Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
168
130 employees · 38 contractors · 50 on an average day The Orchards of Cascadia
Nursing Home & Assisted Living · Caldwell, ID
ALM Inspection Grade
D+
ALM's inspection grade is 67 / 100, a D+ — 16 points below the Idaho average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 67 / 100, a D+ — 16 points below the Idaho average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
1/5
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.
1/5
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.
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The Orchards of Cascadia
Nursing Home & Assisted Living · Caldwell, ID
ALM Inspection Grade
D+
ALM's inspection grade is 67 / 100, a D+ — 16 points below the Idaho average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 67 / 100, a D+ — 16 points below the Idaho average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
1/5
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.
1/5
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.
The Orchards of Cascadia accepts Medicare, Medicaid, and private pay.
The Orchards of Cascadia delivers both nursing home and assisted living care. Assisted living offers help with daily routines like dressing, bathing, and managing medications in an apartment setting, while the nursing home division supports higher medical needs.
A 100-bed capacity defines the size of this community. Total daily nurse staffing averages 3 hours and 2 minutes per resident. A 54 walk score indicates the surrounding area is somewhat walkable, giving residents options to complete a few errands without relying on a car.
Families considering care options can connect with The Orchards of Cascadia team to schedule a tour or discuss funding through Medicare, Medicaid, and private pay.
Quality ratings
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 21st out of 26 nursing homes we track 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.
3h 2m
This nursing home is ranked 21st out of 26 nursing homes we track 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.
3h 2m6 of 6 metrics below Idaho average
Daily care time per resident, by role
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. 23 total: 13 of the facility's own employees and 10 agency contractors.
23 staff · 8.7-hour shifts
36m
↓ 28% · ID 50mThis facility: 36m per resident per day, 28% below the Idaho average of 50m (among Idaho facilities reporting a recent figure).
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. 23 total: 13 of the facility's own employees and 10 agency contractors.
23 staff · 8.7-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 30 total: 19 of the facility's own employees and 11 agency contractors.
30 staff · 8.9-hour shifts
42m
↓ 9% · ID 46mThis facility: 42m per resident per day, 9% below the Idaho average of 46m (among Idaho facilities reporting a recent figure).
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. 30 total: 19 of the facility's own employees and 11 agency contractors.
30 staff · 8.9-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 72 total: 58 of the facility's own employees and 14 agency contractors.
72 staff · 7.9-hour shifts
1h 44m
↓ 30% · ID 2h 28mThis facility: 1h 44m per resident per day, 30% below the Idaho average of 2h 28m (among Idaho facilities reporting a recent figure).
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. 72 total: 58 of the facility's own employees and 14 agency contractors.
72 staff · 7.9-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
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.
4m
↓ 39% · ID 6mThis facility: 4m per resident per day, 39% below the Idaho average of 6m (among Idaho facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
2h 29m
↓ 28% · ID 3h 28mThis facility: 2h 29m per resident per day, 28% below the Idaho average of 3h 28m (among Idaho facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
24m
↓ 24% · ID 32mThis facility: 24m per resident per day, 24% below the Idaho average of 32m (among Idaho facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
168
130 employees · 38 contractors · 50 on an average day
168 total staff / 93 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.81 : 1
↑ 6% · ID 1.71This facility: 1.81 staff per resident, 6% above the Idaho average of 1.71 (among Idaho facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
168 staff ÷ 93 residents
See full Idaho ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.9 h
↓ 2% · ID 8.1 hThis facility: 7.9 h, 2% below the Idaho average of 8.1 h (among Idaho facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
35,853 staff hours this quarter
See full Idaho ranking →95.6% of staff hours were worked by the facility's own employees
Idaho average: 93.7% · Contractors this quarter: Certified Nursing Assistant (14), Licensed Practical Nurse (11), Registered Nurse (10), Occupational Therapy Assistant (2), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
100
Rank #14 / 24Bed count — State benchmarked This nursing home is ranked 14th out of 24 nursing homes we track in Idaho for bed count. Shows this facility's certified or reported bed count compared to other Idaho facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Idaho that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
100
Rank #14 / 24Bed count — State benchmarked This nursing home is ranked 14th out of 24 nursing homes we track in Idaho for bed count. Shows this facility's certified or reported bed count compared to other Idaho facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Idaho that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #9 / 28Walk Score — State benchmarked This nursing home is ranked 9th out of 28 nursing homes we track in Idaho for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Idaho facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Idaho that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #9 / 28Walk Score — State benchmarked This nursing home is ranked 9th out of 28 nursing homes we track in Idaho for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Idaho facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Idaho that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
54
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #3 / 22Occupancy rate — State benchmarked This nursing home is ranked 3rd out of 22 nursing homes we track in Idaho for occupancy. Shows this facility's occupancy rate versus the Idaho average, with its Statewide rank out of 22. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Idaho that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #3 / 22Occupancy rate — State benchmarked This nursing home is ranked 3rd out of 22 nursing homes we track in Idaho for occupancy. Shows this facility's occupancy rate versus the Idaho average, with its Statewide rank out of 22. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Idaho that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
92.9%
This home usually has limited availability
Based on residents per day and 100 beds.
