Paradise Creek Health and Rehab of Cascadia
Assisted Living
640 North Eisenhower Street, Moscow, ID 83843

Good Samaritan Society - Moscow Village is a care center and senior living campus located on 22 beautifully landscaped acres in northern Idaho, nestled between Moscow Mountain and the rolling hills of the Palouse. Good Samaritan Society - Fairview Village Estates, which features 17 twinhomes and a 28-unit senior apartment complex, is situated on 12 acres nearby.
Operated by Evangelical Lutheran Good Samaritan Society, which runs 230 communities in our directory.
Paradise Creek Health and Rehab of Cascadia is licensed for 63 beds, about typical for the area, where senior care communities in Moscow average about 67 beds.
Federal reporting puts occupancy at about 74% 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 May 2026 and recorded 3 deficiencies.
Residents receive about 3.4 hours of nursing care per day on average, including 0.7 hours from a registered nurse. Nursing staff turnover over the past year was about 71%, which is high and can affect continuity of care.
The community is located in Latah County, ID.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 27 problems at Paradise Creek Health and Rehab of Cascadia. 3 findings involved harm to a resident.
In the last three years Medicare fined this home once, a total of $21,320.
Findings from the most recent inspection cycle
-
Could cause more than minimal harm, widespread
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide enough food/fluids to maintain a resident's health.
-
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.
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.
Paradise Creek Health and Rehab of Cascadia offers assisted living, memory care, nursing home care, continuing care (CCRC), and senior living.
Facility details
- Organization type Non profit - Corporation
- Beds / units 63
- Religious affiliation Lutheran
- Occupancy 74%
- Nursing hours per resident/day 3.4
- Annual staff turnover 71%
- Last health inspection May 2026
Resident & family reviews
My 99 year old mother has been in the skilled nursing unit for over a year now and I visit her daily. I am absolutely amazed at how well the staff treats the residents. Always a smile and kind words. They explain any question I have in detail and often offer very helpful advice even when I don't ask. Even the cranky and demanding residents get treated with the utmost respect. Sometimes they cannot come immediately when you push the attention button. But they have many folks to consider, and as I advised my mom, just push the call button 10 minutes before you absolutely need them and give them some time to get to you. They are busy and industrious caregivers, not servants. You won't find any lazy caregivers here. Overall, I have never seen such good care administered in such a loving way.
by Ron Johnson, Jun 2019
What a beautiful setting. My mom loves walking the grounds in the Spring time. She feels very safe there and I have piece of mind knowing she is cared for.
by Amy N, Jan 2016