2026-03-31Record 135138-20260306-F657
F732Post nurse staffing information every day.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 135138-20260306-F732
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 2026-03-31Record 135138-20260306-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 135138-20260306-F757
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 2026-03-31Record 135138-20260306-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 2026-03-31Record 135138-20260306-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 2026-03-31Record 135138-20260306-F880
2025-08-15Complaint survey · 4 deficienciesOfficial report
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 2025-09-12Record 135138-20250815-F584
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 2025-09-12Record 135138-20250815-F657
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 2025-09-12Record 135138-20250815-F761
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 2025-09-12Record 135138-20250815-F880
2024-12-20Standard survey · 19 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-01-24Record 135138-20241220-F689
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity GHarm
Staffing
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-01-24Record 135138-20241220-F726
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 2025-01-24Record 135138-20241220-F582
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-24Record 135138-20241220-F583
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 EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-24Record 135138-20241220-F584
F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-24Record 135138-20241220-F635
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-24Record 135138-20241220-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-24Record 135138-20241220-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 EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-24Record 135138-20241220-F657
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 2025-01-24Record 135138-20241220-F688
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-24Record 135138-20241220-F692
F730Observe each nurse aide's job performance and give regular training.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-24Record 135138-20241220-F730
F732Post nurse staffing information every day.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-24Record 135138-20241220-F732
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 2025-01-24Record 135138-20241220-F758
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 2025-01-24Record 135138-20241220-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-24Record 135138-20241220-F804
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-24Record 135138-20241220-F806
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 2025-01-24Record 135138-20241220-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 2025-01-24Record 135138-20241220-F880
2022-08-04Standard survey · 1 deficiencyOfficial report
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 2022-09-02Record 135138-20220804-F657

Penalties & enforcement

DateActionAmountSource
2024-12-20Civil money penalty$25,604CMS · Penalties
2023-12-11Civil money penalty$10,586CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.31
Facility
Idaho
National
Idaho 0.86 · National 0.69
Total nurse hours per resident day3.78
Facility
Idaho
National
Idaho 4.04 · National 3.86
Weekend total nurse hours3.14
Facility
Idaho
National
Idaho 3.49 · National 3.42
Total nursing staff turnover61%
Facility
Idaho
National
Idaho 50% · National 46%
Registered nurse turnover54%
Facility
Idaho
National
Idaho 41% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityIdahoNational
Percentage of long-stay residents with pressure ulcers
lower is better
7.0%3.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.0%3.0%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
8.7%20.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.6%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
25.1%15.6%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
1.1%5.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
17.0%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
Cascadia Hc Group LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Cascadia Healthcare LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Cascadia Holdco LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Cascadia Idaho Operations LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Cascadia Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hammond, James
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hammond, Owen
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Laforte, Stephen
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Nelson, Timothy
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Thomson, James
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Cascadia Hc Group LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Cascadia Healthcare LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Cascadia Holdco LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Cascadia Idaho Operations LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Cascadia Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Hammond, James
Individual
ADP OF THE SNFNOT APPLICABLE
Hammond, Owen
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Laforte, Stephen
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Nelson, Timothy
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Thomson, James
Individual
ADP OF THE SNFNOT APPLICABLE
Timberline Ohi Tenant LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Timberline Ohi Tenant LLC
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
White Oak Healthcare Finance LLC
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Part of a chain
Cascadia Healthcare46 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 Bonneville.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Life Care Center of Idaho Falls
Idaho Falls
1.0 mi2026-03-190321
Promontory Point Rehabilitation
Ammon
1.7 mi2026-05-280210
Eagle Rock Health and Rehabilitation of Cascadia
Idaho Falls
2.8 mi2026-04-020341
Temple View Transitional Care Center
Rexburg
25.7 mi2026-01-090320
Madison Carriage Cove Short Stay Rehabilitation
Rexburg
26.5 mi2026-01-280201
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