Higher than the Idaho average: 80.4%
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
93
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
114
days
About This Community
Resident Council
CMS Health Inspection History
ALM Inspection Grade
67 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
16 points below the Idaho average for CMS-certified facilities (83/100)
Category breakdown
Citations
Concern
86 severity-weighted points (23 deficiencies) · 16% higher than the typical CMS-certified ID facility (median: 74)
Enforcement
Concern
2 enforcement actions · 2× more than the typical CMS-certified ID facility (median: 1) · $25,809 in fines
Persistence
Concern
45 days to fix issues · slower than the typical CMS-certified ID facility (median: 37)
Total health inspections
6
↑ 88% · ID 3.2This facility: 6, 88% above the Idaho average of 3.2 (among Idaho facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
24
Rank #7 / 26Health citations — State benchmarked This nursing home is ranked 7th out of 26 nursing homes we track in Idaho for health citations. Shows this facility's total health deficiency citations benchmarked to the Idaho State average, with a ranking across all 26 ID facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Idaho that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 11% · ID 27This facility: 24, 11% below the Idaho average of 27 (among Idaho facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4
Rank #1 / 26Citations per inspection — State benchmarked This nursing home is ranked 1st out of 26 nursing homes we track in Idaho for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Idaho mean across 26 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Idaho that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 52% · ID 8.41This facility: 4, 52% below the Idaho average of 8.41 (among Idaho facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
24 of 24 citations corrected
Critical
J–L
1
↑ 900% · ID 0.1This facility: 1, 900% above the Idaho average of 0.1 (among Idaho facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
1
↑ 25% · ID 0.8This facility: 1, 25% above the Idaho average of 0.8 (among Idaho facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
22
↓ 15% · ID 26This facility: 22, 15% below the Idaho average of 26 (among Idaho facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · ID 0.1This facility: 0, 100% below the Idaho average of 0.1 (among Idaho facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Aug 05, 2026 · 1 citation (Resident Rights, moderate), corrected
Most cited category: Resident Rights, 9 of 24 citations · 6 categories in total
Citations history
Most recent first
Aug 05, 2026
1 citation
Resident Rights moderate citation
Corrected
Corrected
Jan 08, 2026
1 citation
Abuse/Neglect moderate citation
Corrected
Corrected
Dec 01, 2025
5 citations
Resident Rights moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nov 14, 2025
1 citation
Quality of Care critical citation
Corrected
Corrected
Jun 06, 2024
3 citations
Quality of Care serious citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Feb 15, 2019
13 citations
Pharmacy moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Top deficiency categories
Share of 24 citations
Resident Rights
9 deficiencies (38%)
Quality of Life & Care
6 deficiencies (25%)
Pharmacy Services
3 deficiencies (13%)
Infection Control
2 deficiencies (8%)
Resident Assessment & Care Planning
2 deficiencies (8%)
Abuse, Neglect & Exploitation
2 deficiencies (8%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
20 of 24 citations resulted from standard inspections; 3 of 24 resulted from complaint investigations; and 1 of 24 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
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 Oct 2026
2 penalties in the past 3 years
Latest: Nov 14, 2025 · $16,985 civil money penalty
Nov 14, 2025 · $16,985 civil money penalty
Jun 6, 2024 · $8,824 civil money penalty
Total fines
$25,809
↓ 31% · ID $38KThis facility: $25,809, 31% below the Idaho average of $37,594. Average among the 27 Idaho facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #22 / 26Federal fines — State benchmarked This nursing home is ranked 22nd out of 26 nursing homes we track in Idaho for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Idaho average among facilities with fines, and where it ranks among 26 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Idaho that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
2
↑ 38% · ID 1.44This facility: 2, 38% above the Idaho average of 1.44. Average among the 27 Idaho facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Nov 14, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$16,985
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$16,985
Jun 6, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$8,824
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$8,824Fine amount comparison
This facility
$25,809
Idaho average
$37,594
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Idaho and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Idaho average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
10.0
Score · lower is better
↑ 17% · ID 8.5This facility: 10.0, 17% above the ID average of 8.5 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
17.7
Score · lower is better
