Cascadia of Lewiston

On top of being a first rate facility overall, this nursing home also excelled in the area of inspections, where it received an A+. Few places performed as well in this area. We weigh several aspects of a nursing home's inspection report in computing these inspection grades. One critical factor is health deficiencies. You should keep in mind that the severity of the deficiencies is arguably more meaningful than the quantity of deficiencies, as some of these can be quite insignificant. Unfortunately, it does not look like we were able to find deficiency data for this nursing home. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

We also awarded this nursing home a score of A+ for its short-term care grade. Our short-term care scores are crucial for residents in need of rehabilitation. Rehabilitation typically utilizes higher levels of highly-skilled nursing services. This includes a broad range of services, spanning from registered nurses to physical and respiratory therapists, as well as other types of therapy. Fortunately, it looks like this facility has registered nurses on staff. Not every facility employs these types of nurses. However, according to the data they provided, it does not look like the facility employs physical therapists. Finally, we looked at the percentage of residents who returned home from this facility. We found that 7.1 percent of this facility's patients returned home.

This facility also excelled in the area of nursing, where it received a grade of A. Few nursing homes performed better in this area. When determining our nursing grades, we weigh both nursing hours and the training levels of the nurses. This nursing home provides 0.4 hours of nursing care per resident per day. Finally, we also assessed several nursing quality measures and this place excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any facility the nation in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can many times be avoided by offering better nursing care, such as by employing a system of turning patients even once per day.

The final area we graded is long-term care, where this nursing home received an A. This wrapped up a very favorable report card. Only a select few facilities earned an A- or better in in each area we assessed. For long-term care residents, the primary objective is to keep patients as healthy and safe as possible. This is different than skilled nursing or short-term care where the goal is to rehabilitate residents. Once we assessed the amount of care provided by nurses aids and other staff, we next considered the nursing home's vaccination data. We were not able to find this facility's vaccination rates. Clearly, this place is doing something right in this area as it was able to keep its residents out of the hospital. It had only 0 hospitalizations per 1,000 long-term resident days, which is an impressively low figure.