Orchards Of Cascadia, The
404 North Horton Street, Nampa, ID, 83651
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Order the reportFederal 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.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Cascadia Healthcare
- Certified beds
- 100 · avg 92 residents/day
- Total nursing staff turnover
- 48.4% — near the Idaho averageIdaho avg: 50.1% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 46.2% — near the Idaho averageIdaho avg: 43.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Idaho averageIdaho avg: 0.4 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $34,954 total
Medicare certification
- CMS Certification Number
- 135019
- Certified beds
- 100 beds · avg 92 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
- Nampa West Of Cascadia Llc
- Chain affiliation
- Cascadia Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
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)
- Cascadia hc Group LlcParent
Indirect Ownership Interest · 100% · since 2025
- Cascadia Holdco Llc
Indirect Ownership Interest · 100% · since 2025
- Stephen j Laforte
Indirect Ownership Interest · 33% · since 2025
- Timberline Ctre Tenant Llc
5% or Greater Security Interest · 100% · since 2025
- Timothy Nelson
Indirect Ownership Interest · 33% · since 2025
- Andrew Gabel
Adp of The Snf · since 2025
+ 6 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 23)
- D0610·Jan 8, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- D0880·Dec 1, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0761·Dec 1, 2025
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.
- D0760·Dec 1, 2025
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0609·Dec 1, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E0565·Dec 1, 2025
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
- J0698·Nov 14, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- G0689·Jun 6, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20251 fine · $26K
- 20241 fine · $8,824
Most recent events
- Nov 14, 2025Fine · $26K
- Jun 6, 2024Fine · $8,824
Largest single fine on record: $26K.
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: Jun 6, 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 Orchards Of Cascadia, Theinto 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.
Order the full background report — $249Where 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.