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B
Good

ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA

2870 JUNIPER DRIVE · LEWISTON, ID 83501

2087462855 · For profit - Partnership

76 beds61.9 residents87 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
A
Very Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA receives an overall staffing grade of B (Good). With 3.7152 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.18 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 22.35% compared to weekdays. The facility relies heavily on temporary agency staff (16.41% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️16.41% 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 (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.7152hrs/resident/day▼ 0.18
CMS benchmark: 3.48
RN HPRD
0.9732hrs/resident/day▲ 0.29
Recommended: 0.75
Weekend Drop-off
22.35%
3.9657 weekday → 3.0794 weekend
⚠ Significant weekend reduction
Agency Staff
16.41%
12.41% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8447hrs/resident/day
Direct care aides
LPN HPRD
0.5371hrs/resident/day
Licensed practical nurses
Consistency
0.5069std 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-0.16 HPRD
3.88
03.72 HPRD
vs. Idaho State Average-0.38 HPRD
4.10
03.72 HPRD
vs. National Average-0.18 HPRD
3.90
03.72 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
ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA ★
LEWISTON · This facility
—
B
3.71520.9732★★★★☆
CASCADIA OF LEWISTON
LEWISTON
0 mi
B
3.92641.1154★★☆☆☆
LEWISTON TRANSITIONAL CARE OF CASCADIA
LEWISTON
0.9 mi
C
3.4720.502★★★★☆
LIFE CARE CENTER OF LEWISTON
LEWISTON
1.3 mi
B
3.69680.6497★★★★★
ORCHARD VIEW POST ACUTE
LEWISTON
1.4 mi
B
3.62151.0383★★☆☆☆
IDAHO STATE VETERANS HOME - LEWISTON
LEWISTON
1.4 mi
A
4.83811.6572★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
27
Total Deficiencies
$0
Fines Assessed
Apr 17, 2025Health
3 deficiencies cited
▼
Nov 8, 2024Health
10 deficiencies cited
▼
Jul 24, 2021Health
14 deficiencies cited· Includes actual harm
▼
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.