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3/5
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.
3/5
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.
Shaw Mountain of Cascadia sits in Boise, in a neighborhood that doesn’t walk much. Walk Score of 49 means a few things are on foot, but most trips need a car. The facility itself is built for short stays. Residents average 91 days, which tells you immediately what this place is for: transitioning out of a hospital, regaining function, then moving on.
The staffing pattern is straightforward. Total nursing care runs 3 hours and 51 minutes per resident daily. Nurse aides handle 2 hours and 22 minutes of that work. RNs and LPNs each bring 31 minutes. That’s a structure where aides do the physical work of care, and nursing staff manages the clinical picture.
It’s different from a long-term facility, which tends to spread staffing more toward medication management over time. Here, the focus is concentrated recovery work.
Medicare, Medicaid, and private pay are all accepted. That matters because someone coming out of a hospital stay might have multiple funding sources or transition between coverage types. The facility removes that particular barrier from the placement decision.
Shaw Mountain of Cascadia is organized entirely around a three-month recovery trajectory. The staffing is proportioned for that intensity of rehabilitation work, the payment structure supports the real complexity of post-acute funding, and the location works for people who don’t need or want a walkable neighborhood because they’re there to recover, not to set up a new home.
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 7th out of 31 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.
| 31m per day | ▼ 40% 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.
| 1h 1m per day | ▲ 33% 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.
| 2h 22m per day | ▼ 4% 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.
| 3h 36m per day | ▲ 3% 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.
| 6m per day | ■ Avg 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.
| 22m per day | ▼ 34% 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.
0% compared with Idaho average
11% better 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: 12 full-time employees and 2 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
34 total: 27 full-time employees and 7 contractors.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursHelps with daily care and mobility.
96 total: 46 full-time employees and 50 contractors.
96
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,125 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 46 | 50 | 96 | 17,463 | 92 | 100% | 9.6 |
| Licensed Practical Nurse | 27 | 7 | 34 | 9,030 | 92 | 100% | 9.7 |
| Nurse Aide in Training | 16 | 0 | 16 | 3,612 | 92 | 100% | 9 |
| Registered Nurse | 12 | 2 | 14 | 3,224 | 92 | 100% | 8.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 966 | 90 | 98% | 7.6 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 937 | 65 | 71% | 7.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 800 | 64 | 70% | 8 |
| Physical Therapy Assistant | 5 | 0 | 5 | 698 | 77 | 84% | 5.2 |
| Dental Services Staff | 2 | 0 | 2 | 518 | 65 | 71% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Speech Language Pathologist | 2 | 0 | 2 | 494 | 73 | 79% | 6.2 |
| Qualified Social Worker | 2 | 0 | 2 | 304 | 52 | 57% | 5.7 |
| Occupational Therapy Aide | 1 | 0 | 1 | 297 | 39 | 42% | 7.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 48 | 6 | 7% | 8 |
Includes penalties issued in 2024
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 (Data as of Jan 2026)
72% lower than Idaho averageIdaho average: $38K
44% fewer fines than Idaho averageIdaho average: 1.8
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Idaho averageIdaho average: 0.0
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 9, 2024 · $11K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 9, 2024Last updated: Jan 2026
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.
4.9
49% better than Idaho averageIdaho average: 9.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.5
21% better than Idaho averageIdaho average: 19.6
Percent of long-stay residents whose need for help with daily activities has increased
8.8%
48% better than Idaho averageIdaho average: 16.7%
Percent of long-stay residents whose ability to move independently worsened
10.5%
46% better than Idaho averageIdaho average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.3%
21% worse than Idaho averageIdaho average: 22.5%
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
33% better than Idaho averageIdaho average: 2.8%
Percent of long-stay high risk residents with pressure ulcers
0.3%
93% better than Idaho averageIdaho average: 3.6%
Percent of long-stay residents with a urinary tract infection
0.3%
85% better than Idaho averageIdaho average: 2.0%
Percent of long-stay residents who lose too much weight
3.2%
43% better than Idaho averageIdaho average: 5.6%
Percent of long-stay residents who have depressive symptoms
30.1%
136% worse than Idaho averageIdaho average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
23.4%
28% worse than Idaho averageIdaho average: 18.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
In line with Idaho averageIdaho average: 97.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.8%
In line with Idaho averageIdaho average: 96.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
10% better than Idaho averageIdaho average: 89.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
60% better than Idaho averageIdaho average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.8%
11% 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.
22% of new residents, usually for short-term rehab.
60% of new residents, often for short stays.
18% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
101Data 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 Shaw Mountain of Cascadia from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #7 / 31Payroll — State benchmarkedThis home is ranked 7th out of 31 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (60% 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.
Shaw Mountain of Cascadia is located in Boise, Idaho.
Here are the financial assistance programs available to residents in Idaho.
