01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-07-10 | 3 | 2026-07-10 | 6 |
| Cycle 2 | 2026-01-09 | 9 | 2025-06-27 | 1 |
| Cycle 3 | 2025-06-27 | 20 | 2021-08-06 | 5 |
CMS CCN 1350582026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Silverton Health And Rehabilitation Of Cascadia
405 West Seventh Street · Silverton, ID 83867 · Shoshone County
Certified beds55CMS provider file
Recent citation rows44current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
44 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-07-10 · FIREE0036Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Correction field: Deficient, Provider has date of correction · 2025-10-142026-07-10 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2025-10-142026-07-10 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-10-142026-07-10 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has plan of correction · 2026-08-102026-07-10 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has plan of correction · 2026-08-102026-07-10 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has plan of correction · 2026-08-102026-07-10 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-10-142026-07-10 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-10-142026-07-10 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-10-142026-01-09 · HEALTHF0628Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-02-06 · complaint2026-01-09 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-02-06 · complaint2026-01-09 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2026-02-06 · complaint2026-01-09 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-02-06 · complaint2026-01-09 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2026-02-06 · complaint2026-01-09 · HEALTHF0804Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2026-02-06 · complaint2026-01-09 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-02-06 · complaint2026-01-09 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-02-06 · complaint2026-01-09 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-02-06 · complaint2025-06-27 · HEALTHF0600Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-08-09 · complaint2025-06-27 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2025-08-09 · complaint2025-06-27 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-08-09 · complaint2025-06-27 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-08-09 · complaint2025-06-27 · HEALTHF0684Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-08-09 · complaint2025-06-27 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-08-09 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2023-10-04 | Fine | $41,954 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CASCADIA IDAHO OPERATIONS LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/01/2023
- CASCADIA HC GROUP LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/05/2025
- CASCADIA HEALTHCARE LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/01/2023
- CASCADIA HOLDCO LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/05/2025
- HAMMOND, OWENIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/01/2023
- LAFORTE, STEPHENIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/05/2025
- NELSON, TIMOTHYIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/05/2025
- SILVERTON 405 REALTY, LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 06/05/2025
- WHITE OAK HEALTHCARE FINANCE LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 08/11/2022
- CASCADIA SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/21/2022
- HAMMOND, OWENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2023
- LAFORTE, STEPHENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/05/2025
- MEZA, MICHAELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2023
- NAHMENSEN, ROBERTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/24/2023
- NELSON, TIMOTHYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/05/2025
- CASCADIA SERVICES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/12/2025
- MEZA, MICHAELIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/12/2025
- NAHMENSEN, ROBERTIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/12/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.29per resident day
RN hours0.56per resident day
Weekend nurse hours2.75per resident day
Staff turnover51.1%CMS reported field
06 / LOCAL RECORDS
Open the Idaho ledger →Other published facilities nearby
No second facility in the same city met the directory rule.