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Lewiston Transitional Care of Cascadia

Nursing Home Facility

3315 8th Street, Lewiston, ID 83501

Nursing Home Care Senior Living
Lewiston Transitional Care of Cascadia

Lewiston Transitional Care of Cascadia is a senior care community located in Lewiston, ID. It provides nursing home care and senior living for older adults in the Lewiston area. To learn more or schedule a tour, call (208) 743-9543.

Operated by Cascadia Healthcare, which runs 24 communities in our directory.

Employer rating 3.5 out of 5 72 reviews from their own employees on Indeed. See what they say.

Lewiston Transitional Care of Cascadia is licensed for 96 beds, about typical for the area, where senior care communities in Lewiston average about 83 beds.

Federal reporting puts occupancy at about 69% of its licensed beds.

Medicare rates this community 4 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 2 stars for staffing against 4 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in August 2025 and recorded 6 deficiencies.

Residents receive about 3.5 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 48%.

The community is located in Nez Perce County, ID.

Medicare five-star ratings

  • Overall ★★★★★ 4/5
  • Health inspections ★★★★★ 4/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 2/5

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 20 problems at Lewiston Transitional Care of Cascadia. None of them caused harm to a resident. 3 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

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

    Inspected August 2025. Corrected by September 22, 2025.

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

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

    Inspected August 2025. Corrected by September 22, 2025.

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

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

    Inspected August 2025. Corrected by September 22, 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 August 2025. Corrected by September 22, 2025.

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

    Ensure that residents are free from significant medication errors.

    Inspected August 2025. Corrected by September 22, 2025.

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

    Provide and implement an infection prevention and control program.

    Inspected August 2025. Corrected by September 22, 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.

Lewiston Transitional Care of Cascadia offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 96
  • Occupancy 69%
  • Nursing hours per resident/day 3.5
  • Annual staff turnover 48%
  • Last health inspection August 2025

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Resident & family reviews

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