Inspection Reports for
Cascadia Of Nampa
900 North Happy Valley Rd, Nampa, ID, 83687
Back to Facility Profile5 CMS Surveys
Inspection Report — Dec 5, 2025
Routine
Date: Dec 5, 2025
Visit Reason
A routine health care licensure and follow-up survey was conducted to assess compliance with state and federal regulations for the facility.
Findings
The survey identified multiple deficiencies including failure to ensure safe self-administration of medications, inaccurate assessments, delayed PASARR submissions, inadequate treatment and monitoring of residents, poor food quality and safety, infection control lapses, and incomplete antibiotic stewardship. Immediate jeopardy was identified and removed related to failure to recognize and treat a resident's acute condition.
Deficiencies (12)
.0554 Allow residents to self-administer drugs if determined clinically appropriate: the facility failed to assess residents #49, #52, and #87 for safety to self-administer medications, leaving medications at bedside without proper assessment.
.0641 Ensure each resident receives an accurate assessment: Resident #1's MDS assessment was inaccurate as it did not reflect oxygen therapy use.
.0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed: Resident #9's PASARR submission was 26 days late.
.0645 PASARR screening for Mental disorders or Intellectual Disabilities: Resident #44's PASARR Level I was not accurately completed and should have had a Level II assessment.
.0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals: failure to identify and act upon Resident #60's acute changes in condition resulted in immediate jeopardy due to sepsis and Stevens-Johnson Syndrome requiring hospitalization and burn unit transfer.
.0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents: Resident #90's smoking evaluations were inaccurate and incomplete, and care plan did not reflect actual smoking paraphernalia storage.
.0695 Provide safe and appropriate respiratory care for a resident when needed: Resident #1 was observed not using oxygen as ordered, risking respiratory compromise.
.0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature: residents reported food was often cold, bland, and coffee tasted burnt due to improper preparation and serving practices.
.0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards: ice machines and scoops were unclean, resident freezers contained open and undated food, and staff food was stored with resident food risking contamination.
.0848 Provide a neutral and fair arbitration process and agree to arbitrator and venue: the facility's arbitration agreement lacked provision for a convenient venue for both parties.
.0880 Provide and implement an infection prevention and control program: staff failed to perform proper hand hygiene during medication preparation and administration, dentures were improperly stored, CPAP masks were unsanitary, and laundry procedures risked contamination.
.0881 Implement a program that monitors antibiotic use: Resident #1 received antibiotics without meeting McGeer's criteria for urinary tract infection, and antibiotic use was not appropriately monitored or followed up.
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Inspection Report — Dec 5, 2025
Routine
Date: Dec 5, 2025
Visit Reason
A routine health care licensure and follow-up survey was conducted to assess compliance with state and federal regulations for Residential Assisted Living Facilities.
Findings
The facility was found deficient in multiple areas including medication self-administration assessments, call light accessibility, accurate MDS assessments, PASARR screenings, quality of care resulting in immediate jeopardy, smoking evaluations, respiratory care, food service quality and safety, arbitration agreement compliance, infection control practices, and antibiotic stewardship. These deficiencies ranged from minimal harm to immediate jeopardy and affected multiple residents.
Deficiencies (13)
.0554 Allow residents to self-administer drugs if determined clinically appropriate: the facility failed to assess residents #49, #52, and #87 for safety to self-administer medications, leaving medications at bedside without proper assessment.
.0558 Reasonably accommodate the needs and preferences of each resident: residents #28 and #89 were denied access to call lights while left alone, posing risk of harm.
.0641 Ensure each resident receives an accurate assessment: Resident #1's MDS assessment failed to document oxygen therapy despite observed use.
.0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed: Resident #9's PASARR was submitted 26 days late, risking missed care.
.0645 PASARR screening for Mental disorders or Intellectual Disabilities: Resident #44's PASARR Level I was inaccurately completed, missing PTSD diagnosis and required Level II assessment.
.0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals: failure to identify and act upon Resident #60's physical and cognitive deterioration resulted in immediate jeopardy with sepsis and Stevens-Johnson Syndrome.
.0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents: Resident #90's smoking evaluations were inaccurate and incomplete, and care plan did not reflect actual smoking paraphernalia storage.
.0695 Provide safe and appropriate respiratory care for a resident when needed: Resident #1 was observed not using ordered oxygen continuously, risking respiratory compromise.
.0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature: food served was often cold, bland, and coffee tasted burnt, causing resident dissatisfaction.
.0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards: failures included improper glove use, undated and open food storage, unclean ice machines, and staff food stored with resident food.
.0848 Provide a neutral and fair arbitration process and agree to arbitrator and venue: the arbitration agreement lacked provision for a venue convenient to both parties.
.0880 Provide and implement an infection prevention and control program: staff failed to perform proper hand hygiene during medication preparation and administration, dentures were improperly stored, CPAP mask was unsanitary, and laundry procedures risked contamination.
.0881 Implement a program that monitors antibiotic use: Resident #1 received antibiotic treatment without meeting McGeer's criteria for urinary tract infection, risking unnecessary antibiotic exposure.
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dates: Array
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Inspection Report — Jun 21, 2024
Routine
Date: Jun 21, 2024
Visit Reason
A routine health care licensure survey was conducted to assess compliance with regulations and identify any deficient practices.
Findings
The facility was found deficient in honoring residents' rights for self-determination regarding TV use during meals, implementing fall prevention interventions after a fall, properly containing waste to prevent pest infestation, and ensuring eligible residents were offered pneumococcal vaccinations.
Deficiencies (4)
F 0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice: the facility failed to ensure residents' preference for having the TV on in the dining room during meals was honored, causing potential decreased well-being and frustration (previously cited 12/17/2021).
