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Royal Plaza Health and Rehabilitation of Cascadia: Staffing, Turnover, and Inspection Record

Royal Plaza Health and Rehabilitation of Cascadia is a 76-bed for-profit nursing home in Lewiston, Idaho, part of Cascadia Healthcare. In the CMS August 2026 release it reported 2.01 nurse aide hours per resident per day, 18% below the Idaho average of 2.44, and 53.4% nursing staff turnover (Idaho average 50.3%).

Certified for Medicare and Medicaid · CMS number 135116

Royal Plaza Health and Rehabilitation of Cascadia

2870 Juniper Drive
Lewiston, ID 83501
Nez Perce County
Aide hours per resident a day
2.01
Idaho average 2.44
Nursing staff turnover
53.4%
Idaho average 50.3%
Certified beds
76
about 70 residents a day
Fines, last 3 years
0
none on record

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 Royal Plaza Health and Rehabilitation of Cascadia, nurse aides logged 2.01 hours per resident per day, 18% below the Idaho average. With about 70 residents a day, that works out to roughly 142 aide hours a day, or about 18 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 18% below the all-days figure.

Staff hours per resident per day at Royal Plaza Health and Rehabilitation of Cascadia, Idaho average, and US average
Hours per resident per dayThis homeIdaho avgUS avg
Nurse aides (CNAs)2.012.442.32
Licensed practical nurses0.270.740.86
Registered nurses0.960.860.69
All nursing staff3.244.043.86
All nursing staff, weekends2.673.493.42

CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.

Staff turnover

53.4% of nursing staff at Royal Plaza Health and 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 41.7%. No administrators left over the same period.

Nursing staff turnover
53.4%
Idaho 50.3% · US 45.8%
Registered nurse turnover
41.7%
Idaho 40.9% · US 42.9%
Administrators who left
0
Idaho average 0.3

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 12 health deficiencies (Idaho average 10.2). CMS lists no fines or payment denials for this home in the last three years.

Health deficiencies, latest cycle
12
From complaints
12
Infection-control citations
—
Payment denials, 3 years
0

CMS star ratings

CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Royal Plaza Health and Rehabilitation of Cascadia holds 2 of 5 overall; the Idaho average is 3.1.

Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5

About Royal Plaza Health and Rehabilitation of Cascadia

  • Ownership: For profit - Corporation
  • Chain: Cascadia Healthcare, 46 homes
  • Legal name: Lewiston Center of Cascadia, LLC
  • Medicare and Medicaid certified since: Dec 1, 1993
  • Councils: resident council
  • Area: urban

Nursing homes near Royal Plaza Health and Rehabilitation of Cascadia

The closest homes by distance, with the same CMS figures. Select a column to sort.

Nursing homes near Royal Plaza Health and Rehabilitation of Cascadia. Column headers sort the table.
Cascadia of Lewiston
Lewiston
0.0342.334.3168.4%4None
Lewiston Transitional Care of Cascadia
Lewiston
0.9962.363.5148.1%4None
Life Care Center of Lewiston
Lewiston
1.31211.753.4350.6%5None
Orchard View Post Acute
Lewiston
1.41271.973.3946.0%2$16,790
Idaho State Veterans Home - Lewiston
Lewiston
1.4662.814.7226.9%5$186,850
Clarkston Health and Rehab of Cascadia
Clarkston
2.9901.923.4722.5%3$32,711
Aspen Park of Cascadia
Moscow
22.4702.573.6350.9%5None
Paradise Creek Health and Rehab of Cascadia
Moscow
23.7632.073.3670.9%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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← All nursing homes in Idaho

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.