Twin Falls Transitional Care of Cascadia

674 Eastland Drive · Twin Falls, ID · 83301 · 2087344264

116 certified beds For profit - Limited Liability company Chain: Cascadia Healthcare

Why this verdict

  • 4 citations involved actual harm to residents.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

2 abuse-related citations 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 61
Serious harm & abuse 20% 50
Staffing 20% 67
Federal penalties 15% 100
Trend 10% 60
Context 5% 100

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

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.493.48 min · 4.1 strong
RN hours / resident-day0.660.55–0.75
Weekend hours / resident-day3.20≈ weekday level
Nursing turnover / year51%median 45%
Fines (3-yr window)none

Inspection citations (33 in the current record)

  • Potential for harm · D June 12, 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 July 11, 2025 · Resident Rights

  • Potential for harm · D June 12, 2025 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected July 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 12, 2025 · found via complaint

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected July 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 12, 2025 · found via complaint

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected July 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 12, 2025 · found via complaint

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

    Corrected July 11, 2025 · Quality of Life and Care

  • Potential for harm · D June 12, 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 July 11, 2025 · Pharmacy Service

  • Potential for harm · D June 12, 2025 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 11, 2025 · Pharmacy Service

  • Potential for harm · D June 12, 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 July 11, 2025 · Pharmacy Service

  • Potential for harm · D June 12, 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 July 11, 2025 · Nutrition and Dietary

  • Potential for harm · D June 12, 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 July 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 5, 2024

    Ensure each resident receives an accurate assessment.

    Corrected August 2, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 5, 2024

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected August 2, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 5, 2024

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected August 2, 2024 · Quality of Life and Care

  • Potential for harm · D July 5, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 2, 2024 · Quality of Life and Care

  • Potential for harm · D July 5, 2024

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected August 2, 2024 · Quality of Life and Care

  • Potential for harm · D July 5, 2024

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

    Corrected August 2, 2024 · Quality of Life and Care

  • Potential for harm · F July 5, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 2, 2024 · Nutrition and Dietary

  • Immediate jeopardy · J April 1, 2019

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected May 21, 2019 · Quality of Life and Care

  • Actual harm · G April 1, 2019

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 21, 2019 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G April 1, 2019

    Respond appropriately to all alleged violations.

    Corrected May 21, 2019 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G April 1, 2019

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 21, 2019 · Quality of Life and Care

  • Actual harm · G April 1, 2019

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected May 21, 2019 · Quality of Life and Care

  • Potential for harm · D April 1, 2019

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected May 21, 2019 · Resident Rights

  • Potential for harm · D April 1, 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 May 21, 2019 · Resident Rights

  • Potential for harm · D April 1, 2019

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 21, 2019 · Freedom from Abuse, Neglect, and Exploitation

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

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 135104 · certified since March 10, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.