Clearwater Health & Rehabilitation of Cascadia · Clearwater of Cascadia

2084764568 · 1204 Shriver Road, Orofino, ID 83544

Overview

Clearwater Health & Rehabilitation of Cascadia is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #135048. The provider type is Medicare and Medicaid. The ownership type is for profit - individual. The address is 1204 Shriver Road, Orofino, ID 83544.

Federal Provider Number 135048
Provider Name CLEARWATER HEALTH & REHABILITATION OF CASCADIA
Legal Business Name CLEARWATER OF CASCADIA
Address 1204 Shriver Road
Orofino
ID 83544
County Clearwater
Telephone 2084764568
Ownership Type For profit - Individual
Provider Type Medicare and Medicaid
Date Approved 1969-11-19
Number of Certified Beds 60
Average Number of Residents per Day 34.2
Provider Resides in Hospital N
Continuing Care Retirement Community N
Special Focus Facility SFF
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago Y
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating Footnote This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
Health Inspection Rating Footnote This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
Quality Measure Rating Footnote This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
Long Stay Quality Measure Rating Footnote This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
Short Stay Quality Measure Rating Footnote This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
Staffing Rating Footnote This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
Registered Nurses Staffing Rating Footnote This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
Reported CNA Staffing Hours per Resident per Day 3.11486
Reported LPN Staffing Hours per Resident per Day 0.55623
Reported RN Staffing Hours per Resident per Day 1.26995
Reported Licensed Staffing Hours per Resident per Day 1.82617
Reported Total Nurse Staffing Hours per Resident per Day 4.94104
Reported Physical Therapist Staffing Hours per Resident Per Day 0.05378
Expected CNA Staffing Hours per Resident per Day 1.87851
Expected LPN Staffing Hours per Resident per Day 0.68909
Expected RN Staffing Hours per Resident per Day 0.33756
Expected Total Nurse Staffing Hours per Resident per Day 2.90516
Adjusted CNA Staffing Hours per Resident per Day 3.41380
Adjusted LPN Staffing Hours per Resident per Day 0.59805
Adjusted RN Staffing Hours per Resident per Day 1.50561
Adjusted Total Nurse Staffing Hours per Resident per Day 5.44233
Rating Cycle 1 Standard Survey Health Date 2019-02-15
Rating Cycle 1 Total Number of Health Deficiencies 12
Rating Cycle 1 Number of Standard Health Deficiencies 11
Rating Cycle 1 Number of Complavarchar Health Deficiencies 1
Rating Cycle 1 Health Deficiency Score 80
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 80
Rating Cycle 2 Standard Health Survey Date 2017-08-28
Rating Cycle 2 Total Number of Health Deficiencies 17
Rating Cycle 2 Number of Standard Health Deficiencies 17
Rating Cycle 2 Number of Complavarchar Health Deficiencies 0
Rating Cycle 2 Health Deficiency Score 754
Rating Cycle 2 Number of Health Revisits 4
Rating Cycle 2 Health Revisit Score 641
Rating Cycle 2 Total Health Score 1395
Rating Cycle 3 Standard Health Survey Date 2016-06-10
Rating Cycle 3 Total Number of Health Deficiencies 19
Rating Cycle 3 Number of Standard Health Deficiencies 19
Rating Cycle 3 Number of Complavarchar Health Deficiencies 0
Rating Cycle 3 Health Deficiency Score 200
Rating Cycle 3 Number of Health Revisits 2
Rating Cycle 3 Health Revisit Score 100
Rating Cycle 3 Total Health Score 300
Total Weighted Health Survey Score 555.000
Number of Facility Reported Incidents 0
Number of Substantiated Complavarchars 1
Number of Citations from Infection Control Inspections 1
Number of Fines 0
Total Amount of Fines in Dollars 0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
CLEARWATER HEALTH & REHABILITATION OF CASCADIA

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTCASCADIA IDAHO OPERATIONS LLCOrganization100%since 01/01/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTBODILY, WARRENIndividualNO PERCENTAGE PROVIDEDsince 01/01/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTCASCADIA HEALTHCARE LLCOrganizationNO PERCENTAGE PROVIDEDsince 01/01/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTHAMMOND, OWENIndividualNO PERCENTAGE PROVIDEDsince 01/01/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTHOSAC, NATHANIndividualNO PERCENTAGE PROVIDEDsince 01/01/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTSMITH, MATTHEWIndividualNO PERCENTAGE PROVIDEDsince 01/01/2017
OPERATIONAL/MANAGERIAL CONTROLBODILY, WARRENIndividualsince 01/01/2017

Location Information

Street Address 1204 SHRIVER ROAD
City OROFINO
State ID
Zip Code 83544

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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.