Lewiston Transitional Care of Cascadia: Staffing, Turnover, and Inspection Record
Lewiston Transitional Care of Cascadia is a 96-bed for-profit nursing home in Lewiston, Idaho, part of Cascadia Healthcare. In the CMS August 2026 release it reported 2.36 nurse aide hours per resident per day, 3% below the Idaho average of 2.44, and 48.1% nursing staff turnover (Idaho average 50.3%).
Lewiston Transitional Care of Cascadia
3315 8th StreetLewiston, ID 83501
Nez Perce 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 Lewiston Transitional Care of Cascadia, nurse aides logged 2.36 hours per resident per day, 3% below the Idaho average. With about 66 residents a day, that works out to roughly 156 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Idaho avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.36 | 2.44 | 2.32 |
| Licensed practical nurses | 0.73 | 0.74 | 0.86 |
| Registered nurses | 0.42 | 0.86 | 0.69 |
| All nursing staff | 3.51 | 4.04 | 3.86 |
| All nursing staff, weekends | 3.10 | 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
48.1% of nursing staff at Lewiston Transitional Care 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 55.6%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 21, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 6 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. Lewiston Transitional Care of Cascadia holds 4 of 5 overall; the Idaho average is 3.1.
About Lewiston Transitional Care of Cascadia
- Ownership: For profit - Limited Liability company
- Chain: Cascadia Healthcare, 46 homes
- Legal name: Lewiston of Cascadia LLC
- Medicare and Medicaid certified since: Sep 1, 1972
- Councils: resident council
- Area: urban
Nursing homes near Lewiston Transitional Care of Cascadia
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Orchard View Post Acute Lewiston | 0.6 | 127 | 1.97 | 3.39 | 46.0% | 2 | $16,790 |
| Cascadia of Lewiston Lewiston | 0.9 | 34 | 2.33 | 4.31 | 68.4% | 4 | None |
| Royal Plaza Health and Rehabilitation of Cascadia Lewiston | 0.9 | 76 | 2.01 | 3.24 | 53.4% | 2 | None |
| Life Care Center of Lewiston Lewiston | 1.0 | 121 | 1.75 | 3.43 | 50.6% | 5 | None |
| Idaho State Veterans Home - Lewiston Lewiston | 1.8 | 66 | 2.81 | 4.72 | 26.9% | 5 | $186,850 |
| Clarkston Health and Rehab of Cascadia Clarkston | 3.3 | 90 | 1.92 | 3.47 | 22.5% | 3 | $32,711 |
| Aspen Park of Cascadia Moscow | 23.3 | 70 | 2.57 | 3.63 | 50.9% | 5 | None |
| Paradise Creek Health and Rehab of Cascadia Moscow | 24.6 | 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.