Orchards of Cascadia, the
404 North Horton Street · Nampa, ID · 83651 · 2084669292
100 certified beds For profit - Limited Liability company Chain: Cascadia Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.94 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 3.24 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 2 · $34,954 |
Inspection citations (23 in the current record)
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Potential for harm · D January 8, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 29, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 1, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected January 29, 2026 · Resident Rights
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Potential for harm · D December 1, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 29, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 1, 2025
Ensure that residents are free from significant medication errors.
Corrected January 29, 2026 · Pharmacy Service
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Potential for harm · D December 1, 2025
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 January 29, 2026 · Pharmacy Service
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Potential for harm · D December 1, 2025
Provide and implement an infection prevention and control program.
Corrected December 18, 2025 · Infection Control
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Immediate jeopardy · J November 14, 2025 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected December 17, 2025 · Quality of Life and Care
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Actual harm · G June 6, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 9, 2024 · Quality of Life and Care
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Potential for harm · D June 6, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected July 9, 2024 · Resident Rights
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Potential for harm · D June 6, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 15, 2019
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 April 5, 2019 · Resident Rights
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Potential for harm · E February 15, 2019
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 April 5, 2019 · Resident Rights
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Potential for harm · D February 15, 2019
Honor 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.
Corrected April 5, 2019 · Resident Rights
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Potential for harm · D February 15, 2019
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected April 5, 2019 · Resident Rights
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Potential for harm · D February 15, 2019
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 5, 2019 · Resident Rights
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Potential for harm · D February 15, 2019
Notify 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.
Corrected April 5, 2019 · Resident Rights
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Potential for harm · D February 15, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 5, 2019 · Resident Assessment and Care Planning
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Potential for harm · D February 15, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 5, 2019 · Quality of Life and Care
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Potential for harm · D February 15, 2019
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 5, 2019 · Quality of Life and Care
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Potential for harm · D February 15, 2019
Provide appropriate foot care.
Corrected April 5, 2019 · Quality of Life and Care
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Potential for harm · D February 15, 2019
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 5, 2019 · Quality of Life and Care
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Potential for harm · F February 15, 2019
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 April 5, 2019 · Pharmacy Service
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Potential for harm · F February 15, 2019
Provide and implement an infection prevention and control program.
Corrected April 5, 2019 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 14, 2025 | Fine | $26,130 |
| June 6, 2024 | Fine | $8,824 |
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 135019 · certified since May 1, 1970. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.