Paradise Creek Health and Rehab of Cascadia: Staffing, Turnover, and Inspection Record
Paradise Creek Health and Rehab of Cascadia is a 63-bed for-profit nursing home in Moscow, Idaho, part of Cascadia Healthcare. In the CMS August 2026 release it reported 2.07 nurse aide hours per resident per day, 15% below the Idaho average of 2.44, and 70.9% nursing staff turnover (Idaho average 50.3%).
Paradise Creek Health and Rehab of Cascadia
640 North Eisenhower StreetMoscow, ID 83843
Latah 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 Paradise Creek Health and Rehab of Cascadia, nurse aides logged 2.07 hours per resident per day, 15% below the Idaho average. With about 47 residents a day, that works out to roughly 97 aide hours a day, or about 12 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Idaho avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.07 | 2.44 | 2.32 |
| Licensed practical nurses | 0.63 | 0.74 | 0.86 |
| Registered nurses | 0.67 | 0.86 | 0.69 |
| All nursing staff | 3.36 | 4.04 | 3.86 |
| All nursing staff, weekends | 2.94 | 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
70.9% of nursing staff at Paradise Creek Health and Rehab 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 75.0%.
Inspections and penalties
State inspectors last completed a standard health inspection on May 7, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (Idaho average 10.2). CMS lists 7 fines totaling $48,758 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 29, 2024 | Fine | $21,320 |
| Sep 25, 2023 | Fine | $4,587 |
| Sep 18, 2023 | Fine | $4,587 |
| Sep 11, 2023 | Fine | $4,545 |
| Sep 5, 2023 | Fine | $4,587 |
| Aug 28, 2023 | Fine | $4,587 |
| Aug 21, 2023 | Fine | $4,545 |
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. Paradise Creek Health and Rehab of Cascadia holds 4 of 5 overall; the Idaho average is 3.1.
About Paradise Creek Health and Rehab of Cascadia
- Ownership: For profit - Limited Liability company
- Chain: Cascadia Healthcare, 46 homes
- Legal name: Moscow North of Cascadia LLC
- Medicare and Medicaid certified since: Jun 1, 1977
- Councils: resident council
- Area: rural
Nursing homes near Paradise Creek Health and Rehab of Cascadia
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Aspen Park of Cascadia Moscow | 1.6 | 70 | 2.57 | 3.63 | 50.9% | 5 | None |
| Three Creeks Post Acute Pullman | 10.6 | 48 | 2.24 | 3.75 | 57.1% | 1 | $50,850 |
| Colfax Health and Rehabilitation of Cascadia Colfax | 21.0 | 55 | 2.43 | 3.67 | 71.4% | 1 | $81,864 |
| Clarkston Health and Rehab of Cascadia Clarkston | 23.3 | 90 | 1.92 | 3.47 | 22.5% | 3 | $32,711 |
| Idaho State Veterans Home - Lewiston Lewiston | 23.6 | 66 | 2.81 | 4.72 | 26.9% | 5 | $186,850 |
| Royal Plaza Health and Rehabilitation of Cascadia Lewiston | 23.7 | 76 | 2.01 | 3.24 | 53.4% | 2 | None |
| Cascadia of Lewiston Lewiston | 23.7 | 34 | 2.33 | 4.31 | 68.4% | 4 | None |
| Lewiston Transitional Care of Cascadia Lewiston | 24.6 | 96 | 2.36 | 3.51 | 48.1% | 4 | None |
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.