↑ 1% · ID 17.5This facility: 17.7, 1% above the ID average of 17.5 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 7 better, 4 worse, 2 near ID average
8 short-stay measures: 4 better, 1 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
16.5%
↑ 7% · ID 15.4This facility: 16.5, 7% above the ID average of 15.4 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
16.5%
↑ 7% · ID 15.4This facility: 16.5, 7% above the ID average of 15.4 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
24.0%
↑ 52% · ID 15.8This facility: 24.0, 52% above the ID average of 15.8 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
24.0%
↑ 52% · ID 15.8This facility: 24.0, 52% above the ID average of 15.8 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.6%
↓ 41% · ID 21.2This facility: 12.6, 41% below the ID average of 21.2 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.6%
↓ 41% · ID 21.2This facility: 12.6, 41% below the ID average of 21.2 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
1.9%
↓ 7% · ID 2.0This facility: 1.9, 7% below the ID average of 2.0 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.9%
↓ 7% · ID 2.0This facility: 1.9, 7% below the ID average of 2.0 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
↓ 40% · ID 3.1This facility: 1.9, 40% below the ID average of 3.1 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
↓ 40% · ID 3.1This facility: 1.9, 40% below the ID average of 3.1 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
4.4%
↑ 29% · ID 3.4This facility: 4.4, 29% above the ID average of 3.4 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
4.4%
↑ 29% · ID 3.4This facility: 4.4, 29% above the ID average of 3.4 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
3.2%
↓ 37% · ID 5.1This facility: 3.2, 37% below the ID average of 5.1 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
3.2%
↓ 37% · ID 5.1This facility: 3.2, 37% below the ID average of 5.1 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
7.3%
↓ 54% · ID 15.7This facility: 7.3, 54% below the ID average of 15.7 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
7.3%
↓ 54% · ID 15.7This facility: 7.3, 54% below the ID average of 15.7 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
22.0%
↑ 8% · ID 20.3This facility: 22.0, 8% above the ID average of 20.3 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
22.0%
↑ 8% · ID 20.3This facility: 22.0, 8% above the ID average of 20.3 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
≈ 0% · ID 97.8This facility: 98.2, level with the ID average of 97.8 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
≈ 0% · ID 97.8This facility: 98.2, level with the ID average of 97.8 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
↓ 1% · ID 96.2This facility: 95.6, 1% below the ID average of 96.2 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
↓ 1% · ID 96.2This facility: 95.6, 1% below the ID average of 96.2 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.80
↓ 27% · ID 1.10This facility: 0.80, 27% below the ID average of 1.10 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
0.80
↓ 27% · ID 1.10This facility: 0.80, 27% below the ID average of 1.10 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.36
↓ 14% · ID 1.59This facility: 1.36, 14% below the ID average of 1.59 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.36
↓ 14% · ID 1.59This facility: 1.36, 14% below the ID average of 1.59 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
30.4%
↓ 43% · US 53.7This facility: 30.4, 43% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
30.4%
↓ 43% · US 53.7This facility: 30.4, 43% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
54.7%
↑ 8% · US 50.6This facility: 54.7, 8% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
54.7%
↑ 8% · US 50.6This facility: 54.7, 8% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · ID 1.7This facility: 0.0, 100% below the ID average of 1.7 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · ID 1.7This facility: 0.0, 100% below the ID average of 1.7 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.9%
↑ 6% · ID 91.8This facility: 96.9, 6% above the ID average of 91.8 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.9%
↑ 6% · ID 91.8This facility: 96.9, 6% above the ID average of 91.8 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
↑ 12% · ID 85.4This facility: 95.7, 12% above the ID average of 85.4 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
↑ 12% · ID 85.4This facility: 95.7, 12% above the ID average of 85.4 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
11.7%
↓ 33% · ID 17.5This facility: 11.7, 33% below the ID average of 17.5 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
11.7%
↓ 33% · ID 17.5This facility: 11.7, 33% below the ID average of 17.5 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
13.9%
↑ 20% · ID 11.6This facility: 13.9, 20% above the ID average of 11.6 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
13.9%
↑ 20% · ID 11.6This facility: 13.9, 20% above the ID average of 11.6 (among ID facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
The Orchards of Cascadia’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 26 Idaho nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Profitable on care
7.6% operating margin
+8.4 pts vs prior year
Positive margin in 6 of the last 8 reported years. Net income $1.0M after other income.