F 0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents: the facility failed to implement a fall prevention intervention by not placing an impact floor mat next to Resident #10's bed after a fall, increasing risk of injury.
F 0814 Dispose of garbage and refuse properly: the facility failed to ensure waste was properly contained with lids or covered, exposing trash in an open dumpster and creating potential for insect and pest infestation affecting all residents.
F 0883 Develop and implement policies and procedures for flu and pneumonia vaccinations: the facility failed to ensure residents eligible for the PCV20 pneumococcal vaccine were offered it or had documented shared decision-making, increasing risk of pneumococcal illness.
Report Facts
residents_affected: 3
residents_affected: 1
residents_affected: 90
residents_affected: 2
Inspection Report — Jun 21, 2024
Routine
Date: Jun 21, 2024
Visit Reason
A routine health care licensure survey was conducted to assess compliance with regulations and identify any deficient practices.
Findings
The facility was found deficient in honoring residents' rights for self-determination regarding TV use during meals, implementing fall prevention interventions after a fall, properly containing waste to prevent pest infestation, and ensuring eligible residents were offered pneumococcal vaccinations.
Deficiencies (4)
F 0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice: the facility failed to ensure residents' preference to have the TV on during meals was honored, with staff inconsistently turning off the TV despite residents' objections.
F 0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents: the facility failed to implement a fall prevention intervention by not placing an impact floor mat next to Resident #10's bed after a fall, increasing the risk of injury.
F 0814 Dispose of garbage and refuse properly: the facility failed to ensure waste was properly contained with lids or otherwise covered, as a dumpster lid was observed open exposing trash, creating potential for insect and pest infestation.
F 0883 Develop and implement policies and procedures for flu and pneumonia vaccinations: the facility failed to ensure residents eligible for the PCV20 pneumococcal vaccine were offered it or had documentation of shared decision-making regarding vaccination.
Report Facts
: 3
: 1
: 90
: 2
Inspection Report — Feb 1, 2019
Routine
Date: Feb 1, 2019
Visit Reason
A survey was conducted to evaluate compliance with health care licensure regulations, including resident rights, care, safety, and facility operations.
Findings
The facility was found deficient in multiple areas including medication self-administration assessments, resident council operations, advance directive documentation, notification of significant changes, environmental maintenance, grievance handling, transfer documentation, care planning, activities of daily living assistance, fall prevention, pressure ulcer care, nutrition monitoring, respiratory care, bed rail use, food safety, and supervision. These deficiencies posed risks of harm to residents and affected their quality of life and safety.
Deficiencies (21)
F 0554 Allow residents to self-administer drugs if determined clinically appropriate: the facility failed to ensure residents #15 and #168 had assessments and orders for self-administration of medications prior to allowing them to keep medications in their rooms.
F 0565 Honor the resident's right to organize and participate in resident/family groups in the facility: the facility failed to provide guidance, agendas, and prompt responses to resident council grievances, resulting in unresolved concerns about call light response times and other issues.
F 0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive: the facility failed to ensure residents were provided information, assistance, and documentation regarding advance directives for 6 of 13 residents reviewed.
F 0580 Immediately tell the resident, the resident's doctor, and a family member of situations that affect the resident: the facility failed to timely notify Resident #319's physician and family of his decreased level of consciousness after falls and clinical decline.
F 0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely: the facility failed to maintain room walls in residents #16, #24, #29, and #41's rooms, resulting in visible damage and diminished quality of life.
F 0585 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances: the facility failed to respond to, investigate, and resolve grievances consistently, including call light response concerns and missing personal items, affecting multiple residents.
F 0622 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged: the facility failed to document physician orders and transfer summaries for Resident #318's hospital transfer.
F 0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights: the facility failed to provide written notice of transfer to Resident #318 and her family.
F 0637 Assess the resident when there is a significant change in condition: the facility failed to complete a significant change MDS assessment for Resident #65 when placed on hospice.
F 0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured: the facility failed to include code status and eating assistance in care plans for residents #40 and #43.
F 0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals: the facility failed to review and revise care plans and involve residents or representatives for 9 residents, including #1, #7, #14, #15, #32, #54, #64, #267, and #318.
F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable: residents #1, #7, #15, #37, and #41 did not consistently receive assistance with bathing and eating as needed, including missed showers and lack of feeding assistance.
F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals: the facility failed to complete neurological checks after falls for residents #1, #43, #54, #65, and #319; failed to timely start medications for residents #15 and #32; and failed to provide appropriate pressure ulcer prevention and treatment for residents #1 and #318.
F 0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing: Resident #318 developed Stage 2 pressure ulcers on buttocks and coccyx due to inadequate repositioning and pressure reduction interventions.
F 0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason: Resident #38 did not consistently receive restorative nursing services as ordered, placing her at risk of functional decline.
F 0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents: the facility failed to provide adequate supervision to prevent falls for residents #1, #40, and #65, and failed to ensure beds were locked to prevent accidents for residents #7, #24, and #41.
F 0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections: the facility failed to follow bowel care protocol for Resident #267, resulting in delayed and inconsistent bowel management.
F 0692 Provide enough food/fluids to maintain a resident's health: the facility failed to monitor weights as directed in the care plan for Resident #44, missing weights in December 2018 despite documented weight loss.
F 0695 Provide safe and appropriate respiratory care for a resident when needed: Resident #318 received oxygen therapy without a physician's order in place.
F 0700 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail: Resident #54 had bed canes on his bed without documented safety assessment or consent.
F 0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards: the facility failed to maintain dishwasher rinse temperature at 180°F to ensure sanitation and failed to maintain hot food temperatures on the steam table above 135°F.
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