Clearwater Health & Rehabilitation of Cascadia: Staffing, Turnover, and Inspection Record
Clearwater Health & Rehabilitation of Cascadia is a 60-bed for-profit nursing home in Orofino, Idaho, part of Cascadia Healthcare. In the CMS August 2026 release it reported 2.14 nurse aide hours per resident per day, 12% below the Idaho average of 2.44, and 54.1% nursing staff turnover (Idaho average 50.3%).
Clearwater Health & Rehabilitation of Cascadia
1204 Shriver RoadOrofino, ID 83544
Clearwater 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 Clearwater Health & Rehabilitation of Cascadia, nurse aides logged 2.14 hours per resident per day, 12% below the Idaho average. With about 39 residents a day, that works out to roughly 84 aide hours a day, or about 11 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 19% below the all-days figure.
| Hours per resident per day | This home | Idaho avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.14 | 2.44 | 2.32 |
| Licensed practical nurses | 0.28 | 0.74 | 0.86 |
| Registered nurses | 0.85 | 0.86 | 0.69 |
| All nursing staff | 3.27 | 4.04 | 3.86 |
| All nursing staff, weekends | 2.66 | 3.49 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
54.1% of nursing staff at Clearwater Health & Rehabilitation of Cascadia left over the year CMS measured, against a Idaho average of 50.3% and a US average of 45.8%. Registered nurse turnover was 22.2%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 26, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 14 health deficiencies (Idaho average 10.2). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Clearwater Health & Rehabilitation of Cascadia holds 3 of 5 overall; the Idaho average is 3.1.
About Clearwater Health & Rehabilitation of Cascadia
- Ownership: For profit - Limited Liability company
- Chain: Cascadia Healthcare, 46 homes
- Legal name: Clearwater of Cascadia
- Medicare and Medicaid certified since: Nov 19, 1969
- Councils: resident council
- Area: rural
Nursing homes near Clearwater Health & Rehabilitation of Cascadia
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Orchard View Post Acute Lewiston | 34.8 | 127 | 1.97 | 3.39 | 46.0% | 2 | $16,790 |
| Royal Plaza Health and Rehabilitation of Cascadia Lewiston | 34.9 | 76 | 2.01 | 3.24 | 53.4% | 2 | None |
| Cascadia of Lewiston Lewiston | 34.9 | 34 | 2.33 | 4.31 | 68.4% | 4 | None |
| Lewiston Transitional Care of Cascadia Lewiston | 35.1 | 96 | 2.36 | 3.51 | 48.1% | 4 | None |
| Life Care Center of Lewiston Lewiston | 36.0 | 121 | 1.75 | 3.43 | 50.6% | 5 | None |
| Idaho State Veterans Home - Lewiston Lewiston | 36.3 | 66 | 2.81 | 4.72 | 26.9% | 5 | $186,850 |
| Paradise Creek Health and Rehab of Cascadia Moscow | 37.3 | 63 | 2.07 | 3.36 | 70.9% | 4 | $48,758 |
| Clarkston Health and Rehab of Cascadia Clarkston | 37.6 | 90 | 1.92 | 3.47 | 22.5% | 3 | $32,711 |
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.