Silverton Health and Rehabilitation of Cascadia: Staffing, Turnover, and Inspection Record
Silverton Health and Rehabilitation of Cascadia is a 55-bed for-profit nursing home in Silverton, Idaho, part of Cascadia Healthcare. In the CMS August 2026 release it reported 2.13 nurse aide hours per resident per day, 13% below the Idaho average of 2.44, and 51.1% nursing staff turnover (Idaho average 50.3%).
Silverton Health and Rehabilitation of Cascadia
405 West Seventh StreetSilverton, ID 83867
Shoshone County
CMS Care Compare, August 2026 release
Special Focus Facility. CMS places nursing homes with a history of serious quality issues in its Special Focus Facility program, which brings more frequent inspections.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Silverton Health and Rehabilitation of Cascadia, nurse aides logged 2.13 hours per resident per day, 13% below the Idaho average. With about 48 residents a day, that works out to roughly 102 aide hours a day, or about 13 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
CMS note: Not rated: this home is in the Special Focus Facility program because of a history of serious quality issues.
| Hours per resident per day | This home | Idaho avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.13 | 2.44 | 2.32 |
| Licensed practical nurses | 0.59 | 0.74 | 0.86 |
| Registered nurses | 0.56 | 0.86 | 0.69 |
| All nursing staff | 3.29 | 4.04 | 3.86 |
| All nursing staff, weekends | 2.75 | 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
51.1% of nursing staff at Silverton 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 66.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 10, 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 1 fine totaling $41,954 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 4, 2023 | Fine | $41,954 |
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. Not rated: this home is in the Special Focus Facility program because of a history of serious quality issues.
About Silverton Health and Rehabilitation of Cascadia
- Ownership: For profit - Corporation
- Chain: Cascadia Healthcare, 46 homes
- Legal name: Silverton of Cascadia LLC
- Medicare and Medicaid certified since: Oct 1, 1974
- Councils: resident council
- Area: rural
Nursing homes near Silverton Health and Rehabilitation of Cascadia
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Mountain Valley of Cascadia Kellogg | 8.6 | 68 | 2.55 | 3.75 | 33.3% | 4 | None |
| Valley Vista Care Center of St Maries St Maries | 30.9 | 74 | 3.09 | 4.37 | 61.0% | 3 | $43,843 |
| Coeur d Alene Health of Cascadia Coeur d'Alene | 40.7 | 117 | 2.04 | 3.61 | 66.3% | 1 | $33,815 |
| Lakeside Rehabilitation and Care Center Coeur d'Alene | 40.9 | 100 | 2.23 | 3.81 | 54.2% | 1 | $220,832 |
| Ironwood Rehabilitation and Care Center Coeur d'Alene | 41.5 | 80 | 2.14 | 3.71 | 62.2% | 2 | None |
| Advanced Health Care of Coeur d'Alene Coeur d'Alene | 41.9 | 34 | 3.08 | 5.49 | 45.2% | 5 | None |
| Life Care Center of Coeur d'Alene Coeur d'Alene | 42.2 | 120 | 2.36 | 4.18 | 48.0% | 1 | $39,520 |
| Life Care Center of Post Falls Post Falls | 46.7 | 120 | 2.42 | 4.18 | 51.5% | 5 | 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.