Nursing HomeInspections

Grangeville Health & Rehabilitation of Cascadia

Nursing home in Grangeville, ID

Medicare & Medicaid certified4★ overall (CMS)

Call (208) 983-1131Send a messageMap ↗

Public-record details

Address
410 East North Second Street, Grangeville, ID 83530
Phone
(208) 983-1131
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
135080
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
60
Average residents per day
43
Ownership
For-profit, corporation
Legal business name
Grangeville of Cascadia, LLC
Chain
Cascadia Healthcare (46 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1980
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 135080. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 8, 2025. CMS lists 13 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 6, 2020 to Aug 8, 2025): 8 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 8, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 8, 2025Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 8, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 8, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 8, 2025Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff…
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 8, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		F
Potential for more than minimal harm, widespread
Oct 25, 2024PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 25, 2024Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services · complaint inspection		F
Potential for more than minimal harm, widespread
Feb 6, 2020Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 6, 2020Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 6, 2020Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Feb 6, 2020Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 13. 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 no fines or payment denials for this facility in the last three years.

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
3.43 hours
Registered nurse (RN) time per resident per day
0.71 hours
Nurse aide time per resident per day
2.31 hours
Total nurse staffing on weekends
3.09 hours
Nursing staff turnover (yearly)
75%
RN turnover (yearly)
29%
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.