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.

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The Orchards of Cascadia demonstrates a complex operational picture: strong staffing capacity with financial constraints. Located in Caldwell, Idaho (Canyon County), the 100-bed facility is privately owned by Donna Beeson and CMS-certified for Medicare and Medicaid. Walk score 54 reflects a moderately walkable neighborhood.
2023 financial data reveal operational pressure: gross revenue $12.7 million generated an operating loss of $76.9 thousand (negative 0.6% profit margin). Total payroll $6.2 million represents 48.6% of revenue, below the typical 54–58% for well-run Idaho facilities. However, occupancy improved substantially from 70.1% in 2022 to current 76.9% (7.8% above state average). Facility ranks #11 in Idaho by revenue and #12 by total payroll.
Occupancy trends show a mixed payer population: Medicaid 82.3% of current residents (typically 12-month stays), private-pay 11.4% (typical one month), Medicare 6.3% (typical 27 days). The facility serves 79 current residents and averages 145-day length of stay.
Staffing metrics present strength: staff-to-resident ratio 2.77:1 is 53% better than Idaho average. Licensed practical nurses provide 54 minutes per resident per day (17% above state average; a standout metric). Total adjusted nursing hours 3 hours 45 minutes per day rank 11th of 31 Idaho facilities, though 9% below state average. Staffing includes 26 RNs, 40 LPNs, 106 CNAs among 219 total staff (137 employees, 82 contractors).
CMS ratings: overall 3 stars (8.1% below state average); health inspection 3 stars (7.2% above state); staffing 3 stars (10.3% below); quality measures 3 stars (3.1% below). The June 2024 penalty of $9,000 is sole enforcement action in three years; 77% lower than the state average.
Quality outcomes bifurcate sharply. Long-stay residents show functional preservation: functional decline 17% better than state; depressive symptoms 67% better; hospitalizations and ED visits both improved over state. Short-stay falls prevention is excellent (0% falls with major injury, 100% better than state) yet discharge self-care weak (30.4%, 43% worse than state). Long-stay fall prevention presents a critical deficit: falls with major injury 4.7% (68% worse than state); pressure ulcers 6.0% (64% worse).
The Orchards of Cascadia operates with exceptional staffing ratios and strong long-stay function but faces fall prevention challenges and recent financial deterioration despite occupancy gains.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
4,114 contractor hours this quarter
| Certified Nursing Assistant | 58 | 48 | 106 | 19,801 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 22 | 18 | 40 | 8,108 | 92 | 100% | 8.8 |
| Registered Nurse | 15 | 11 | 26 | 3,625 | 92 | 100% | 8.7 |
| Dental Services Staff | 3 | 0 | 3 | 1,347 | 66 | 72% | 7.6 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,152 | 72 | 78% | 8.4 |
| Physical Therapy Assistant | 9 | 0 | 9 | 1,041 | 71 | 77% | 6 |
| Speech Language Pathologist | 9 | 0 | 9 | 612 | 69 | 75% | 6.7 |
| Qualified Social Worker | 6 | 0 | 6 | 559 | 65 | 71% | 6.2 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 446 | 62 | 67% | 7.2 |
| Occupational Therapy Aide | 1 | 0 | 1 | 256 | 64 | 70% | 4 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 221 | 49 | 53% | 4 |
| Other Dietary Services Staff | 1 | 0 | 1 | 156 | 29 | 32% | 5.4 |
| Medical Director | 0 | 1 | 1 | 112 | 14 | 15% | 8 |
| Other Physician | 0 | 1 | 1 | 56 | 14 | 15% | 4 |
| Feeding Assistant | 0 | 1 | 1 | 56 | 14 | 15% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 48 | 6 | 7% | 8 |
| Physician Assistant | 0 | 1 | 1 | 46 | 13 | 14% | 3.5 |
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 6, 2024 · $9K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
25% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
34% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for The Orchards of Cascadia based on CMS SNF Cost Reports.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
The Orchards of Cascadia is located in Caldwell, 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.
| Canyon West 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).
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. | Caldwell | 103 | 69.0% | 0% | 3.12 | -18% | -24% | $0 | 20 | 6.7 | 3 | 68 | 51 | Barton Hoopes | $12.6M | $5.0M | 39.4% | 135051 | ||||
| Cascadia Of Nampa |
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. | Nampa | 99 | 83.6% | +21% | 3.84 | +68% | -7% | $10.2k | 25 | 12.5 | 1 | 90 | 51 | Daniel J Allen Do Pc | $15.3M | $7.6M | 49.6% | 135144 | ||||
| The Orchards 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).
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. | Caldwell | 100 | 76.9% | +11% | 3.75 | -3% | -9% | $8.8k | 24 | 6.0 | 2 | 89 | 54 | Donna Beeson | $12.7M | $6.2M | 48.6% | 135019 | ||||
| Wellspring Health and Rehabilitation 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).
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. | Caldwell | 120 | - | - | 3.19 | -29% | -23% | $30.9k | 19 | 6.3 | 2 | 99 | 46 | Daniel Allen | $15.2M | $7.1M | 46.7% | 135094 | ||||
| Caldwell Care 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).
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. | Caldwell | 68 | 85.1% | +23% | 4.46 | +43% | +8% | $114.5k | 44 | 11.0 | 4 | 58 | 69 | Mark Dudley | $8.2M | $4.2M | 51.2% | 135014 |
The Orchards of Cascadia has a walk score of 54. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
The Orchards of Cascadia's occupancy is 76.9%.
Yes — there is 1 photo of The Orchards of Cascadia in the photo gallery on this page.
(208) 466-9292 will put you in contact with the team at The Orchards of Cascadia.
Yes — The Orchards of Cascadia is a CMS-certified provider of Medicare and Medicaid.
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