Royal Plaza Health And Rehabilitation Of Cascadia
Royal Plaza Health And Rehabilitation Of Cascadia is a 4-star rated nursing home in Lewiston, ID with 76 beds. CMS sub-ratings: health inspections 4/5, staffing 3/5, quality measures 2/5.
The facility has 43 health violations on record. Federal fines total $247,566 across 12 enforcement actions. Most recent inspection: April 17, 2025.
Data synthesized from CMS.gov and Idaho public inspection records. Reviewed by Christopher F. Nesbitt, Sr., NR-EMT & BU-trained Paralegal.
Inspection History Overview
Data current as of May 6, 2026 · Source: CMS Provider Data
Detailed Inspection Reports
No detailed inspection reports available yet. Check back soon as we're processing new reports daily.
Fines and Penalties by Year
2022 8 penalties totaling $17,231
Fine
Fine
Fine
Fine
Fine
Fine
Fine
Fine
2021 3 penalties totaling $223,835
Fine
Payment Denial
Fine
2018 1 penalties totaling $6,500
Fine
Health Violations by Year
2025 3 violations
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that residents are free from significant medication errors.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2022 1 violations
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2021 15 violations
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Ensure each resident receives an accurate assessment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Have a plan that describes the process for conducting QAPI and QAA activities.
Provide and implement an infection prevention and control program.
2020 1 violations
Provide and implement an infection prevention and control program.
2019 12 violations
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
2018 8 violations
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
PASARR screening for Mental disorders or Intellectual Disabilities
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
2017 3 violations
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Frequently Asked Questions About Royal Plaza Health And Rehabilitation Of Cascadia
- What violations has Royal Plaza Health And Rehabilitation Of Cascadia received?
- Royal Plaza Health And Rehabilitation Of Cascadia has 43 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
- What is the quality rating of Royal Plaza Health And Rehabilitation Of Cascadia?
- Royal Plaza Health And Rehabilitation Of Cascadia has a 4-star rating out of 5 from CMS. This is an above-average rating, indicating better quality care compared to most nursing homes. The rating is based on health inspections, staffing levels, and quality measures.
- When was Royal Plaza Health And Rehabilitation Of Cascadia last inspected?
- Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
- Is Royal Plaza Health And Rehabilitation Of Cascadia safe?
- Safety at Royal Plaza Health And Rehabilitation Of Cascadia should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
- How do I contact Royal Plaza Health And Rehabilitation Of Cascadia?
- Phone: (208) 746-2855. Address: 2870 Juniper Drive, Lewiston, ID. For visiting hours and admission information, call the facility directly.
- What services does Royal Plaza Health And Rehabilitation Of Cascadia offer?
- Royal Plaza Health And Rehabilitation Of Cascadia is a skilled nursing facility with 76 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
- What are better facilities near Lewiston, ID?
- Compare Royal Plaza Health And Rehabilitation Of Cascadia with other nursing homes in Lewiston, ID on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.
Compare Nursing Homes in Lewiston, ID
| Facility | Rating | Violations | Beds |
|---|---|---|---|
| Royal Plaza Health And Rehabilitation Of Cascadia (this facility) | ★★★★☆ | 43 | 76 |
| Idaho State Veterans Home - Lewiston | ★★★★★ | 33 | 66 |
| Life Care Center Of Lewiston | ★★★★★ | 23 | 121 |
| Lewiston Transitional Care Of Cascadia | ★★★★☆ | 39 | 96 |
| Cascadia Of Lewiston | ★★☆☆☆ | 26 | 34 |
| Orchard View Post Acute | ★★☆☆☆ | 83 | 127 |
Editorial Standards & Data Oversight
Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.
Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.
Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.
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