CareWitness
Federal record · CMS Care Compare · CCN 135067 · Processed JUN 1 2026
CareWitnessIdahoMoscowNursing HomesParadise Creek Health And Rehab Of Cascadia

Paradise Creek Health And Rehab Of Cascadia

640 North Eisenhower Street, Moscow, ID, 83843

Type
Nursing home
Medicare/Medicaid certified · CCN 135067

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Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

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CMS Star Ratings

Overall2 / 5
Health inspections2 / 5
Staffing2 / 5
Quality measures3 / 5

Facility & Staffing

Ownership
For profit - Limited Liability company · Chain: Cascadia Healthcare
Certified beds
63 · avg 46 residents/day
Total nursing staff turnover
64.7%higher than most Idaho nursing homesIdaho avg: 50.1% · National avg: 46.1% · per CMS Care Compare
RN turnover
45.5%near the Idaho averageIdaho avg: 43.2% · National avg: 43.3% · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
12 fines · $87,188 total

Medicare certification

CMS Certification Number
135067
Certified beds
63 beds · avg 46 residents/day
Ownership type
For profit - Limited Liability company
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Moscow North Of Cascadia Llc
Chain affiliation
Cascadia Healthcare

CMS Care Compare, processing date June 1, 2026

Federal ownership record

For-profitLlc

Chain affiliation

Part of the Cascadia Healthcare chain — 44 facilities across 5 states. Chain-wide average overall rating 3.2 / 5.

Parent entity

Cascadia hc Group Llc

Disclosed owners (12 on record)

  • Christopher Pineda

    Adp of The Snf · since 2025

  • Cascadia hc Group LlcParent

    5% or Greater Indirect Ownership Interest · 100% · since 2025

  • Cascadia Holdco Llc

    5% or Greater Indirect Ownership Interest · 100% · since 2025

  • Moscow 640 Realty, Llc

    5% or Greater Security Interest · 100% · since 2025

  • Stephen j Laforte

    5% or Greater Indirect Ownership Interest · 33% · since 2025

  • Timothy Nelson

    5% or Greater Indirect Ownership Interest · 33% · since 2025

+ 6 additional owners on the federal record.

Recent change of ownership

May 2023 (3 years ago) · acquired from Good Samaritan Society Moscow Village

Transaction type: Change of Ownership

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.

Federal inspection record

27 health citations on file16 from complaints12 federal fines totalling $87K

Recent health-deficiency citations (most recent 8 of 27)

  • F0812·May 7, 2026

    Nutrition and Dietary Deficiencies

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • D0695·May 7, 2026

    Quality of Life and Care Deficiencies

    Provide safe and appropriate respiratory care for a resident when needed.

  • D0692·May 7, 2026

    Quality of Life and Care Deficiencies

    Provide enough food/fluids to maintain a resident's health.

  • F0812·Aug 29, 2024

    Nutrition and Dietary Deficiencies

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • E0804·Aug 29, 2024

    Nutrition and Dietary Deficiencies

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  • D0756·Aug 29, 2024

    Pharmacy Service Deficiencies

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • E0730·Aug 29, 2024

    Nursing and Physician Services Deficiencies

    Observe each nurse aide's job performance and give regular training.

  • D0689·Aug 29, 2024

    Quality of Life and Care Deficiencies

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20241 fine · $21K
  • 202311 fines · $66K

Most recent events

  • Aug 29, 2024Fine · $21K
  • 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

Largest single fine on record: $21K.

Fire-safety citations

9 Life-Safety-Code citations on file. Most recent: Aug 29, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Paradise Creek Health And Rehab Of Cascadiainto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.