Shaw Mountain of Cascadia

909 Reserve Street · Boise, ID · 83712 · 2083437717

108 certified beds For profit - Corporation Chain: Cascadia Healthcare

  • Inspection results have improved across recent cycles.

The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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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.

Score breakdown

Inspection record 30% of score 52
Serious harm & abuse 20% 84
Staffing 20% 68
Federal penalties 15% 76
Trend 10% 89
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.893.48 min · 4.1 strong
RN hours / resident-day0.510.55–0.75
Weekend hours / resident-day3.61≈ weekday level
Nursing turnover / year55%median 45%
Fines (3-yr window)1 · $10,839

Inspection citations (28 in the current record)

  • Potential for harm · D May 14, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected June 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D May 14, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected June 16, 2026 · Quality of Life and Care

  • Potential for harm · D May 14, 2026

    Provide and implement an infection prevention and control program.

    Corrected June 16, 2026 · Infection Control

  • Potential for harm · D May 14, 2026

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected June 16, 2026 · Infection Control

  • Potential for harm · E December 30, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 3, 2026 · Quality of Life and Care

  • Potential for harm · D December 30, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected February 3, 2026 · Nursing and Physician Services

  • Potential for harm · D December 30, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected February 3, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 7, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 2, 2025 · Resident Rights

  • Potential for harm · D March 7, 2025 · 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 April 2, 2025 · Resident Rights

  • Potential for harm · D March 7, 2025 · found via complaint

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected April 2, 2025 · Resident Rights

  • Potential for harm · D March 7, 2025 · 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 April 2, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 7, 2025 · found via complaint

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected April 2, 2025 · Quality of Life and Care

  • Potential for harm · D March 7, 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 April 2, 2025 · Nursing and Physician Services

  • Potential for harm · D March 7, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 2, 2025 · Pharmacy Service

  • Potential for harm · D March 7, 2025 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected April 2, 2025 · Pharmacy Service

  • Potential for harm · D March 7, 2025 · found via complaint

    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 2, 2025 · Pharmacy Service

  • Potential for harm · F March 7, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected April 2, 2025 · Infection Control

  • Actual harm · G February 9, 2024 · found via complaint

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected March 18, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 9, 2024

    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 March 18, 2024 · Pharmacy Service

  • Potential for harm · E February 9, 2024 · found via complaint

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected March 18, 2024 · Resident Rights

  • Potential for harm · D February 9, 2024 · found via complaint

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected March 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D February 9, 2024 · 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 March 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E February 9, 2024 · found via complaint

    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 March 18, 2024 · Quality of Life and Care

  • Potential for harm · F February 9, 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 March 18, 2024 · Nursing and Physician Services

  • Potential for harm · D February 9, 2024 · found via complaint

    Provide or obtain dental services for each resident.

    Corrected March 18, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 9, 2024Fine$10,839

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 135090 · certified since September 1, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.