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C
Below Standard

SILVERTON HEALTH AND REHABILITATION OF CASCADIA

405 WEST SEVENTH STREET · SILVERTON, ID 83867

2085561147 · For profit - Limited Liability company

55 beds47.2 residents65 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

SILVERTON HEALTH AND REHABILITATION OF CASCADIA receives an overall staffing grade of C (Below Standard). With 3.3016 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5508 HPRD, below the recommended 0.75. It is 0.59 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 23.88% compared to weekdays. The facility has low agency staff usage (5.54% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3016 HPRD — needs 0.18 more hours per resident per day.
⚠️RN staffing (0.5508 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
3.3016hrs/resident/day▼ 0.59
CMS benchmark: 3.48
RN HPRD
0.5508hrs/resident/day▼ 0.13
Recommended: 0.75
Weekend Drop-off
23.88%
3.5406 weekday → 2.695 weekend
⚠ Significant weekend reduction
Agency Staff
5.54%
18.36% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8035hrs/resident/day
Direct care aides
LPN HPRD
0.5552hrs/resident/day
Licensed practical nurses
Consistency
0.5786std 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. Shoshone County Average-0.26 HPRD
3.56
03.30 HPRD
vs. Idaho State Average-0.80 HPRD
4.10
03.30 HPRD
vs. National Average-0.59 HPRD
3.90
03.30 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
SILVERTON HEALTH AND REHABILITATION OF CASCADIA ★
SILVERTON · This facility
—
C
3.30160.5508☆☆☆☆☆
MOUNTAIN VALLEY OF CASCADIA
KELLOGG
8.6 mi
B
3.81790.6446★★★★☆
VALLEY VISTA CARE CENTER OF ST MARIES
ST MARIES
30.8 mi
C
4.20750.4795★☆☆☆☆
COEUR D ALENE HEALTH OF CASCADIA
COEUR D'ALENE
40.7 mi
C
3.68220.5106★☆☆☆☆
LAKESIDE REHABILITATION AND CARE CENTER
COEUR D'ALENE
40.9 mi
C
3.7560.4586★☆☆☆☆
IRONWOOD REHABILITATION AND CARE CENTER
COEUR D'ALENE
41.5 mi
B
4.05060.7424★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
52
Total Deficiencies
$41,954
Fines Assessed
Jun 27, 2025Health
13 deficiencies cited
▼
Oct 4, 2023Health
7 deficiencies cited· Includes actual harm
▼
Aug 6, 2021Health
17 deficiencies cited· Includes actual harm
▼
Oct 12, 2018Health
15 deficiencies cited· Includes actual harm
▼

Penalty History

Oct 4, 2023Fine
$41,954
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.