Lewiston Transitional Care of Cascadia
3315 8th Street · Lewiston, ID · 83501 · 2087439543
96 certified beds For profit - Limited Liability company 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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
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: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 2.93 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (20 in the current record)
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Potential for harm · D August 21, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 21, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 22, 2025 · Quality of Life and Care
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Potential for harm · D August 21, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected September 22, 2025 · Quality of Life and Care
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Potential for harm · D August 21, 2025
Ensure that residents are free from significant medication errors.
Corrected September 22, 2025 · Pharmacy Service
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Potential for harm · E August 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 22, 2025 · Nutrition and Dietary
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Potential for harm · D August 21, 2025
Provide and implement an infection prevention and control program.
Corrected September 22, 2025 · Infection Control
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Potential for harm · D June 13, 2024 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected July 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 13, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 12, 2024 · Quality of Life and Care
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Potential for harm · E June 13, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 12, 2024 · Nutrition and Dietary
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Potential for harm · E January 9, 2020
Honor 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.
Corrected February 13, 2020 · Resident Rights
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Potential for harm · D January 9, 2020
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.
Corrected February 13, 2020 · Resident Rights
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Potential for harm · D January 9, 2020
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected February 13, 2020 · Resident Rights
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Potential for harm · D January 9, 2020
Ensure each resident receives an accurate assessment.
Corrected February 13, 2020 · Resident Assessment and Care Planning
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Potential for harm · D January 9, 2020
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 13, 2020 · Resident Assessment and Care Planning
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Potential for harm · D January 9, 2020
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 13, 2020 · Quality of Life and Care
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Potential for harm · D January 9, 2020
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.
Corrected February 13, 2020 · Quality of Life and Care
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Potential for harm · D January 9, 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 February 13, 2020 · Pharmacy Service
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Potential for harm · E January 9, 2020
Ensure 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.
Corrected February 13, 2020 · Pharmacy Service
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Potential for harm · D January 9, 2020
Provide and implement an infection prevention and control program.
Corrected February 13, 2020 · Infection Control
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No harm found · C January 9, 2020
Post nurse staffing information every day.
Corrected February 13, 2020 · Nursing and Physician Services
Better-scoring options nearby
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 135021 · certified since September 1, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.