Clearwater of Cascadia
1204 Shriver Road, Orofino ID 83544 · (208) 476-4568 · 71.16% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Clearwater of Cascadia is a small facility in Orofino, Idaho. We awarded this facility an overall grade of D. A grade in this range typically suggests a few red flags. If you are not satisfied with this facility's pedestrian overall grade, you may have to look in other cities as this is the only nursing home in Orofino. If you aren't deterred by this facility's report card, you can continue reading to find out about its category scores. We discuss nursing in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 60 Beds
CCRC :
For profit - Individual
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Nurse Quality
Although we did not rate this nursing home well overall, we want to point out its much more favorable nursing score this year. We gave it a respectable grade of B in this area, which was much better than its overall score. We scrutinized the levels of nurses employed by the nursing home, in addition to the quantity of time the nurses spent with residents, in computing our score in this category. This facility provided 3.7 hours of nursing care per resident per day. Lastly, we also factored a few quality measures into our nursing grades. This nursing home was relatively weak in two of the major areas we focus on, with below average scores for minimizing its residents' major falls and pressure ulcers. These areas are generally reliable indicators of the quality of nursing care provided.
Short-term Care Quality
This facility's second best category turned out to be short-term care. In that area, we gave this facility a B-. In the area of short-term care, we try to evaluate indicators of a facility's rehabilitation. We assess a facility's skilled nursing services, such as those performed by registered nurses and physical, occupational and other therapists. One reason for this facility's strong score in this category is that it provides more care with registered nurses to its residents than the average nursing home. The last datapoint we considered in this category is the percentage of residents who ultimately were able to return home from the nursing home. We found that just 36 percent of this nursing home's residents returned home.
Long-term Care Quality
The third best area we gave this facility in any area came in the category of long-term care, where we gave it a B-. For patients in need of a permanent place to live rather than rehabilitation, long-term care is an important category. After considering the quantity of care provided by nurses and other staff, we then analyzed the nursing home's vaccination data. We were pleased to learn that this facility vaccinated 99.30556 percent of its patients for pneumonia. Lastly, this place was able to limit hospitalizations. With only 1.23 hospitalizations per 1,000 long-term resident days, this facility has fewer hospitalizations than the majority of nursing homes.
Facility Inspections
Turning our final category of inspections, this facility received a grade that's as bad as it gets. For facilities that received this bad of an inspection rating, we recommend scrutinizing any severe deficiencies on its inspection report. Tragically, this facility had a category L deficiency. This type of deficiency indicates multiple widespread threats to resident safety or health. This type of deficiency is very damaging to a nursing home's inspection grade. Finally, this facility also received a substantiated complaint in the last few years. There seem to be no shortage of reasons to pass on this facility.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Clearwater of Cascadia Quality Metrics
Minimizes Pressure Ulcers
This datapoint tells you the percent of long-term stay residents that are suffering from pressure ulcers. We find that pressure ulcers are a great barometer of the quality of nursing care a nursing home provides.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percentage of patients who have had a fall resulting in serious injury.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is a measure of the percent of long-term residents who have had urinary tract infections. While a higher rate of these infections could reflect poorly on a nursing home's cleanliness, it can be problematic to compare between nursing homes due to nursing homes having inconsistent reporting standards.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This metric gauges the percent of long-term patients which were administered antipsychotic medication. Increased usage of these drugs may mean a facility is using these drugs to subdue residents in situations where such medications aren't medically required. However, some facilities may need to rely more on these drugs due to an increased number of residents with Alzheimer's or other dementias.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This tells you the percentage of residents who were prescribed antianxiety medications. Antianxiety medications are administered to patients experiencing depression and anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This tells you the percent of patients showing signs of depression. High rates of depression could reveal a lower level of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is the percent of patients that were administered the flu and pneumonia vaccines. High vaccination rates should be demanded by residents.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This datapoint measures the percent of long-term residents who required increased assistance with activities of daily living over time. Activities of daily living include activities such as moving around and taking a bath. Some believe that this is a reliable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percentage of patients that maintained mobility over time. Optimizing mobility can be a great sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This is a measure of the number of times residents are hospitalized per 1,000 days of patient care. Avoiding the hospital is important to maintaining the physical well-being of nursing home patients.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This tells you the number of times residents are rehospitalized per 1,000 days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric tracks the number of emergency room visits per thousand days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percentage of short-term residents who saw functional improvements, such as with activities of daily living.
Percentage of Resident
Higher is Better