Cove of Cascadia: Staffing Records Incomplete - ID
When a federal surveyor walked through the Bellevue facility on the afternoon of November 19, 2025, the posted daily staffing list showed scheduled hours for nurses and aides — 72 hours for the day shift, 48 for nights. What it did not show was how many of those hours were actually worked. For registered nurses, licensed practical nurses, and certified nursing assistants alike, the actual hours column had not been filled in.
That is the information residents and their families are supposed to be able to read off the wall. Not what the facility planned to staff. What it did.
The surveyor also found the daily staffing sheet for February 12, 2025 — nine months earlier — sitting there with nothing written on it at all. No scheduled hours. No actual hours. No staffing information of any kind.
When the CEO spoke with the surveyor at 3:30 that afternoon, the explanation was brief. The posted list should have included both scheduled and actual hours worked for each nursing category. It had not.
Staffing transparency requirements exist because the gap between scheduled and actual hours can be significant, and residents and families have no other way to know whether the nurses and aides on a given shift were actually there. A sheet that shows only what was planned tells a family nothing about what their mother or father received. A sheet left blank for nine months tells them even less.
The inspection, which concluded November 21, 2025, classified the violation at a level of minimal harm or potential for actual harm and noted that few residents were directly affected. But the posting requirement applies to everyone in the building — residents, family members, visitors, anyone who wanted to know whether the facility was adequately staffed on a given day. For nine months, the February sheet offered no answer at all.
The Cove of Cascadia sits at 620 North Sixth Street in Bellevue, a small city in south-central Idaho. The November visit was a complaint inspection, meaning someone had raised a concern that prompted the survey.
Inspectors documented one deficiency. The facility's plan of correction was not included in the materials reviewed.
What the board showed on November 19 was a number that told residents and visitors how many hours had been scheduled. What it could not tell them was whether a nurse called in sick, whether an aide left early, whether the shift ran short. That information, the kind that actually reflects what happened inside the building on a given day, was missing. It had been missing, in at least one case, since February.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Cove of Cascadia, The from 2025-11-21 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 25, 2026 · Our methodology
Cove of Cascadia, The in Bellevue, ID was cited for violations during a health inspection on November 21, 2025.
What it did not show was how many of those hours were actually worked.
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.