Teton Healthcare of Cascadia
3111 Channing Way · Idaho Falls, ID · 83404 · 2085290067
88 certified beds For profit - Limited Liability company Chain: Cascadia Healthcare
- 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
60% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 3 of 5
| Total nurse hours / resident-day | 3.77 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.26 | 0.55–0.75 |
| Weekend hours / resident-day | 3.12 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | 2 · $36,190 |
Inspection citations (37 in the current record)
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Potential for harm · D March 6, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 31, 2026 · Resident Rights
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Potential for harm · D March 6, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected March 31, 2026 · Resident Rights
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Potential for harm · D March 6, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 31, 2026 · Resident Rights
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Potential for harm · D March 6, 2026
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 March 31, 2026 · Resident Rights
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Potential for harm · D March 6, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 31, 2026 · Resident Rights
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Potential for harm · D March 6, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 31, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2026
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 31, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2026
Post nurse staffing information every day.
Corrected March 31, 2026 · Nursing and Physician Services
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Potential for harm · D March 6, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 31, 2026 · Pharmacy Service
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Potential for harm · D March 6, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 31, 2026 · Pharmacy Service
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Potential for harm · D March 6, 2026
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 31, 2026 · Pharmacy Service
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Potential for harm · D March 6, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 31, 2026 · Nutrition and Dietary
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Potential for harm · D March 6, 2026
Provide and implement an infection prevention and control program.
Corrected March 31, 2026 · Infection Control
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Potential for harm · D August 15, 2025 · found via complaint
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 September 12, 2025 · Resident Rights
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Potential for harm · D August 15, 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 September 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 15, 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 September 12, 2025 · Pharmacy Service
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Potential for harm · D August 15, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 12, 2025 · Infection Control
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Actual harm · G December 20, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 24, 2025 · Quality of Life and Care
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Actual harm · G December 20, 2024 · 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 January 24, 2025 · Nursing and Physician Services
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Potential for harm · D December 20, 2024 · found via complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected January 24, 2025 · Resident Rights
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Potential for harm · D December 20, 2024 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected January 24, 2025 · Resident Rights
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Potential for harm · E December 20, 2024 · found via complaint
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 January 24, 2025 · Resident Rights
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Potential for harm · D December 20, 2024 · found via complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected January 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 20, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected January 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 20, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 24, 2025 · 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 |
|---|---|---|
| December 20, 2024 | Fine | $25,604 |
| December 11, 2023 | Fine | $10,586 |
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 135138 · certified since September 5, 2013. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.