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Arbor Valley of Cascadia

Nursing Home Facility

8211 Ustick Road, Boise, ID 83704

Nursing Home Care Hospice Care Respite Care Senior Living
Arbor Valley of Cascadia

Apex Center is located in Boise Idaho. Our center has 132 operating beds. It is conveniently located on the corner of Ustick Road and Milwaukee, just north of the Boise Towne Square Mall. With a full complement of licensed nurses and therapists, we offer a wide range of services from our individualized therapy services available seven days per week, wound treatment and healing with on-site physician oversight, to an in-house behavior modification program with psychiatrist oversight designed to help individuals with behavioral or mental health challenges that keep them from living at their potential highest level of independence.

Operated by Genesis HealthCare, which runs 507 communities in our directory.

Employer rating 3.0 out of 5 4,439 reviews from their own employees on Indeed. See what they say.

With 148 beds, Arbor Valley of Cascadia is one of the larger communities in the area, senior care communities in Boise average about 90 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 92% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place. That is above the Boise average of roughly 72%.

Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 1 star for staffing against 3 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in May 2025 and recorded 11 deficiencies.

Residents receive about 3.5 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 54%.

The community is located in Ada County, ID.

Medicare five-star ratings

  • Overall ★★★★★ 3/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 25 problems at Arbor Valley of Cascadia. None of them caused harm to a resident. 12 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

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

    Inspected May 2025. Corrected by June 18, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected May 2025. Corrected by June 18, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Inspected May 2025. Corrected by June 18, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected May 2025, after a complaint. Corrected by June 18, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Inspected May 2025. Corrected by June 18, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected May 2025. Corrected by June 18, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected May 2025. Corrected by June 18, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe, appropriate pain management for a resident who requires such services.

    Inspected May 2025. Corrected by June 18, 2025.

Show 3 more
  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

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

    Inspected May 2025. Corrected by June 18, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected May 2025. Corrected by June 18, 2025.

  • Could cause more than minimal harm, one or a few residents Environmental

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Inspected May 2025. Corrected by June 18, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Arbor Valley of Cascadia offers nursing home care, hospice care, respite care, and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 148
  • Occupancy 92%
  • Nursing hours per resident/day 3.5
  • Annual staff turnover 54%
  • Last health inspection May 2025

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