Lewiston of Cascadia
3315 8th Street, Lewiston ID 83501 · (208) 743-9543 · 66.35% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Lewiston of Cascadia is an average-sized nursing home in Lewiston, Idaho. We have a high opinion of this nursing home, which we awarded a B+ overall. We were equally impressed with the city grade of facilities in Lewiston, making this a great place to find a nursing home. Based on our ratings, you can do much worse than this nursing home. This nursing home's impressive profile was highlighted by its inspection grade, which you can find in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 96 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
In addition to being a quality nursing home overall, this place really excelled in the area of inspections, where it earned an A. Few facilities fared better in that category. We take several aspects of a facility's inspection report into consideration in calculating these inspection ratings. One of those factors is health deficiencies. You should keep in mind that the severity of these deficiencies is arguably more meaningful than the number of deficiencies, as some of these are quite minor. While this place had some deficiencies on its inspection report, none of them were serious based on CMS' scale. Keep in mind that deficiency-free inspections are rare in the industry.
Nurse Quality
This nursing home also received a strong nursing score. In fact, we awarded it an above average grade of B+ in this area. Our nursing score is primarily tied to a facility's nurse staffing. This particular nursing home provided 3.5 hours of nursing care per resident per day. Finally, we also looked at certain nursing quality-based metrics in computing our nursing grades. These include minimizing residents' pressure ulcers and major falls. We look at these datapoints as reliable measures of the caliber of nursing care being provided, since better care tends to reduce these problems.
Short-term Care Quality
Turning to another strength for this nursing home, we awarded them one of our more favorable scores in our short-term care category as well, with a grade of B+. In the category of short-term care, we strive to evaluate measures of a facility's rehabilitation. We assess a facility's skilled nursing services, including the ones performed by registered nurses and various therapists. One of this nursing home's strengths is registered nurse hours. We found that it offers more care from registered nurses to its residents than most facilities. The final item we assessed in this category is the percentage of patients that who were able to eventually return home from the nursing home. We found that it performed better than most nursing homes in this area with 50.3 percent of its residents returning home.
Long-term Care Quality
The next category we graded is long-term care. This facility was given a better than average long-term care grade in our assessment, with a B-. While this was not quite as good as several of its other grades, this is still an acceptable rating in that category. In a long-term care setting, the nursing home's primary goal 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 volume of care provided by aids and other staff, we then analyzed the nursing home's vaccination record. We were pleased to discover that this facility vaccinated 97.08738 percent of its residents for pneumonia. Finally, we looked at the nursing home's number of hospitalizations. Although it had 2.08 hospitalizations per 1,000 long-term resident days, its risk adjusted score was not too far off the national average.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Lewiston of Cascadia Quality Metrics
Minimizes Pressure Ulcers
This is the percent of residents who have had a pressure ulcer. Pressure ulcers are skin damage caused by staying in the same position for an excessive period of time.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This datapoint is a measure of the percent of long-term stay residents who have experienced a fall resulting in severe injury. We use this statistic in computing our nursing ratings.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This figure gauges the percent of long-term stay residents who had a urinary tract infection. While a higher rate of these infections could reflect poorly on a facility's hygiene protocols, it can be problematic to compare between nursing homes due to nursing homes having reporting standards.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percent of patients given antipsychotic drugs. Antipsychotic drugs are given to residents for many conditions, including dementia. Tragically, in some situations, excessive reliance on these medications may suggest a facility is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percent of patients who were given antianxiety drugs. These medications are prescribed to residents experiencing depression or anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is the percentage of residents showing signs of depression. High levels of depression could reveal a less hospitable environment.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percent of residents who were administered the flu and pneumonia vaccines. High vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This datapoint is a measure of the percent of long-term residents that needed additional assistance with activities of daily living over time. ADL's include activities such as dressing and eating. Some would argue that this is a reasonable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric is a measure of the percent of long-term residents who maintained mobility. Many in the industry would argue that mobility is important for residents' physical and mental health.
Percentage of Residents
Higher is Better
Hospitalizations
This metric is a measure of the number of hospitalizations per thousand days of patient care. Staying out of the hospital is critical to the physical health of nursing home residents.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This datapoint is a measure of the number of rehospitalizations per thousand days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This tells you the number of times residents are sent to the emergency room per thousand days of short-term care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This metric is a measure of the percentage of short-term care residents who experienced functional improvements, such as with activities of daily living. Some experts would argue this is a reliable measure of a facility's rehabilitation services.
Percentage of Resident
Higher is Better