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The Orchards of Cascadia

Nursing Home Facility

404 North Horton Street, Nampa, ID 83651

Nursing Home Care Senior Living
The Orchards of Cascadia

The Orchards of Cascadia is a senior care community located in Nampa, ID. It provides nursing home care and senior living for older adults in the Nampa area. To learn more or schedule a tour, call (208) 466-9292.

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.

With 100 beds, The Orchards of Cascadia is one of the larger communities in the area, senior care communities in Nampa average about 68 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.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Nampa average about 2.8 stars. The individual scores differ noticeably: 3 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in December 2025 and recorded 7 deficiencies.

Residents receive about 3.9 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 47%.

The community is located in Canyon County, ID.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 4/5

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 23 problems at The Orchards of Cascadia. 2 findings involved harm to a resident, including 1 that put residents in immediate danger. 3 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $25,809.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, one or a few residents Quality of Life and Care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Inspected November 2025, after a complaint. Corrected by December 17, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected January 2026, after a complaint. Corrected by January 29, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Inspected December 2025. Corrected by January 29, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected December 2025. Corrected by January 29, 2026.

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

    Ensure that residents are free from significant medication errors.

    Inspected December 2025. Corrected by January 29, 2026.

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Inspected December 2025. Corrected by January 29, 2026.

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

    Provide and implement an infection prevention and control program.

    Inspected December 2025. Corrected by December 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.

The Orchards of Cascadia offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 100
  • Occupancy 92%
  • Nursing hours per resident/day 3.9
  • Annual staff turnover 47%
  • Last health inspection December 2025

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