Grangeville Health & Rehabilitation of Cascadia
410 East North Second Street · Grangeville, ID · 83530 · 2089831131
60 certified beds For profit - Corporation Chain: Cascadia Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
72% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.50 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.82 | 0.55–0.75 |
| Weekend hours / resident-day | 3.12 | ≈ weekday level |
| Nursing turnover / year | 72% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (13 in the current record)
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Potential for harm · D August 8, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected September 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 8, 2025 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected September 10, 2025 · Nursing and Physician Services
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Potential for harm · F August 8, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 10, 2025 · Nutrition and Dietary
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Potential for harm · D August 8, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 10, 2025 · Infection Control
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Potential for harm · D August 8, 2025 · found via complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 10, 2025 · Infection Control
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Potential for harm · D August 8, 2025 · found via complaint
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected September 10, 2025 · Infection Control
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Potential for harm · D October 25, 2024 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected November 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · F October 25, 2024 · found via complaint
Have 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.
Corrected November 18, 2024 · Nursing and Physician Services
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Potential for harm · D February 6, 2020
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 10, 2020 · Resident Rights
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Potential for harm · D February 6, 2020
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 10, 2020 · Quality of Life and Care
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Potential for harm · D February 6, 2020
Implement 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.
Corrected March 10, 2020 · Pharmacy Service
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Potential for harm · F February 6, 2020
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 10, 2020 · Nutrition and Dietary
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Potential for harm · E February 6, 2020
Provide and implement an infection prevention and control program.
Corrected March 10, 2020 · Infection Control
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 135080 · certified since January 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.