2870 JUNIPER DR, Lewiston, ID 83501
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
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Medicare-certifiedSkilled Nursing
Royal Plaza Health and Rehabilitation of Cascadia
Lewiston, IdahoMedicare inspection record
About Royal Plaza Health and Rehabilitation of Cascadia
Royal Plaza Health and Rehabilitation of Cascadia brings skilled nursing and rehabilitation care to Lewiston, Idaho with a focus on helping seniors regain strength and independence. Our team is committed to personalized recovery plans and compassionate support during every stage of healing.
Community at a glance
Capacity
76 residents
Location
Lewiston, ID
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
2870 Juniper Drive, Lewiston, Idaho 83501
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on June 26, 2026, state inspectors cited 12 health deficiencies (the Idaho average is 10.3).
Nurses and nurse aides spend 3 hours 14 minutes with each resident a day, below the Idaho average of 4 hours 2 minutes.
Medicare has not fined Royal Plaza Health and Rehabilitation of Cascadia in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 14 minutesBelow the Idaho average |
| Registered nurse time per resident, per day | 58 minutesAbove the Idaho average |
| Nursing staff who left in the past year | 53%Above the Idaho average |
Inspections
25 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 26, 2026 · Standard inspection · 12 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Jul 31, 2026Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Jul 31, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jul 31, 2026Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jul 31, 2026Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 31, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 31, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Aug 21, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 31, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 31, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jul 31, 2026Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 31, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 31, 2026
April 17, 2025 · Standard inspection · 3 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected May 19, 2025Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected May 19, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 19, 2025
November 8, 2024 · Standard inspection · 10 citations+
Keep all essential equipment working safely.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Dec 13, 2024Honor the resident's right to organize and participate in resident/family groups in the facility.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Dec 13, 2024Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Dec 13, 2024Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 13, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 13, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 13, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 13, 2024Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 13, 2024Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 13, 2024Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Dec 13, 2024
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Lewiston Center of Cascadia, LLC
- Medicare-certified beds
- 78
- Average residents per day
- 70
- Accepts
- Medicare and Medicaid
- First certified
- December 1, 1993
- Part of a chain
- Cascadia Healthcare, 47 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 135116
Location
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2870 Juniper DriveLewiston, ID 83501
12 other communities within 10 miles
Senior living near Lewiston
Cascadia of Lewiston
Medicare-certified2852 Juniper Drive, Lewiston, ID 83501
Skilled Nursing
Medicare certifiedSprinkler systemsResident & family councilSkilled nursing & rehabilitation+1 more
Call for pricing
Prices not published
2975 JUNIPER DRIVE, Lewiston, ID 83501
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
Call for pricing
Prices not published
Questions about Royal Plaza Health and Rehabilitation of Cascadia
How did Royal Plaza Health and Rehabilitation of Cascadia do on its last inspection?+
State inspectors visited on June 26, 2026 and cited 12 health deficiencies, 12 of them from complaint investigations. The Idaho average is 10.3.
How much nursing care does each resident get at Royal Plaza Health and Rehabilitation of Cascadia?+
Nurses and aides spend 3 hours 14 minutes with each resident per day, including 58 minutes from registered nurses. 53% of nursing staff left over the past year.
Has Royal Plaza Health and Rehabilitation of Cascadia been fined by Medicare?+
Medicare's records show no fines against Royal Plaza Health and Rehabilitation of Cascadia in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.