Nursing HomeInspections

Clarkston Health and Rehab of Cascadia

Nursing home in Clarkston, WA

Medicare & Medicaid certified3★ overall (CMS)

Call (509) 758-2523Send a messageMap ↗

Public-record details

Address
1242 Eleventh Street, Clarkston, WA 99403
Phone
(509) 758-2523
Listed under
For-profit
Medicare CCN
505283
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
90
Average residents per day
82
Ownership
For-profit, limited Liability company
Legal business name
Clarkston of Cascadia, LLC
Chain
Cascadia Healthcare (46 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1984
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 505283. 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 18, 2025. CMS lists 53 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 28, 2022 to Aug 18, 2025): 11 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 18, 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
Aug 18, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 18, 2025Develop 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
Aug 18, 2025Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 18, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 18, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 18, 2025Provide or obtain dental services for each resident.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 18, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Aug 18, 2025PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Aug 18, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Aug 18, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Aug 18, 2025Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and Physician Services		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 53. 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 1 fine totalling $32,711 in the last three years.

Sep 25, 2023Fine: $32,711

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
3.47 hours
Registered nurse (RN) time per resident per day
1.10 hours
Nurse aide time per resident per day
1.92 hours
Total nurse staffing on weekends
2.92 hours
Nursing staff turnover (yearly)
23%
RN turnover (yearly)
23%
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.