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C
Below Standard

LEWISTON TRANSITIONAL CARE OF CASCADIA

3315 8TH STREET · LEWISTON, ID 83501

2087439543 · For profit - Limited Liability company

96 beds65.5 residents72 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
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

LEWISTON TRANSITIONAL CARE OF CASCADIA receives an overall staffing grade of C (Below Standard). With 3.472 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.502 HPRD, below the recommended 0.75. It is 0.42 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.8% compared to weekdays. The facility uses a moderate level of agency staff (9.32% of hours), suggesting some reliance on temporary workers.

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

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.472 HPRD — needs 0.01 more hours per resident per day.
⚠️RN staffing (0.502 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.472hrs/resident/day▼ 0.42
CMS benchmark: 3.48
RN HPRD
0.502hrs/resident/day▼ 0.18
Recommended: 0.75
Weekend Drop-off
15.8%
3.6344 weekday → 3.06 weekend
Agency Staff
9.32%
3.45% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1024hrs/resident/day
Direct care aides
LPN HPRD
0.6137hrs/resident/day
Licensed practical nurses
Consistency
0.3542std 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. Nez Perce County Average-0.41 HPRD
3.88
03.47 HPRD
vs. Idaho State Average-0.62 HPRD
4.10
03.47 HPRD
vs. National Average-0.42 HPRD
3.90
03.47 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
LEWISTON TRANSITIONAL CARE OF CASCADIA ★
LEWISTON · This facility
—
C
3.4720.502★★★★☆
ORCHARD VIEW POST ACUTE
LEWISTON
0.6 mi
B
3.62151.0383★★☆☆☆
CASCADIA OF LEWISTON
LEWISTON
0.9 mi
B
3.92641.1154★★☆☆☆
ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA
LEWISTON
0.9 mi
B
3.71520.9732★★★★☆
LIFE CARE CENTER OF LEWISTON
LEWISTON
1 mi
B
3.69680.6497★★★★★
IDAHO STATE VETERANS HOME - LEWISTON
LEWISTON
1.8 mi
A
4.83811.6572★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
20
Total Deficiencies
$0
Fines Assessed
Aug 21, 2025Health
6 deficiencies cited
▼
Jun 13, 2024Health
3 deficiencies cited
▼
Jan 9, 2020Health
11 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.