Silverton Health and Rehabilitation of Cascadia
405 West Seventh Street · Silverton, ID · 83867 · 2085561147
55 certified beds For profit - Corporation Chain: Cascadia Healthcare
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- 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
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
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: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 3.07 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 2.42 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 1 · $41,954 |
Inspection citations (46 in the current record)
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Potential for harm · E January 9, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 6, 2026 · Resident Rights
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Potential for harm · D January 9, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 6, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected February 6, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 6, 2026 · Pharmacy Service
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Potential for harm · E January 9, 2026 · 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 February 6, 2026 · Pharmacy Service
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Potential for harm · F January 9, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 6, 2026 · Nutrition and Dietary
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Potential for harm · F January 9, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 6, 2026 · Nutrition and Dietary
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Potential for harm · D January 9, 2026 · 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 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 9, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 6, 2026 · Infection Control
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Potential for harm · E June 27, 2025 · 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 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 27, 2025 · found via complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected August 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 27, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected August 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 27, 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 August 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 27, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 9, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 9, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 9, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 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 August 9, 2025 · Nursing and Physician Services
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Potential for harm · D June 27, 2025 · 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 August 9, 2025 · Nursing and Physician Services
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Potential for harm · E June 27, 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 August 9, 2025 · Nutrition and Dietary
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Potential for harm · D June 27, 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 August 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 27, 2025 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected August 9, 2025 · Administration
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Potential for harm · D June 27, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 9, 2025 · Infection Control
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Actual harm · G October 4, 2023 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 10, 2023 · Pharmacy Service
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Potential for harm · D October 4, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 10, 2023 · Resident Rights
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Potential for harm · D October 4, 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 November 10, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 4, 2023 | Fine | $41,954 |
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 135058 · certified since October 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.