ORCHARDS OF CASCADIA, THE Nursing Home


ORCHARDS OF CASCADIA, THE (CCN: 135019) is a For profit - Limited Liability company facility located in NAMPA, ID (83651). The facility has an overall rating of 4/5, health inspection rating of 3/5, and a staffing rating of 4/5. It offers 100 certified beds and maintains an average of 74.5 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 3.96714 total hours per resident per day. It has been certified since May 1, 1970 and the last listed health inspection was on February 15, 2019, The facility is located in Canyon county and provides senior and nursing home care.

ORCHARDS OF CASCADIA, THE Summary


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Provider Name: ORCHARDS OF CASCADIA, THE

Address: 404 NORTH HORTON STREET, NAMPA, ID 83651

Phone: (208) 466-9292

County: Canyon (130)

Ownership Type: For profit - Limited Liability company

Certified Beds: 100

Average Residents Per Day: 74.5 ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: NAMPA WEST OF CASCADIA LLC

First Approved Date: May 1, 1970

Affiliated Entity: CASCADIA HEALTHCARE (118)

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 4 ()

Health Inspection Rating: 3 ()

QM Rating: 5 ()

Long Stay QM Rating: 5 ()

Short Stay QM Rating: 5 ()

Staffing Rating: 4 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 2.46131, LPN Staff Hours Per Day: 0.6175, RN Staff Hours Per Day: 0.8883, Licensed Staff Hours Per Day: 1.5058

Total Nurse Staff Hours Per Day, per resident: 3.96714

Weekend Nurse Staff Hours: 3.43412, Weekend RN Staff Hours: 0.5611

PT Staff Hours Per Day, per resident: 0.1352

Nurse Staff Turnover: 47.6, Nurse Turnover Note:

RN Turnover: 57.9, RN Turnover Note:

Admin Left Number: 0, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 1.8738, Case Mix LPN Hours Per Day: 0.7389, Case Mix RN Hours Per Day: 0.3574

Adjusted Nurse Aide Hours Per Day, per resident: 2.67588, Adjusted LPN Hours Per Day: 0.6166, Adjusted RN Hours Per Day: 0.9365

Total Adjusted Nurse Hours Per Day, per resident: 4.20989

Adjusted Weekend Nurse Hours Per Day, per resident: 3.64425

Health Survey Dates and Scores: Cycle 1: 2019-02-15 (Score: 80), Cycle 2: 2017-09-07 (Score: 64), Cycle 3: 2016-06-10 (Score: 56)

Total Weighted Health Score: 70.667

Reported Incidents: 0, Substantiated Complaints: 4

Infection Control Citations:

Fines and Penalties: Number of Fines: 5, Total Fines in Dollars: 29771.93, Payment Denials Number: 0, Total Penalties Number: 5

Location and GPS: 404 NORTH HORTON STREET,NAMPA,ID,83651 (43.5873, -116.588)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2019-02-15

Type: Health, Deficiency: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-04-05

Citation on 2019-02-15

Type: Health, Deficiency: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-04-05

Citation on 2019-02-15

Type: Health, Deficiency: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-04-05

Citation on 2019-02-15

Type: Health, Deficiency: Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-04-05

Citation on 2019-02-15

Type: Health, Deficiency: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-04-05

Citation on 2019-02-15

Type: Health, Deficiency: Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-04-05

Citation on 2019-02-15

Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-04-05

Citation on 2019-02-15

Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-04-05

Citation on 2019-02-15

Type: Health, Deficiency: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-04-05

Citation on 2019-02-15

Type: Health, Deficiency: Provide appropriate foot care.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-04-05

Citation on 2019-02-15

Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-04-05

Citation on 2019-02-15

Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-04-05

Citation on 2019-02-15

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-04-05

Citation on 2022-09-12

Type: Health, Deficiency: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-10-07

Citation on 2022-09-12

Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-10-07

Citation on 2022-09-12

Type: Health, Deficiency: Provide appropriate foot care.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-10-07

Citation on 2017-09-07

Type: Health, Deficiency: Give residents a notice of rights, rules, services and charges.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-10-12

Citation on 2017-09-07

Type: Health, Deficiency: Provide written records when a resident is transferred or discharged.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-10-12

Citation on 2017-09-07

Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-10-12

Citation on 2017-09-07

Type: Health, Deficiency: Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-10-12

Citation on 2017-09-07

Type: Health, Deficiency: Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-10-12

Citation on 2017-09-07

Type: Health, Deficiency: Have a program that investigates, controls and keeps infection from spreading.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-10-12

Citation on 2017-09-07

Type: Health, Deficiency: Keep accurate, complete and organized clinical records on each resident that meet professional standards.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2017-10-12

Citation on 2016-06-10

Type: Health, Deficiency: Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2016-07-20

Citation on 2016-06-10

Type: Health, Deficiency: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2016-07-20

Citation on 2016-06-10

Type: Health, Deficiency: Provide medically-related social services to help each resident achieve the highest possible quality of life.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2016-07-20

Citation on 2016-06-10

Type: Health, Deficiency: Provide necessary care and services to maintain or improve the highest well being of each resident .

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2016-07-20

Citation on 2016-06-10

Type: Health, Deficiency: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2016-07-20

Citation on 2016-06-10

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2016-07-20

Citation on 2016-06-10

Type: Health, Deficiency: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2016-07-20

Citation on 2016-06-10

Type: Health, Deficiency: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2016-07-20

Citation on 2016-06-10

Type: Health, Deficiency: Have a program that investigates, controls and keeps infection from spreading.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2016-07-20

Citation on 2016-06-10

Type: Health, Deficiency: Train all employees on what to do in an emergency, and carry out unannounced staff drills.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2016-07-20


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2018-12-12

Type: Fire Safety, Tag: 0211, Version: New

Description: Keep aisles, corridors, and exits free of obstruction in case of emergency.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-01-18

Citation on 2018-12-12

Type: Fire Safety, Tag: 0353, Version: New

Description: Inspect, test, and maintain automatic sprinkler systems.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-01-18

Citation on 2018-12-12

Type: Fire Safety, Tag: 0511, Version: New

Description: Have properly installed electrical wiring and gas equipment.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-01-18

Citation on 2018-12-12

Type: Fire Safety, Tag: 0914, Version: New

Description: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-01-18

Citation on 2016-09-15

Type: Fire Safety, Tag: 0025, Version: New

Description: Walls that prevent smoke from passing through and would resist fire for at least one hour.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2016-10-31

Citation on 2016-09-15

Type: Fire Safety, Tag: 0038, Version: New

Description: Exits that are accessible at all times.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2016-10-31

Citation on 2016-09-15

Type: Fire Safety, Tag: 0130, Version: New

Description: Have other fire safety features required by fire safety codes.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2016-10-31

Citation on 2015-10-01

Type: Fire Safety, Tag: 0062, Version: Old

Description: Automatic sprinkler systems that have been maintained in working order.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2015-10-30

Citation on 2015-10-01

Type: Fire Safety, Tag: 0064, Version: Old

Description: Portable fire extinguishers.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2015-10-30

Citation on 2015-10-01

Type: Fire Safety, Tag: 0072, Version: Old

Description: Exits that are free from obstructions and can be used at all times.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2015-10-30

Citation on 2015-10-01

Type: Fire Safety, Tag: 0130, Version: Old

Description: Have other fire safety features required by fire safety codes.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2015-10-30