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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

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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

$3,314

Fine

$2,982

Fine

$2,651

Fine

$2,320

Fine

$1,988

Fine

$1,657

Fine

$1,325

Fine

$994

Fine

2021 3 penalties totaling $223,835

$223,185

Fine

$0

Payment Denial

$650

Fine

2018 1 penalties totaling $6,500

$6,500

Fine

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Health Violations by Year

2025 3 violations

Tag 0684 D Apr 17, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: May 19, 2025
Tag 0760 D Apr 17, 2025

Ensure that residents are free from significant medication errors.

✓ Corrected: May 19, 2025
Tag 0812 F Apr 17, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 19, 2025

2022 1 violations

Tag 0580 D Jun 30, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jul 26, 2022

2021 15 violations

Tag 0684 D Nov 4, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Nov 19, 2021
Tag 0578 E Jul 24, 2021

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.

✓ Corrected: Sep 20, 2021
Tag 0584 D Jul 24, 2021

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.

✓ Corrected: Sep 20, 2021
Tag 0641 D Jul 24, 2021

Ensure each resident receives an accurate assessment.

✓ Corrected: Sep 20, 2021
Tag 0656 D Jul 24, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Sep 20, 2021
Tag 0657 D Jul 24, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Sep 20, 2021
Tag 0677 G Jul 24, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Sep 20, 2021
Tag 0684 D Jul 24, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Nov 19, 2021
Tag 0686 G Jul 24, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Sep 20, 2021
Tag 0689 J Jul 24, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Sep 3, 2021
Tag 0725 H Jul 24, 2021

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Sep 20, 2021
Tag 0740 J Jul 24, 2021

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

✓ Corrected: Sep 3, 2021
Tag 0744 D Jul 24, 2021

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Sep 20, 2021
Tag 0865 F Jul 24, 2021

Have a plan that describes the process for conducting QAPI and QAA activities.

✓ Corrected: Sep 20, 2021
Tag 0880 D Jul 24, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 20, 2021

2020 1 violations

Tag 0880 D May 7, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 12, 2020

2019 12 violations

Tag 0550 D Oct 18, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Nov 20, 2019
Tag 0578 D Oct 18, 2019

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.

✓ Corrected: Nov 20, 2019
Tag 0622 D Oct 18, 2019

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.

✓ Corrected: Nov 20, 2019
Tag 0623 D Oct 18, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Nov 20, 2019
Tag 0625 D Oct 18, 2019

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.

✓ Corrected: Nov 20, 2019
Tag 0684 D Oct 18, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Nov 20, 2019
Tag 0688 D Oct 18, 2019

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.

✓ Corrected: Nov 20, 2019
Tag 0689 D Oct 18, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Nov 20, 2019
Tag 0758 D Oct 18, 2019

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.

✓ Corrected: Nov 20, 2019
Tag 0804 F Oct 18, 2019

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Nov 20, 2019
Tag 0812 F Oct 18, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Nov 20, 2019
Tag 0880 F Oct 18, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 20, 2019

2018 8 violations

Tag 0550 D Jun 29, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jul 31, 2018
Tag 0600 G Jun 29, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jul 31, 2018
Tag 0645 D Jun 29, 2018

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Jul 31, 2018
Tag 0656 D Jun 29, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jul 31, 2018
Tag 0711 D Jun 29, 2018

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

✓ Corrected: Jul 31, 2018
Tag 0757 D Jun 29, 2018

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Jul 31, 2018
Tag 0812 F Jun 29, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jul 31, 2018
Tag 0883 F Jun 29, 2018

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Jul 31, 2018

2017 3 violations

Tag 0279 D Apr 20, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 26, 2017
Tag 0329 D Apr 20, 2017

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.

✓ Corrected: May 26, 2017
Tag 0332 D Apr 20, 2017

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

✓ Corrected: May 26, 2017

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.

Last verified: April 17, 2025 | Our methodology | Editorial standards | Report an error

This page is maintained by NursingHomeNews.org and is not affiliated with Royal Plaza Health And Rehabilitation Of Cascadia.

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