The information below is reported by the Idaho Department of Health and Welfare, Bureau of Facility Standards.
| Life Care Center of Treasure Valley |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Boise (West Boise) | 120
Facility
120
ID AVG
69
Rank
#13 / 114 |
62.0%
Facility
62.0%
ID AVG
69.1%
Rank
#30 / 40 | -10% | 3.86
Facility
3.86
ID AVG
4.12
Rank
#7 / 31 | -1% | -6% | $0
Facility
$0
ID AVG
$41.7k
Rank
#1 / 31 | 30
Facility
30
ID AVG
25.2
Rank
#20 / 31 | 10.0
Facility
10.0
ID AVG
7.9
Rank
#22 / 31 | 1 | 85 | - |
49
Facility
49
ID AVG
40
Rank
#72 / 197 | Gerald Bosen | $12.3M
Facility
$12.3M
ID AVG
$9.7M
Rank
#13 / 31 | $6.9M
Facility
$6.9M
ID AVG
$3.8M
Rank
#11 / 31 | 56.2%
Facility
56.2%
ID AVG
41.3%
Rank
#7 / 31 | 135123 | ||||
| Arbor Valley of Cascadia |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Boise | 148
Facility
148
ID AVG
69
Rank
#3 / 114 |
63.1%
Facility
63.1%
ID AVG
69.1%
Rank
#29 / 40 | -9% | 3.20
Facility
3.20
ID AVG
4.12
Rank
#23 / 31 | -11% | -22% | $0
Facility
$0
ID AVG
$41.7k
Rank
#1 / 31 | 25
Facility
25
ID AVG
25.2
Rank
#14 / 31 | 8.3
Facility
8.3
ID AVG
7.9
Rank
#19 / 31 | - | 129 | - |
60
Facility
60
ID AVG
40
Rank
#41 / 197 | Kyle Skousen | $13.7M
Facility
$13.7M
ID AVG
$9.7M
Rank
#10 / 31 | $8.0M
Facility
$8.0M
ID AVG
$3.8M
Rank
#5 / 31 | 58.8%
Facility
58.8%
ID AVG
41.3%
Rank
#2 / 31 | 135079 | ||||
| Shaw Mountain of Cascadia |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Boise | 108
Facility
108
ID AVG
69
Rank
#22 / 114 |
88.5%
Facility
88.5%
ID AVG
69.1%
Rank
#8 / 40 | +28% | 3.85
Facility
3.85
ID AVG
4.12
Rank
#7 / 31 | -37% | -7% | $10.8k
Facility
$10.8k
ID AVG
$41.7k
Rank
#20 / 31 | 25
Facility
25
ID AVG
25.2
Rank
#14 / 31 | 8.3
Facility
8.3
ID AVG
7.9
Rank
#19 / 31 | 1 | 97 | - |
49
Facility
49
ID AVG
40
Rank
#72 / 197 | Haden Nash | $15.1M
Facility
$15.1M
ID AVG
$9.7M
Rank
#8 / 31 | $7.1M
Facility
$7.1M
ID AVG
$3.8M
Rank
#7 / 31 | 47.4%
Facility
47.4%
ID AVG
41.3%
Rank
#22 / 31 | 135090 | ||||
| The Terraces of Boise |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Boise (Barber Valley) | 72
Facility
72
ID AVG
69
Rank
#52 / 114 |
90.5%
Facility
90.5%
ID AVG
69.1%
Rank
#6 / 40 | +31% | 5.42
Facility
5.42
ID AVG
4.12
Rank
#2 / 31 | -18% | +31% | $20.5k
Facility
$20.5k
ID AVG
$41.7k
Rank
#18 / 31 | 22
Facility
22
ID AVG
25.2
Rank
#10 / 31 | 5.5
Facility
5.5
ID AVG
7.9
Rank
#5 / 31 | 1 | 39 | - |
34
Facility
34
ID AVG
40
Rank
#111 / 197 | Humangood Idaho | $27.0M
Facility
$27.0M
ID AVG
$9.7M
Rank
#1 / 31 | $10.8M
Facility
$10.8M
ID AVG
$3.8M
Rank
#1 / 31 | 40%
Facility
40%
ID AVG
41.3%
Rank
#30 / 31 | 135141 | ||||
| Valley View Nursing and Rehab |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Boise (Ora Dell) | 120
Facility
120
ID AVG
69
Rank
#13 / 114 |
58.9%
Facility
58.9%
ID AVG
69.1%
Rank
#33 / 40 | -15% | 3.36
Facility
3.36
ID AVG
4.12
Rank
#20 / 31 | -40% | -18% | $30.7k
Facility
$30.7k
ID AVG
$41.7k
Rank
#28 / 31 | 63
Facility
63
ID AVG
25.2
Rank
#31 / 31 | 21.0
Facility
21.0
ID AVG
7.9
Rank
#31 / 31 | 5 | 93 | A+ |
62
Facility
62
ID AVG
40
Rank
#36 / 197 | - | $14.5M
Facility
$14.5M
ID AVG
$9.7M
Rank
#9 / 31 | $7.0M
Facility
$7.0M
ID AVG
$3.8M
Rank
#10 / 31 | 48.4%
Facility
48.4%
ID AVG
41.3%
Rank
#21 / 31 | 135098 |
Shaw Mountain of Cascadia has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Shaw Mountain of Cascadia's occupancy is 88.5%.
Yes — there is 1 photo of Shaw Mountain of Cascadia in the photo gallery on this page.
(208) 343-7717 will put you in contact with the team at Shaw Mountain of Cascadia.
Yes — Shaw Mountain of Cascadia is a CMS-certified provider of Medicare and Medicaid.
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