Nursing HomeInspections

Paradise Creek Health and Rehab of Cascadia

Nursing home in Moscow, ID

Medicare & Medicaid certified4★ overall (CMS)

Call (208) 882-6560Send a messageMap ↗

Public-record details

Address
640 North Eisenhower Street, Moscow, ID 83843
Phone
(208) 882-6560
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
135067
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
63
Average residents per day
47
Ownership
For-profit, limited Liability company
Legal business name
Moscow North of Cascadia LLC
Chain
Cascadia Healthcare (46 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 1977
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 135067. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 7, 2026. CMS lists 27 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 14, 2023 to May 7, 2026): 0 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
May 7, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 7, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 7, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Aug 29, 2024Honor 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
Aug 29, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 29, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 29, 2024Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services		E
Potential for more than minimal harm, pattern
Aug 29, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Aug 29, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Aug 29, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		G
Actual harm, isolated
Jul 14, 2023Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 14, 2023Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 27. 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 7 fines totalling $48,758 in the last three years.

Aug 29, 2024Fine: $21,320
Sep 25, 2023Fine: $4,587
Sep 18, 2023Fine: $4,587
Sep 11, 2023Fine: $4,545
Sep 5, 2023Fine: $4,587
Aug 28, 2023Fine: $4,587
Aug 21, 2023Fine: $4,545

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
3.36 hours
Registered nurse (RN) time per resident per day
0.67 hours
Nurse aide time per resident per day
2.07 hours
Total nurse staffing on weekends
2.94 hours
Nursing staff turnover (yearly)
71%
RN turnover (yearly)
75%

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 Moscow

Aspen Park of Cascadia420 Rowe Street · Moscow, ID 83843 · (208) 882-4576 · For-profit11 health citations in 3 inspection cycles · last standard inspection May 1, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)

All 2 in Moscow →