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Complaint Investigation

Clearwater Health & Rehabilitation Of Cascadia

June 26, 2026 · Orofino, ID · 1204 Shriver Road
Citations 14
CMS Rating 3/5
Beds 60
Provider ID 135048
Healthcare Facility
Clearwater Health & Rehabilitation Of Cascadia
Orofino, ID  ·  View full profile →
Inspection Summary

Clearwater Health & Rehabilitation of Cascadia in Orofino, ID — inspection on June 26, 2026.

Found 14 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0578
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited Clearwater Health & Rehabilitation of Cascadia in Orofino, ID for a deficiency under regulatory tag F-F0578 during a complaint investigation conducted on 2026-06-26.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of Clearwater Health & Rehabilitation of Cascadia.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-07-30.

Federal health inspectors cited Clearwater Health & Rehabilitation of Cascadia in Orofino, ID for a deficiency under regulatory tag F-F0584 during a complaint investigation conducted on 2026-06-26.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of Clearwater Health & Rehabilitation of Cascadia.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-07-30.

Federal health inspectors cited Clearwater Health & Rehabilitation of Cascadia in Orofino, ID for a deficiency under regulatory tag F-F0609 during a complaint investigation conducted on 2026-06-26.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of Clearwater Health & Rehabilitation of Cascadia.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-07-30.

Federal health inspectors cited Clearwater Health & Rehabilitation of Cascadia in Orofino, ID for a deficiency under regulatory tag F-F0610 during a complaint investigation conducted on 2026-06-26.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Respond appropriately to all alleged violations.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of Clearwater Health & Rehabilitation of Cascadia.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-07-30.

Federal health inspectors cited Clearwater Health & Rehabilitation of Cascadia in Orofino, ID for a deficiency under regulatory tag F-F0628 during a complaint investigation conducted on 2026-06-26.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of Clearwater Health & Rehabilitation of Cascadia.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-07-30.

Federal health inspectors cited Clearwater Health & Rehabilitation of Cascadia in Orofino, ID for a deficiency under regulatory tag F-F0641 during a complaint investigation conducted on 2026-06-26.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of Clearwater Health & Rehabilitation of Cascadia.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-07-30.

Federal health inspectors cited Clearwater Health & Rehabilitation of Cascadia in Orofino, ID for a deficiency under regulatory tag F-F0645 during a complaint investigation conducted on 2026-06-26.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: PASARR screening for Mental disorders or Intellectual Disabilities

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of Clearwater Health & Rehabilitation of Cascadia.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-07-30.

Federal health inspectors cited Clearwater Health & Rehabilitation of Cascadia in Orofino, ID for a deficiency under regulatory tag F-F0656 during a complaint investigation conducted on 2026-06-26.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of Clearwater Health & Rehabilitation of Cascadia.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-07-30.

Federal health inspectors cited Clearwater Health & Rehabilitation of Cascadia in Orofino, ID for a deficiency under regulatory tag F-F0695 during a complaint investigation conducted on 2026-06-26.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of Clearwater Health & Rehabilitation of Cascadia.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-07-30.

Federal health inspectors cited Clearwater Health & Rehabilitation of Cascadia in Orofino, ID for a deficiency under regulatory tag F-F0728 during a complaint investigation conducted on 2026-06-26.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of Clearwater Health & Rehabilitation of Cascadia.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-07-30.

Federal health inspectors cited Clearwater Health & Rehabilitation of Cascadia in Orofino, ID for a deficiency under regulatory tag F-F0760 during a complaint investigation conducted on 2026-06-26.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of Clearwater Health & Rehabilitation of Cascadia.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-07-30.

Federal health inspectors cited Clearwater Health & Rehabilitation of Cascadia in Orofino, ID for a deficiency under regulatory tag F-F0812 during a complaint investigation conducted on 2026-06-26.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of Clearwater Health & Rehabilitation of Cascadia.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-07-30.

Federal health inspectors cited Clearwater Health & Rehabilitation of Cascadia in Orofino, ID for a deficiency under regulatory tag F-F0814 during a complaint investigation conducted on 2026-06-26.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Dispose of garbage and refuse properly.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of Clearwater Health & Rehabilitation of Cascadia.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-07-30.

Federal health inspectors cited Clearwater Health & Rehabilitation of Cascadia in Orofino, ID for a deficiency under regulatory tag F-F0947 during a complaint investigation conducted on 2026-06-26.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of Clearwater Health & Rehabilitation of Cascadia.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-07-30.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Orofino, ID, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Clearwater Health & Rehabilitation of Cascadia or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.