Does it invest in staff?
Spends less on payroll than most Idaho homes
49.8% payroll share of revenue
ID average 54.2%Rank #18 / 26Payroll % of net patient revenue — State benchmarked This nursing home is ranked 18th out of 26 nursing homes we track in Idaho for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Idaho average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Idaho that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.3M while revenue rose $2.7M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Idaho homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | ID median | Compared with ID homesRank in ID | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $12.5M | +$2.7M | Trend 20162024 | ID median $11.1M | Rank in ID Rank #10 / 26Net patient revenue — State benchmarked This nursing home is ranked 10th out of 26 nursing homes we track in Idaho for net patient revenue. Shows this facility's net patient revenue compared to the Idaho average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Idaho that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 64% of homes | Above ID median Higher net patient revenue than 64% of ID homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $11.5M | +$1.7M | Trend 20162024 | ID median $10.6M | Rank in ID Rank #12 / 26Operating expenses — State benchmarked This nursing home is ranked 12th out of 26 nursing homes we track in Idaho for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Idaho homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Idaho that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 56% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.9M | +$1.0M | Trend 20162024 | ID median $1.0M | Rank in ID Rank #14 / 26Net patient income — State benchmarked This nursing home is ranked 14th out of 26 nursing homes we track in Idaho for net patient income. Shows net patient revenue minus operating expenses, compared with other Idaho homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Idaho that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 48% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 7.6% | +8.4 pts | Trend 20162024 | ID median 9.8% | Rank in ID Rank #16 / 26Operating margin — State benchmarked This nursing home is ranked 16th out of 26 nursing homes we track in Idaho for operating margin. Shows net patient income as a share of net patient revenue, compared with other Idaho homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Idaho that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 40% of homes | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | ID median $0.0M | Rank in ID Rank #20 / 26Other income — State benchmarked This nursing home is ranked 20th out of 26 nursing homes we track in Idaho for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Idaho homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Idaho that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 24% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $1.0M | +$1.0M | Trend — | ID median $1.0M | Rank in ID Rank #14 / 26Net income — State benchmarked This nursing home is ranked 14th out of 26 nursing homes we track in Idaho for net income. Shows the bottom line after other income, compared with other Idaho homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Idaho that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 48% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Idaho homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | ID median | Compared with ID homesRank in ID | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $6.2M | +$0.3M | Trend 20162024 | ID median $6.1M | Rank in ID Rank #13 / 26Payroll costs — State benchmarked This nursing home is ranked 13th out of 26 nursing homes we track in Idaho for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Idaho average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Idaho that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 52% of homes | Above ID median Higher payroll than 52% of ID homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 49.8% | −10.5 pts | Trend 20162024 | ID median 51.8% | Rank in ID Rank #18 / 26Payroll % of net patient revenue — State benchmarked This nursing home is ranked 18th out of 26 nursing homes we track in Idaho for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Idaho average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Idaho that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 32% of homes | 4.4 pts under ID average The ID average is 54.2% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · ID benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Idaho payroll average.
