Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Clearwater Health & Rehabilitation of Cascadia
Orofino, ID · 60 certified beds · Last Life Safety survey June 26, 2026
CMS Certification Number 135048 · first certified November 1969
Ownership
Operated by CASCADIA HEALTHCARE · For profit - Limited Liability company
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within ID
6 citations — more than 25% of the 80 certified nursing homes in ID. Compared within ID rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 1 citation; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens July 2027 — about 9 months from now. This facility’s last Life Safety survey was June 2026. Facilities in ID are typically surveyed 12–36 months after the last one (median 14), measured over 112 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
2 of the 6 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 6 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in ID, and nationally. Surveyors differ markedly between states, so the ID figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 6 |
| Median facility in ID | 9 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| February 4, 2022 | 3 |
| April 17, 2025 | 2 |
| June 26, 2026 | 1 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 2 | 2025-04-17 |
| E-0039 | Conduct testing and exercise requirements. | 1 | 2022-02-04 |
| E-0037 | Establish staff and initial training requirements. | 1 | 2022-02-04 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2026-06-26 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2025-04-17 |
What the citations cover
- Emergency Preparedness Deficiencies 2
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Smoke Deficiencies 2
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 2 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Smoke Deficiencies | 2 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
June 26, 2026 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (November 24, 2025) |
April 17, 2025 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (February 6, 2025) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (February 6, 2025) |
February 4, 2022 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (August 30, 2021) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (September 1, 2021) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (August 31, 2021) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.