4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
At 103 beds in Caldwell, Idaho, Canyon West of Cascadia is a nursing home built around rehabilitation and transitional care. Medicare, Medicaid, and private pay are all accepted, which broadens the coverage options meaningfully for families navigating a post-acute placement. Walk Score 51 puts the neighborhood in moderately walkable territory; some errands are doable on foot, though most trips still require a car.
The numbers that matter most for a placement decision are present. Occupancy sits at 69% with 72 residents currently in-house, and the average length of stay is 112 days. Total nursing hours per resident per day come in at 3 hours and 7 minutes, with nurse aides carrying 1 hour and 40 minutes of that.
Those figure, paired with a named Transitional Care program, signals that short-to-medium-term rehabilitation stays are a significant part of what this facility does. Rehabilitation services and 24-hour staffing are both confirmed, and a resident council meets regularly.
Canyon West of Cascadia is a Medicare- and Medicaid-accepting nursing home in Caldwell with a transitional care focus, a 112-day average stay, and a full-coverage payment structure that serves both short-term rehab and longer-term care residents.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 31st out of 33 homes in Idaho for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 40m per day | ▼ 21% State avg: 51m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 44m per day | ▼ 5% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 40m per day | ▼ 32% State avg: 2h 28m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 34m per day | ▼ 27% State avg: 3h 30m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 53% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 13m per day | ▼ 63% State avg: 34m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
7% more staff per resident than Idaho average
6% worse than Idaho average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
14 total: 10 full-time employees and 4 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursAssists with medical care and medications.
21 total: 14 full-time employees and 7 contractors.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursHelps with daily care and mobility.
64 total: 37 full-time employees and 27 contractors.
64
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,353 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 37 | 27 | 64 | 9,559 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 14 | 7 | 21 | 4,888 | 92 | 100% | 8.9 |
| Registered Nurse | 10 | 4 | 14 | 3,436 | 92 | 100% | 8.8 |
| Nurse Aide in Training | 8 | 0 | 8 | 1,648 | 91 | 99% | 7.4 |
| Dental Services Staff | 4 | 0 | 4 | 1,389 | 64 | 70% | 7.6 |
| Physical Therapy Assistant | 7 | 0 | 7 | 942 | 83 | 90% | 4.9 |
| Other Dietary Services Staff | 4 | 0 | 4 | 698 | 79 | 86% | 7.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 538 | 59 | 64% | 9.1 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 515 | 61 | 66% | 8.4 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 481 | 63 | 68% | 7.6 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 331 | 66 | 72% | 5 |
| Speech Language Pathologist | 2 | 0 | 2 | 265 | 62 | 67% | 4.2 |
| Occupational Therapy Aide | 1 | 0 | 1 | 256 | 64 | 70% | 4 |
| Qualified Social Worker | 3 | 0 | 3 | 165 | 52 | 57% | 3.2 |
| Physician Assistant | 0 | 1 | 1 | 152 | 19 | 21% | 8 |
| Other Physician | 0 | 2 | 2 | 114 | 19 | 21% | 6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 48 | 6 | 7% | 8 |
| Medical Director | 0 | 1 | 1 | 38 | 18 | 20% | 2.1 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.7
30% better than Idaho averageIdaho average: 9.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.9
39% better than Idaho averageIdaho average: 19.6
Percent of long-stay residents whose need for help with daily activities has increased
6.3%
62% better than Idaho averageIdaho average: 16.7%
Percent of long-stay residents whose ability to move independently worsened
15.9%
19% better than Idaho averageIdaho average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.5%
40% better than Idaho averageIdaho average: 22.5%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
22% better than Idaho averageIdaho average: 2.8%
Percent of long-stay high risk residents with pressure ulcers
1.7%
54% better than Idaho averageIdaho average: 3.6%
Percent of long-stay residents with a urinary tract infection
2.2%
8% worse than Idaho averageIdaho average: 2.0%
Percent of long-stay residents who lose too much weight
7.4%
32% worse than Idaho averageIdaho average: 5.6%
Percent of long-stay residents who have depressive symptoms
7.6%
41% better than Idaho averageIdaho average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
27.3%
49% worse than Idaho averageIdaho average: 18.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Idaho averageIdaho average: 97.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Idaho averageIdaho average: 96.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.5%
8% better than Idaho averageIdaho average: 89.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
29% better than Idaho averageIdaho average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.6%
9% better than Idaho averageIdaho average: 86.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
25% of new residents, usually for short-term rehab.
