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Clearwater of Cascadia

  • Nursing Home

Updated Nov 1, 2023 by Nick Lata

Historical Rating
Grade: B-plus
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Clearwater of Cascadia's website

1204 Shriver Road,
Orofino ID 83544

(208) 476-4568

69.5% estimated occupancy 1

Clearwater of Cascadia is located in Orofino, Idaho. The city has a population of 6,092 people. This nursing home turns out to be a highly rated facility, with an overall grade of B+. This place truly has plenty going for it. This nursing home was better in some categories than others, but it did not have any bad scores in any of our major categories discussed below. More information about these categories can be found below.

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Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • For profit - Limited Liability company
  • Offers Inpatient Rehab

Specialized Services

  • Personal Care
  • Speech Therapy
  • Occupational Therapy
  • Physical Therapy
  • Nutritional Counseling
  • Recreational Therapy

Registered Staff Hours

Medical Staff Hours Per Patient (2022)
Less:
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Facility Inspections

Grade: A

This facility received a quality overall grade as described above, but we especially wanted to point out its nearly flawless government inspections in recent years. We awarded it an A in this category. Our inspection ratings are based on several pieces of information located in the a nursing home's recent inspection reports. Nursing homes that excel in this area tend to have very few deficiencies on their reports. Most importantly, these facilities should not have any severe deficiencies which are associated with risks to patient safety. Sadly, this nursing home was assessed a category L deficiency, which is unexpected based on its inspection score. This category indicates the government inspectors uncovered a widespread deficiency putting resident safety or health in immediate jeopardy. In spite of this major red flag, other aspects of this facility's inspection report gave us some hope.

Nurse Quality

Grade: A-minus

This facility received high grades in the area of nursing as well. In fact, it received one of our highest grades in that category with a score of A-. Nursing scores are primarily tied to the nursing home's level of nurse staffing. This nursing home averages 0.3 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This nursing home performed well in this area. Avoiding major falls is typically a good indicator that a nursing home has reliable quality controls in place. Major falls can frequently be avoided if more nurses aids and better safety protocols are in place.

Long-term Care Quality

Grade: B

This nursing home is also above average in the area of long-term care, where it was awarded a score of B. It performed better than most nursing homes in this area. Facilities that receive this type of score in this category typically provide consistent 24/7 care to ensure residents are kept in good health. Once we assessed the amount of care provided by aids and other staff, we turned to the nursing home's vaccination data. This facility vaccinated 100 percent of its patients for pneumonia, which is far higher than most nursing homes. Clearly, this place is doing something right in this area as it also excelled at keeping its residents out of the hospital. In fact, it had only 0.01 hospitalizations per 1,000 long-term resident days, which is an impressively low number.

Short-term Care Quality

Grade: B-minus

The next category we rated was short-term care, in which this facility was given a grade of B-. This ended up being this facility's worst area. This is nevertheless not a bad grade. In determining our short-term care grades, we look at a nursing home's levels of highly skilled nursing services, which includes registered nurses, physical therapists speech therapists and other highly skilled individuals. This grade is often a fair assessment of a nursing home's rehabilitation services. Fortunately, it appear that this facility employs registered nurses. Not all facilities employs these types of nurses. On the other hand, according to the data they provided, it does not look like the facility employs physical therapists. The last item we considered in this category is the percentage of residents that who were able to eventually return home from the nursing home. We found that just 4.1 percent of this facility's residents returned home.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Dec 23

Clearwater of Cascadia Quality Metrics

Minimizes Pressure Ulcers

Grade: A-minus

In Clearwater of Cascadia, 4.55% of Patients had Pressure Ulcers

This indicates the percentage of residents who sustained a pressure ulcer. Pressure ulcers are skin damage caused by remaining in the same position for an excessive period of time.

Minimizes Serious Falls

Grade: B-plus

In Clearwater of Cascadia, 2.72% of Patients had Serious Falls

This is the percent of patients who sustained a major fall. Falls resulting in severe injury are routinely the result of poor nursing care. Better nursing protocols can reduce the number of major falls sustained by residents in a nursing home.

Minimizes Urinary Tract Infections

Grade: B-minus

In Clearwater of Cascadia, 2.44% of Patients had UTIs

This datapoint indicates the percentage of long-term patients who sustained urinary tract infections. Although a higher rate of these infections could reflect poorly on a facility's cleanliness, it can be difficult to compare different nursing homes due to inconsistent reporting standards.

Appropriately Uses Anti-Psychotic Medication

Grade: B-plus

In Clearwater of Cascadia, 10.45% of Patients use Anti-Psychotic Medication

This is the percent of patients who were prescribed antipsychotic drugs. Antipsychotic drugs are given to residents for many conditions, including dementia. Sadly, in limited cases, increased usage of these drugs may indicate that a nursing home is using these drugs to subdue residents.

Appropriately Uses Anti-Anxiety Medication

Grade: A

In Clearwater of Cascadia, 11.59% of Patients use Anti-Anxiety Medication

This metric measures the percent of long-term patients who were given antianxiety drugs. These drugs are used to treat patients experiencing anxiety and depression.

Managing Depression Among Residents

Grade: B-minus

In Clearwater of Cascadia, 6.47% of Patients

This datapoint measures the percentage of long-term stay patients showing symptoms of depression.

Appropriate Vaccine Usage

Grade: A

In Clearwater of Cascadia, 100% of Patients

Measures the percentage of long-term care residents who were given the flu and pneumonia vaccines. Respiratory viruses can be fatal for nursing home residents, making these vaccines critical to patient safety.

Residents Maintain Autonomy

Grade: B-minus

In Clearwater of Cascadia, 15.62% of Patients

This is the percentage of patients that needed increased assistance with activities of daily living over time.

Ability to Keep Residents Mobile

Grade: A

In Clearwater of Cascadia, 24.14% of Residents

This indicates the percentage of patients who retained mobility levels over time. Retaining mobility can be a good sign for residents' health.

Hospitalizations

Grade: A-minus

In Clearwater of Cascadia, 0.01 Hospitalizations per 1,000 resident days

This metric tracks the number of hospitalizations per 1,000 days of patient care.

Short-term Care: Rehospitalizations

Grade: D

In Clearwater of Cascadia, 24.14% of Residents Rehospitalized

This metric is a measure of the number of times residents are rehospitalized per 1,000 days of short-term patient care.

Short-term Care: ER Visits

Grade: A

In Clearwater of Cascadia, 6.32% of Patients

This datapoint is a measure of the number of times residents are sent to the emergency room per thousand days of short-term patient care.

Short-term Care: Facilitates Functional Improvement

Grade: B-minus

In Clearwater of Cascadia, 74.62% of Resident

Measures the percentage of short-term residents who saw functional improvements, such as enhanced ability to perform activities of daily living. Some experts believe this is a reasonable measure of a nursing home's rehabilitation services.