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C
Below Standard

PARADISE CREEK HEALTH AND REHAB OF CASCADIA

640 NORTH EISENHOWER STREET · MOSCOW, ID 83843

2088826560 · For profit - Corporation

63 beds48.1 residents66 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
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

PARADISE CREEK HEALTH AND REHAB OF CASCADIA receives an overall staffing grade of C (Below Standard). With 3.2405 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.7131 HPRD, below the recommended 0.75. It is 0.66 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.89% compared to weekdays. The facility relies heavily on temporary agency staff (19.34% of hours), suggesting potential workforce instability.

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

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2405 HPRD — needs 0.24 more hours per resident per day.
⚠️RN staffing (0.7131 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️19.34% 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 (2)

✅No days with zero registered nurse hours this quarter
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.2405hrs/resident/day▼ 0.66
CMS benchmark: 3.48
RN HPRD
0.7131hrs/resident/day▲ 0.03
Recommended: 0.75
Weekend Drop-off
12.89%
3.363 weekday → 2.9295 weekend
Agency Staff
19.34%
14.47% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7038hrs/resident/day
Direct care aides
LPN HPRD
0.5408hrs/resident/day
Licensed practical nurses
Consistency
0.2978std 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. Latah County Average-0.15 HPRD
3.39
03.24 HPRD
vs. Idaho State Average-0.86 HPRD
4.10
03.24 HPRD
vs. National Average-0.66 HPRD
3.90
03.24 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
PARADISE CREEK HEALTH AND REHAB OF CASCADIA ★
MOSCOW · This facility
—
C
3.24050.7131★★☆☆☆
ASPEN PARK OF CASCADIA
MOSCOW
1.6 mi
C
3.53330.4081★★★☆☆
IDAHO STATE VETERANS HOME - LEWISTON
LEWISTON
23.6 mi
A
4.83811.6572★★★★★
ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA
LEWISTON
23.7 mi
B
3.71520.9732★★★★☆
CASCADIA OF LEWISTON
LEWISTON
23.7 mi
B
3.92641.1154★★☆☆☆
LEWISTON TRANSITIONAL CARE OF CASCADIA
LEWISTON
24.6 mi
C
3.4720.502★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
30
Total Deficiencies
$90,362
Fines Assessed
Aug 29, 2024Health
7 deficiencies cited· Includes actual harm
▼
Jul 14, 2023Health
17 deficiencies cited· Includes actual harm
▼
Feb 6, 2020Health
6 deficiencies cited
▼

Penalty History

Aug 29, 2024Fine
$21,320
Sep 25, 2023Fine
$4,587
Sep 18, 2023Fine
$4,587
Sep 11, 2023Fine
$4,545
Sep 5, 2023Fine
$4,587
Aug 28, 2023Fine
$4,587
Aug 21, 2023Fine
$4,545
Aug 14, 2023Fine
$4,587
Jul 17, 2023Fine
$10,489
Jul 14, 2023Fine
$18,084
Jun 26, 2023Fine
$2,823
Jun 20, 2023Fine
$2,447
May 15, 2023Fine
$3,174
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.