46% of new residents, often for short stays.
29% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
72Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Canyon West of Cascadia from 2012–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #21 / 33Payroll — State benchmarkedThis home is ranked 21st out of 33 homes in Idaho. Shows total annual staff payroll benchmarked to the Idaho average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Idaho that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #33 / 33Payroll % — State benchmarkedThis home is ranked 33rd out of 33 homes in Idaho. Shows payroll as a percentage of revenue versus the Idaho average. Well-run Idaho facilities typically land around 54–58% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Idaho that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (46% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
The information below is reported by the Idaho Department of Health and Welfare, Bureau of Facility Standards.
| Wellspring Health and Rehabilitation of Cascadia | NH | Caldwell | 120
Facility
120
ID AVG
69
Rank
#13 / 114 |
64.1%
Facility
64.1%
ID AVG
69.1%
Rank
#29 / 42 | -7% | 3.19
Facility
3.19
ID AVG
4.12
Rank
#25 / 33 | -29% | -23% | $30.9k
Facility
$30.9k
ID AVG
$41.7k
Rank
#28 / 33 | 19
Facility
19
ID AVG
25.2
Rank
#6 / 33 | 6.3
Facility
6.3
ID AVG
7.9
Rank
#8 / 33 | 2 | 94 | - |
46
Facility
46
ID AVG
40
Rank
#77 / 197 | Daniel Allen | $11.6M
Facility
$11.6M
ID AVG
$9.7M
Rank
#6 / 33 | $6.9M
Facility
$6.9M
ID AVG
$3.8M
Rank
#8 / 33 | 59.6%
Facility
59.6%
ID AVG
41.3%
Rank
#24 / 33 | 135094 | ||||
| Canyon West of Cascadia | NH | Caldwell | 103
Facility
103
ID AVG
69
Rank
#24 / 114 |
69.0%
Facility
69.0%
ID AVG
69.1%
Rank
#27 / 42 | 0% | 3.12
Facility
3.12
ID AVG
4.12
Rank
#31 / 33 | -18% | -24% | $0
Facility
$0
ID AVG
$41.7k
Rank
#1 / 33 | 20
Facility
20
ID AVG
25.2
Rank
#8 / 33 | 6.7
Facility
6.7
ID AVG
7.9
Rank
#11 / 33 | 3 | 73 | - |
51
Facility
51
ID AVG
40
Rank
#64 / 197 | Barton Hoopes | $9.3M
Facility
$9.3M
ID AVG
$9.7M
Rank
#12 / 33 | $4.9M
Facility
$4.9M
ID AVG
$3.8M
Rank
#21 / 33 | 52%
Facility
52%
ID AVG
41.3%
Rank
#33 / 33 | 135051 | ||||
| Caldwell Care of Cascadia | NH MC | Caldwell | 68
Facility
68
ID AVG
69
Rank
#56 / 114 |
85.1%
Facility
85.1%
ID AVG
69.1%
Rank
#9 / 42 | +23% | 4.46
Facility
4.46
ID AVG
4.12
Rank
#4 / 33 | +43% | +8% | $0
Facility
$0
ID AVG
$41.7k
Rank
#1 / 33 | 44
Facility
44
ID AVG
25.2
Rank
#31 / 33 | 11.0
Facility
11.0
ID AVG
7.9
Rank
#30 / 33 | 4 | 58 | - |
69
Facility
69
ID AVG
40
Rank
#21 / 197 | Mark Dudley | $7.4M
Facility
$7.4M
ID AVG
$9.7M
Rank
#24 / 33 | $4.0M
Facility
$4.0M
ID AVG
$3.8M
Rank
#25 / 33 | 53.8%
Facility
53.8%
ID AVG
41.3%
Rank
#19 / 33 | 135014 |
Canyon West of Cascadia is located in Caldwell, Idaho.
Here are the financial assistance programs available to residents in Idaho.
Canyon West of Cascadia has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Canyon West of Cascadia's occupancy is 69.0%.
(208) 459-0808 will put you in contact with the team at Canyon West of Cascadia.
Yes — Canyon West of Cascadia is a CMS-certified provider of Medicare and Medicaid.
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