The Orchards of Cascadia: Staffing, Turnover, and Inspection Record
The Orchards of Cascadia is a 100-bed for-profit nursing home in Nampa, 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 47.4% nursing staff turnover (Idaho average 50.3%).
The Orchards of Cascadia
404 North Horton StreetNampa, ID 83651
Canyon 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 The Orchards of Cascadia, nurse aides logged 2.36 hours per resident per day, 3% below the Idaho average. With about 92 residents a day, that works out to roughly 218 aide hours a day, or about 27 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 18% 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 | 0.81 | 0.74 | 0.86 |
| Registered nurses | 0.72 | 0.86 | 0.69 |
| All nursing staff | 3.90 | 4.04 | 3.86 |
| All nursing staff, weekends | 3.20 | 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
47.4% of nursing staff at The Orchards 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 58.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 1, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (Idaho average 10.2). CMS lists 2 fines totaling $25,809 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 14, 2025 | Fine | $16,985 |
| Jun 6, 2024 | Fine | $8,824 |
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. The Orchards of Cascadia holds 1 of 5 overall; the Idaho average is 3.1.
About The Orchards of Cascadia
- Ownership: For profit - Limited Liability company
- Chain: Cascadia Healthcare, 46 homes
- Legal name: Nampa West of Cascadia LLC
- Medicare and Medicaid certified since: May 1, 1970
- Councils: resident council
- Area: urban
Nursing homes near The Orchards of Cascadia
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Meadow View Nursing and Rehabilitation Nampa | 0.5 | 122 | 2.54 | 3.88 | 41.8% | 4 | $8,018 |
| Karcher Post Acute Nampa · SFF candidate · abuse citation | 1.0 | 66 | 2.27 | 3.98 | 43.9% | 1 | $41,603 |
| Sunny Ridge Nampa | 3.1 | 43 | 2.10 | 3.67 | 80.0% | 3 | None |
| Wellspring Health & Rehabilitation of Cascadia Nampa | 3.9 | 120 | 2.46 | 3.73 | 51.4% | 4 | $30,927 |
| Cascadia of Nampa Nampa · SFF candidate | 4.0 | 100 | 2.19 | 3.69 | 46.0% | 2 | $68,518 |
| Canyon West of Cascadia Caldwell | 5.7 | 103 | 1.67 | 3.08 | 49.3% | 4 | None |
| Caldwell Care of Cascadia Caldwell | 7.9 | 68 | 2.45 | 3.77 | 47.3% | 1 | None |
| Creekside Transitional Care and Rehabilitation Meridian | 9.2 | 139 | 2.04 | 3.73 | 53.1% | 4 | $8,278 |
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.