Teton Healthcare of Cascadia: Infection Control Failure - ID
On the morning of August 14, 2025, an inspector at Teton Healthcare of Cascadia watched CNA #2 help Resident #70 out of bed, into a wheelchair, and then into the shower room, where she assisted her with a full shower. At no point did the aide put on a gown or gloves. Resident #70 was on enhanced barrier precautions, a protocol used when a resident carries an infection or organism that can spread to others through contact with skin, clothing, or equipment. The sign posted on her door documented the requirement clearly.
Resident #70 had been admitted to the facility with acute cystitis, an inflammation of the bladder, along with dysphagia, difficulty or pain with swallowing.
When an inspector spoke with CNA #2 at 7:40 that morning, four minutes after the shower had begun, the aide said she thought she only needed to put on a gown and gloves when helping Resident #70 with her catheter. Not for transfers. Not for bathing.
CNA #3, interviewed separately at 7:45 AM, had no such confusion. She said the sign on the door required gloves and a gown for bathing and showering, for transfers, and for catheter care. The Director of Nursing, reached at 11:00 AM that same day, confirmed the same thing: staff were to wear gloves and gowns when assisting any resident whose door carried an enhanced barrier precautions sign.
Three staff members, three consistent answers. Except from the one who had been doing the work.
Enhanced barrier precautions exist precisely because infections like the one Resident #70 carried can move from a resident's body to a caregiver's hands or clothing and then to another surface, another resident, another room. A gown and gloves are not a formality. They are the mechanism that interrupts that chain. When CNA #2 transferred Resident #70 from her bed to her wheelchair without them, and then assisted her through a shower, she removed that mechanism entirely.
The inspection report notes the failures had the potential to affect all five residents observed with enhanced barrier precautions signs on their doors, placing them at risk for cross-contamination and infection. CMS classified the level of harm as minimal harm or potential for actual harm.
What the report documents is not a system that lacked a policy, or a facility that had no signs posted, or a protocol that was never communicated. The sign was there. The other staff understood it. The Director of Nursing understood it. One aide, on one morning, did not, and a resident with a bladder infection went through a transfer and a full shower with no barrier between her and the person providing her care.
Resident #70 had no say in any of it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Teton Healthcare of Cascadia from 2025-08-15 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Last verified: October 18, 2026 · Our methodology
Teton Healthcare of Cascadia in Idaho Falls, ID was cited for violations during a health inspection on August 15, 2025.
At no point did the aide put on a gown or gloves.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.