% of net patient revenue
Payroll share Operating margin ID payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017no report | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $8.4M | $9.4M | $10.1M | $8.8M | $9.0M | $9.6M | $9.8M | $12.5M | |
| Operating expenses | $7.7M | $8.9M | $9.4M | $8.9M | $9.0M | $9.5M | $9.9M | $11.5M | |
| Net patient income | $0.7M | $0.5M | $0.7M | −$0.1M | $0.0M | $0.1M | −$0.1M | $0.9M | |
| Operating margin | 8.2% | 5.2% | 6.8% | −0.9% | 0.4% | 0.9% | −0.8% | 7.6% | |
| Net income | $0.7M | $0.5M | $0.8M | $0.6M | $2.0M | $0.7M | −$0.1M | $1.0M | |
| Payroll costs | $3.5M | $4.6M | $5.6M | $5.2M | $5.3M | $5.5M | $5.9M | $6.2M | |
| Payroll share of revenue | 41.1% | 49.0% | 55.7% | 59.2% | 58.9% | 57.4% | 60.3% | 49.8% | |
| Beds | 86 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | |
| Gross revenue | $9.0M | $12.8M | $12.3M | $10.8M | $12.2M | $12.3M | $12.7M | $16.8M | |
| Salaries | $2.9M | $3.9M | $4.7M | $4.4M | $4.5M | $4.7M | $5.1M | $5.4M | |
| Wage-related costs | $0.6M | $0.8M | $0.9M | $0.8M | $0.8M | $0.8M | $0.8M | $0.9M | |
| Contract labor | $0.9M | $0.6M | $0.1M | $0.0M | $0.1M | $0.2M | $0.3M | $0.6M | |
| Other operating costs | $4.3M | $4.3M | $3.8M | $3.7M | $3.7M | $4.0M | $4.0M | $5.3M | |
| Net patient revenue per day | $325 | $356 | $352 | $356 | $365 | $376 | $348 | $423 | |
| Cost per day | $298 | $338 | $328 | $359 | $364 | $373 | $351 | $391 | |
| Average length of stay | 73.5 days | 50.7 days | 113.2 days | 125.8 days | 120.6 days | 127.9 days | 144.8 days | 113.6 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
255 admissions · FY2024
Residents admitted during the year.
Medicare
60 · 24%
Medicaid
72 · 28%
Private pay & other
123 · 48%
Resident snapshot
93 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
9 · 10%
Medicaid
72 · 77%
Private pay & other
12 · 13%
Leaving
260 discharges · FY2024
Residents discharged during the year.
Medicare
60 · 23%
Medicaid
81 · 31%
Private pay & other
119 · 46%
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Compare Nursing Homes around Caldwell
Info below is compiled from CMS reports & the ID Dept. of Health & Welfare (DHW), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Idaho average is: 54.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Wellspring Health and Rehabilitation of Cascadia | NH SNF | Nampa | 120
Facility
120
ID AVG
103
Rank
#6 / 24 | B+ |
82.1%
Facility
82.1%
ID AVG
80.4%
Rank
#14 / 22 | +2% | 2.88
Facility
2.88
ID AVG
3.96
Rank
#23 / 26 | -24% | -27% | $30.9k
Facility
$30.9k
ID AVG
$37.6k
Rank
#24 / 26 | 19
Facility
19
ID AVG
27.0
Rank
#3 / 26 | 6.3
Facility
6.3
ID AVG
8.4
Rank
#5 / 26 | 2 | 99 | - |
46
Facility
46
ID AVG
50
Rank
#20 / 28 | Daniel Allen | $14.5MFiscal year ending 12/2024
Facility
$14.5MFiscal year ending 12/2024
ID AVG
$12.2M
Rank
#8 / 26 | $7.9MFiscal year ending 12/2024
Facility
$7.9MFiscal year ending 12/2024
ID AVG
$6.5M
Rank
#7 / 26 | 54.3%Fiscal year ending 12/2024
Facility
54.3%Fiscal year ending 12/2024
ID AVG
54.2%
Rank
#10 / 26 | 135094 | ||||
| Canyon West of Cascadia | NH SNF | Caldwell | 103
Facility
103
ID AVG
103
Rank
#13 / 24 | A- |
69.8%
Facility
69.8%
ID AVG
80.4%
Rank
#18 / 22 | -13% | 3.01
Facility
3.01
ID AVG
3.96
Rank
#21 / 26 | -3% | -24% | $0
Facility
$0
ID AVG
$37.6k
Rank
#1 / 26 | 24
