Paradise Creek Health and Rehab of Cascadia
640 North Eisenhower Street · Moscow, ID · 83843 · 2088826560
63 certified beds For profit - Limited Liability company Chain: Cascadia Healthcare
Why this verdict
- Federal penalties on record: $21,320 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.52 | 0.55–0.75 |
| Weekend hours / resident-day | 3.01 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | 12 · $87,188 |
Inspection citations (27 in the current record)
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Potential for harm · D May 7, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected June 11, 2026 · Quality of Life and Care
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Potential for harm · D May 7, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 11, 2026 · Quality of Life and Care
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Potential for harm · F May 7, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 11, 2026 · Nutrition and Dietary
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Actual harm · G August 29, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 27, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 2024
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 September 27, 2024 · Resident Rights
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Potential for harm · D August 29, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 27, 2024 · Quality of Life and Care
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Potential for harm · E August 29, 2024
Observe each nurse aide's job performance and give regular training.
Corrected September 27, 2024 · Nursing and Physician Services
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Potential for harm · D August 29, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 27, 2024 · Pharmacy Service
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Potential for harm · E August 29, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 27, 2024 · Nutrition and Dietary
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Potential for harm · F August 29, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 27, 2024 · Nutrition and Dietary
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Actual harm · G July 14, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 8, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G July 14, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 8, 2023 · Quality of Life and Care
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Potential for harm · D July 14, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected August 8, 2023 · Infection Control
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Potential for harm · D July 14, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 8, 2023 · Resident Rights
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Potential for harm · D July 14, 2023 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected August 8, 2023 · Resident Rights
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Potential for harm · E July 14, 2023 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected August 8, 2023 · Resident Rights
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Potential for harm · D July 14, 2023 · found via complaint
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 August 8, 2023 · Resident Rights
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Potential for harm · D July 14, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 8, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 14, 2023 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected August 8, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 14, 2023 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 8, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 14, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 8, 2023 · Quality of Life and Care
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Potential for harm · E July 14, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 8, 2023 · Quality of Life and Care
-
Potential for harm · D July 14, 2023 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 8, 2023 · Quality of Life and Care
-
Potential for harm · E July 14, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 8, 2023 · Nutrition and Dietary
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Potential for harm · D July 14, 2023 · found via complaint
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected August 8, 2023 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 29, 2024 | Fine | $21,320 |
| September 25, 2023 | Fine | $4,587 |
| September 18, 2023 | Fine | $4,587 |
| September 11, 2023 | Fine | $4,545 |
| September 5, 2023 | Fine | $4,587 |
| August 28, 2023 | Fine | $4,587 |
| August 21, 2023 | Fine | $4,545 |
| August 14, 2023 | Fine | $4,587 |
| July 17, 2023 | Fine | $10,489 |
| July 14, 2023 | Fine | $18,084 |
| June 26, 2023 | Fine | $2,823 |
| June 20, 2023 | Fine | $2,447 |
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 135067 · certified since June 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.