Payette Healthcare of Cascadia: Infection Control Failures - ID
A federal inspection on September 12, 2025, caught it in real time.
The nurse, identified in the inspection report as RN #3, had entered the room of Resident #63 to administer an injection. He placed the syringe on the bedside table, sanitized his hands, and put on gloves. Before he could give the injection, Resident #63 asked to be repositioned. RN #3 pressed the call light button and then the bed positioning controls to raise the bed — both surfaces touched by hands and gloves throughout a shift — before a nursing assistant arrived and the two of them repositioned the resident together.
Then RN #3 picked up the syringe, swabbed the injection site on Resident #63's abdomen, and administered the medication. He never changed his gloves. He never sanitized between the patient care and the injection.
After withdrawing the needle, he pressed a gloved finger directly against the injection site and held it there.
Twenty minutes later, when the inspector asked him about it, RN #3 acknowledged the problem plainly. "I should have changed gloves after providing patient care and before giving the injection," he said. When asked about pressing his bare gloved finger against the open injection site instead of using gauze or a bandage, he offered a different kind of explanation. "Since COVID," he said, "there hasn't been a lot of quality control training."
The director of nursing, interviewed later that morning, described exactly what should have happened: hand hygiene, glove change, site cleaning, injection, and gauze or a bandage if there was any bleeding. A barrier should be placed on the table before setting down any equipment. The DON confirmed that what the inspector observed was not the correct procedure.
The same inspection documented a second problem in that room.
While RN #3 was completing the injection, a nursing assistant identified as CNA #2 emptied Resident #63's bedside urinal in the bathroom and returned it to his bedside. She did not rinse it. Inspectors noted a small amount of urine remained in the bottom of the urinal and that an odor of urine was present.
When the inspector raised the urinal issue with the director of nursing, the response was not that staff had made an error. The DON said the facility doesn't rinse urinals after emptying them because, as she put it, the facility doesn't have a way to rinse urinals in any resident bathrooms.
That explanation covers every bathroom in the building.
CMS rated the harm level from these violations as minimal, with potential to affect a small number of residents. The citation falls under the infection control and prevention requirements that nursing homes must meet to participate in Medicare and Medicaid.
The CDC guidance reviewed during the inspection is direct on the question of gloves: hand hygiene should be performed immediately after glove removal, before aseptic tasks like handling invasive devices, and before moving from soiled to clean work on the same patient. An injection into a resident's abdomen qualifies as an aseptic task. Pressing a contaminated gloved finger against the puncture site afterward is not a barrier.
RN #3 knew the right answer. He gave it to the inspector 20 minutes after the injection. What he didn't say — and what the inspection report doesn't resolve — is how long the quality control training has been absent, or how many injections were given the same way before an inspector happened to be in the room.
Resident #63's urinal sat by his bed, unrinsed, smelling of urine, when the inspector left.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Payette Healthcare of Cascadia from 2025-09-12 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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: September 22, 2026 · Our methodology
Payette Healthcare of Cascadia in Payette, ID was cited for violations during a health inspection on September 12, 2025.
A federal inspection on September 12, 2025, caught it in real time.
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.