The Orchards of Cascadia
Nursing home in Nampa, ID
Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)
We send it to The Orchards of Cascadia if we can reach them by email, and we have no way to update you at a phone number. To be sure, call them: (208) 466-9292.
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
- 1 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 100
- Average residents per day
- 93
- Ownership
- For-profit, limited Liability company
- Legal business name
- Nampa West of Cascadia LLC
- Chain
- Cascadia Healthcare (47 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
Inspection record
Most recent standard health inspection: Dec 1, 2025. CMS lists 24 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 15, 2019 to Aug 5, 2026): 4 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.
| Inspection | Citation | Severity |
|---|---|---|
| Aug 5, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| Jan 8, 2026 | Respond appropriately to all alleged violations. | D |
| Dec 1, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| Dec 1, 2025 | Ensure that residents are free from significant medication errors. | D |
| Dec 1, 2025 | Ensure 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… | D |
| Dec 1, 2025 | Provide and implement an infection prevention and control program. | D |
| Dec 1, 2025 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E |
| Nov 14, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | J |
| Jun 6, 2024 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D |
| Jun 6, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| Jun 6, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| Feb 15, 2019 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance… | D |
Fines and payment denials
CMS records 2 fines totalling $25,809 in the last three years.
| Nov 14, 2025 | Fine: $16,985 |
| Jun 6, 2024 | Fine: $8,824 |
Staffing
- Total nurse staffing per resident per day
- 3.65 hours
- Registered nurse (RN) time per resident per day
- 0.72 hours
- Nurse aide time per resident per day
- 2.09 hours
- Total nurse staffing on weekends
- 2.99 hours
- Nursing staff turnover (yearly)
- 57%
- RN turnover (yearly)
- 69%
- Administrators who left in the past year
- 1
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
Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error