Clarkston Health and Rehab of Cascadia: Staffing, Turnover, and Inspection Record
Clarkston Health and Rehab of Cascadia is a 90-bed for-profit nursing home in Clarkston, Washington, part of Cascadia Healthcare. In the CMS August 2026 release it reported 1.92 nurse aide hours per resident per day, 28% below the Washington average of 2.66, and 22.5% nursing staff turnover (Washington average 45.1%).
Clarkston Health and Rehab of Cascadia
1242 Eleventh StreetClarkston, WA 99403
Asotin County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Clarkston Health and Rehab of Cascadia, nurse aides logged 1.92 hours per resident per day, 28% below the Washington average. With about 82 residents a day, that works out to roughly 157 aide hours a day, or about 20 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | Washington avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.92 | 2.66 | 2.32 |
| Licensed practical nurses | 0.45 | 0.77 | 0.86 |
| Registered nurses | 1.10 | 0.94 | 0.69 |
| All nursing staff | 3.47 | 4.37 | 3.86 |
| All nursing staff, weekends | 2.92 | 3.81 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
22.5% of nursing staff at Clarkston Health and Rehab of Cascadia left over the year CMS measured, against a Washington average of 45.1% and a US average of 45.8%. Registered nurse turnover was 22.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 18, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 16 health deficiencies (Washington average 16.1). CMS lists 1 fine totaling $32,711 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 25, 2023 | Fine | $32,711 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Clarkston Health and Rehab of Cascadia holds 3 of 5 overall; the Washington average is 3.2.
About Clarkston Health and Rehab of Cascadia
- Ownership: For profit - Limited Liability company
- Chain: Cascadia Healthcare, 46 homes
- Legal name: Clarkston of Cascadia, LLC
- Medicare and Medicaid certified since: Jan 1, 1984
- Councils: resident council
- Area: urban
Nursing homes near Clarkston Health and Rehab of Cascadia
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Idaho State Veterans Home - Lewiston Lewiston | 1.5 | 66 | 2.81 | 4.72 | 26.9% | 5 | $186,850 |
| Life Care Center of Lewiston Lewiston | 2.5 | 121 | 1.75 | 3.43 | 50.6% | 5 | None |
| Royal Plaza Health and Rehabilitation of Cascadia Lewiston | 2.9 | 76 | 2.01 | 3.24 | 53.4% | 2 | None |
| Cascadia of Lewiston Lewiston | 2.9 | 34 | 2.33 | 4.31 | 68.4% | 4 | None |
| Lewiston Transitional Care of Cascadia Lewiston | 3.3 | 96 | 2.36 | 3.51 | 48.1% | 4 | None |
| Orchard View Post Acute Lewiston | 3.9 | 127 | 1.97 | 3.39 | 46.0% | 2 | $16,790 |
| Aspen Park of Cascadia Moscow | 21.9 | 70 | 2.57 | 3.63 | 50.9% | 5 | None |
| Paradise Creek Health and Rehab of Cascadia Moscow | 23.3 | 63 | 2.07 | 3.36 | 70.9% | 4 | $48,758 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.