Nursing HomeInspections

The Orchards of Cascadia

Nursing home in Nampa, ID

Medicare & Medicaid certified1★ overall (CMS)

Call (208) 466-9292Send a messageMap ↗

Public-record details

Address
404 North Horton Street, Nampa, ID 83651
Phone
(208) 466-9292
Listed under
For-profit
Medicare CCN
135019
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
100
Average residents per day
92
Ownership
For-profit, limited Liability company
Legal business name
Nampa West of Cascadia LLC
Chain
Cascadia Healthcare (46 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 1, 1970
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 135019. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 1, 2025. CMS lists 23 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 15, 2019 to Jan 8, 2026): 3 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jan 8, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 1, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Dec 1, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Dec 1, 2025Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Dec 1, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Dec 1, 2025Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights		E
Potential for more than minimal harm, pattern
Nov 14, 2025Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Jun 6, 2024Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 6, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 6, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Feb 15, 2019Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance…
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 15, 2019Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 23. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $25,809 in the last three years.

Nov 14, 2025Fine: $16,985
Jun 6, 2024Fine: $8,824

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.90 hours
Registered nurse (RN) time per resident per day
0.72 hours
Nurse aide time per resident per day
2.36 hours
Total nurse staffing on weekends
3.20 hours
Nursing staff turnover (yearly)
47%
RN turnover (yearly)
59%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Nampa

Meadow View Nursing and Rehabilitation46 North Midland Boulevard · Nampa, ID 83651 · (208) 466-7803 · For-profit20 health citations in 3 inspection cycles · last standard inspection Nov 19, 2025 · $8,018 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)Wellspring Health & Rehabilitation of Cascadia2105 12th Avenue Road · Nampa, ID 83686 · (208) 467-5721 · For-profit19 health citations in 3 inspection cycles · last standard inspection Sep 18, 2025 · $30,927 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)Sunny Ridge2609 Sunnybrook Drive · Nampa, ID 83686 · (208) 467-7298 · For-profit34 health citations in 3 inspection cycles · last standard inspection Jan 23, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)Cascadia of Nampa900 N Happy Valley Rd · Nampa, ID 83687 · (208) 401-9639 · For-profit38 health citations in 3 inspection cycles · last standard inspection Dec 5, 2025 · $68,518 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)SFF candidate (CMS)Karcher Post Acute1127 Caldwell Blvd · Nampa, ID 83651 · (208) 465-4935 · For-profit39 health citations in 3 inspection cycles · last standard inspection May 29, 2026 · $41,603 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)CMS abuse icon

All 6 in Nampa →