Wellspring Health & Rehabilitation of Cascadia
A nursing home in Nampa, Idaho 83686
2105 12th Avenue Road, Nampa, Idaho 83686. (208) 467-5721.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 4of 5 CMS’s overall rating
- 1 health citation at the latest inspection cycle Idaho average: 10.4
- 3.72 nurse hours per resident per day Idaho average: 3.99
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
1 health citation at the latest inspection cycle
The Idaho average is 10.4.
Last standard inspection Sep 18, 2025.
Most serious in three years: immediate jeopardy to health or safety (L), at a standard and complaint inspection on Jul 26, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
12 citations in 2 months of the last 36. Last cited Sep 2025. Most serious: immediate jeopardy to health or safety (L). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 12 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 11 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Sep 18, 2025: standard inspection1 citation
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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.
Jul 26, 2024: standard and complaint inspection11 citations
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Provide and implement an infection prevention and control program.
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Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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Honor the resident’s right to organize and participate in resident/family groups in the facility.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Respond appropriately to all alleged violations.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide safe and appropriate respiratory care for a resident when needed.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Keep all essential equipment working safely.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Sep 9, 1983.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 120 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $30,927 in all.
- No Medicare payment denials in the last three years.
- 11 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jul 26, 2024 | Fine | $30,927 |
Who does the caring?
3.72 nurse hours per resident per day
The Idaho average is 3.99.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Idaho average |
|---|---|---|
| Nurse hours per resident per day | 3.72 | 3.99 |
| Of which registered nurses | 0.82 | 0.84 |
| At weekends | 2.91 | 3.39 |
| Nursing staff turnover | 48.5% | 49.5% |
| Registered nurse turnover | 26.7% | 40.7% |
| Administrators who left | 0 | Not given |
Who owns it?
- Cascadia Idaho Operations LLC owns 100% directly since May 1, 2017.
- Cascadia Services LLC and Cascadia HC Group LLC and Cascadia Healthcare LLC and Cascadia Holdco LLC and Cascadia Idaho Operations LLC run it.
- 10 owners or officers are people: Owen C Hammond (owns a share through other companies, 33.34%); Stephen J Laforte (owns a share through other companies, 33.33%); Timothy Nelson (owns a share through other companies, 33.33%); Stephen J Laforte (runs it (operational or managerial control)); Owen C Hammond (runs it (operational or managerial control)); Jesse Hintz (runs it (operational or managerial control)); Jesse Hintz (additional disclosable party (controls, leases property to, or provides services to the home)); Timothy Nelson (runs it (operational or managerial control)); Daniel J Allen (runs it (operational or managerial control)); Daniel J Allen (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Cascadia Healthcare (47 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Cascadia HC Group LLC | Owns a share through other companies | 100% | Jun 5, 2025 |
| Cascadia Healthcare LLC | Owns a share through other companies | 100% | May 1, 2017 |
| White Oak Healthcare Finance LLC | Holds 5% or more security interest | 100% | Aug 11, 2022 |
| Cascadia Holdco LLC | Owns a share through other companies | 100% | Jun 5, 2025 |
| Cascadia Idaho Operations LLC | Owns a share directly | 100% | May 1, 2017 |
| Timberline Ctre Tenant LLC | Holds 5% or more security interest | 100% | Jun 5, 2025 |
| Cascadia Services LLC | Runs it (operational or managerial control) | Apr 5, 2017 | |
| Cascadia Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 28, 2025 | |
| Cascadia HC Group LLC | Runs it (operational or managerial control) | Jun 5, 2025 | |
| Cascadia Healthcare LLC | Runs it (operational or managerial control) | Jun 5, 2025 | |
| Cascadia Holdco LLC | Runs it (operational or managerial control) | Jun 5, 2025 | |
| Cascadia Idaho Operations LLC | Runs it (operational or managerial control) | Jun 5, 2025 | |
| Timberline Ctre Tenant LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 5, 2025 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Idaho average 4.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 4 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 14.5 miles, this one had the 12th most health citations at the latest inspection cycle (1; the middle value was 12).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Wellspring Health & Rehabilitation of Cascadia This nursing home | 1 | |
| Sunny Ridge | 0.8 | 10 |
| Meadow View Nursing and Rehabilitation | 3.4 | 12 |
| The Orchards of Cascadia | 3.9 | 8 |
| Karcher Post Acute | 4.9 | 19 |
| Cascadia of Nampa | 5.1 | 13 |
| Canyon West of Cascadia | 9.2 | 10 |
| Creekside Transitional Care and Rehabilitation | 9.7 | 12 |
| Caldwell Care of Cascadia | 11.4 | 18 |
| Meridian Meadows Transitional Care | 11.5 | 18 |
| Aspen Transitional Rehabilitation | 11.6 | 6 |
| Life Care Center of Treasure Valley | 14.5 | 13 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.