With a score of 77/100 and a B grade, Royal Plaza Health And Rehabilitation Of Cascadia is a well-regarded option in Lewiston, Idaho. The facility performs above average in most CMS categories, placing it in the 71th percentile statewide.
Staffing at Royal Plaza Health And Rehabilitation Of Cascadia is near the national average, with 3.71 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 27 deficiencies at Royal Plaza Health And Rehabilitation Of Cascadia, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.71 | 3.8 | Average |
| Registered Nurses (RN) | 0.97 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.54 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.20 | 2.4 | Average |
| Weekend Total Nursing | 3.07 | 3.8 | Below Average |
| Weekend RN Hours | 0.56 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Apr 16, 2025 · Nutrition and Dietary Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Apr 16, 2025 · Quality of Life and Care Deficiencies
- Tag 0760 Severity DEnsure that residents are free from significant medication errors.Apr 16, 2025 · Pharmacy Service Deficiencies
- Tag 0565 Severity EHonor the resident's right to organize and participate in resident/family groups in the facility.Nov 7, 2024 · Resident Rights Deficiencies
- Tag 0585 Severity EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eNov 7, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.7% | 4.5% | Average |
| Falls with major injury | 3.4% | 3.0% | Worse |
| On antipsychotic medication | 18.4% | 14.5% | Worse |
| Urinary tract infections | 4.0% | 2.5% | Worse |
| ADL decline (daily activities) | 18.9% | 14.0% | Worse |
| Excessive weight loss | 8.2% | 7.5% | Average |
| New/worsened incontinence | 29.3% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of B is based on a score of 77 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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