Facility
24
ID AVG
27.0
Rank
#8 / 26 | 8.0
Facility
8.0
ID AVG
8.4
Rank
#13 / 26 | - | 72 | - |
51
Facility
51
ID AVG
50
Rank
#12 / 28 | Barton Hoopes | $11.0MFiscal year ending 12/2024
Facility
$11.0MFiscal year ending 12/2024
ID AVG
$12.2M
Rank
#14 / 26 | $5.3MFiscal year ending 12/2024
Facility
$5.3MFiscal year ending 12/2024
ID AVG
$6.5M
Rank
#19 / 26 | 47.8%Fiscal year ending 12/2024
Facility
47.8%Fiscal year ending 12/2024
ID AVG
54.2%
Rank
#21 / 26 | 135051 | ||||
| Caldwell Care of Cascadia | NH MC SNF | Caldwell | 68
Facility
68
ID AVG
103
Rank
#21 / 24 | C+ |
84.9%
Facility
84.9%
ID AVG
80.4%
Rank
#10 / 22 | +6% | 3.45
Facility
3.45
ID AVG
3.96
Rank
#10 / 26 | -21% | -13% | $0
Facility
$0
ID AVG
$37.6k
Rank
#1 / 26 | 38
Facility
38
ID AVG
27.0
Rank
#23 / 26 | 12.7
Facility
12.7
ID AVG
8.4
Rank
#24 / 26 | - | 58 | - |
69
Facility
69
ID AVG
50
Rank
#3 / 28 | Mark Dudley | $9.0MFiscal year ending 12/2024
Facility
$9.0MFiscal year ending 12/2024
ID AVG
$12.2M
Rank
#19 / 26 | $4.2MFiscal year ending 12/2024
Facility
$4.2MFiscal year ending 12/2024
ID AVG
$6.5M
Rank
#21 / 26 | 46.7%Fiscal year ending 12/2024
Facility
46.7%Fiscal year ending 12/2024
ID AVG
54.2%
Rank
#25 / 26 | 135014 | ||||
| The Orchards of Cascadia | NH AL | Caldwell | 100
Facility
100
ID AVG
103
Rank
#14 / 24 | D+ |
92.9%
Facility
92.9%
ID AVG
80.4%
Rank
#3 / 22 | +15% | 3.03
Facility
3.03
ID AVG
3.96
Rank
#21 / 26 | +8% | -23% | $25.8k
Facility
$25.8k
ID AVG
$37.6k
Rank
#22 / 26 | 24
Facility
24
ID AVG
27.0
Rank
#7 / 26 | 4.0
Facility
4.0
ID AVG
8.4
Rank
#1 / 26 | 2 | 93 | - |
54
Facility
54
ID AVG
50
Rank
#9 / 28 | Donna Beeson | $12.5MFiscal year ending 12/2024
Facility
$12.5MFiscal year ending 12/2024
ID AVG
$12.2M
Rank
#10 / 26 | $6.2MFiscal year ending 12/2024
Facility
$6.2MFiscal year ending 12/2024
ID AVG
$6.5M
Rank
#13 / 26 | 49.8%Fiscal year ending 12/2024
Facility
49.8%Fiscal year ending 12/2024
ID AVG
54.2%
Rank
#18 / 26 | 135019 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other ID nursing home we track that reports that metric, not just the 4 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in Idaho
The Orchards of Cascadia is located in Caldwell, Idaho.
Here are the financial assistance programs available to residents in Idaho.
Know before you visit
Frequently Asked Questions about The Orchards of Cascadia
Quick answers from public records and the community's own listing.01 Is The Orchards of Cascadia in a walkable area?
The Orchards of Cascadia has a walk score of 54. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
02 What is the occupancy rate at The Orchards of Cascadia?
The Orchards of Cascadia's occupancy is 92.9%.
03 Are pets allowed at The Orchards of Cascadia?
No, The Orchards of Cascadia has a no-pet policy.
04 Does The Orchards of Cascadia operate as a for-profit or non-profit?
The Orchards of Cascadia is registered as a for-profit.
05 What is the overall rating for The Orchards of Cascadia?
The Orchards of Cascadia received a 1-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
06 How many beds does The Orchards of Cascadia have?
The Orchards of Cascadia has 100 beds.
07 What levels of care does The Orchards of Cascadia provide?
The Orchards of Cascadia offers Nursing Home & Assisted Living.
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