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C
Below Standard

CLEARWATER HEALTH & REHABILITATION OF CASCADIA

1204 SHRIVER ROAD · OROFINO, ID 83544

2084764568 · For profit - Limited Liability company

60 beds40.5 residents69 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A
Very Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

CLEARWATER HEALTH & REHABILITATION OF CASCADIA receives an overall staffing grade of C (Below Standard). With 3.1498 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.75 HPRD below the national average.

Weekend staffing drops significantly — dropping 25.32% compared to weekdays. The facility relies heavily on temporary agency staff (18.73% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (4)

⚠️Had 3 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1498 HPRD — needs 0.33 more hours per resident per day.
⚠️Weekend staffing drops 25.32% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.
⚠️18.73% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
Total Nurse HPRD
3.1498hrs/resident/day▼ 0.75
CMS benchmark: 3.48
RN HPRD
0.7834hrs/resident/day▲ 0.10
Recommended: 0.75
Weekend Drop-off
25.32%
3.3926 weekday → 2.5336 weekend
⚠ Significant weekend reduction
Agency Staff
18.73%
0.59% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
3days this quarter
4+ days = auto 1-star
CNA HPRD
1.6093hrs/resident/day
Direct care aides
LPN HPRD
0.3037hrs/resident/day
Licensed practical nurses
Consistency
0.5252std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Clearwater County Average+0.00 HPRD
3.15
03.15 HPRD
vs. Idaho State Average-0.95 HPRD
4.10
03.15 HPRD
vs. National Average-0.75 HPRD
3.90
03.15 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
CLEARWATER HEALTH & REHABILITATION OF CASCADIA ★
OROFINO · This facility
—
C
3.14980.7834★★★★★
ORCHARD VIEW POST ACUTE
LEWISTON
34.7 mi
B
3.62151.0383★★☆☆☆
ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA
LEWISTON
34.8 mi
B
3.71520.9732★★★★☆
CASCADIA OF LEWISTON
LEWISTON
34.9 mi
B
3.92641.1154★★☆☆☆
LEWISTON TRANSITIONAL CARE OF CASCADIA
LEWISTON
35 mi
C
3.4720.502★★★★☆
LIFE CARE CENTER OF LEWISTON
LEWISTON
36 mi
B
3.69680.6497★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
17
Total Deficiencies
$0
Fines Assessed
Apr 17, 2025Health
7 deficiencies cited
▼
Feb 4, 2022Health
3 deficiencies cited
▼
Jun 14, 2021Health
7 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.