Deficiency Index

Canyon West of Cascadia

Caldwell, Idaho · CCN 135051

14 surveys since 2010, 15 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
115
Surveys
14
Harm or worse
15
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse15

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file11/14

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
103
Ownership
For profit - Limited Liability company
Chain
CASCADIA HEALTHCARE
County
Canyon
Medicare-certified since
1972

CMS ratings

Overall
4
Health inspection
3
Staffing
2
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 24 for-profit facilities of 100–127 beds in Idaho.

Last survey on record

Apr 16, 2026

207 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.083.74
Registered-nurse hours per resident day0.70—
Annual nurse turnover49.3%47.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1458.3%E729.2%F312.5%
No harm, potential for minimalA—B—C—
CMS’s current file: 24 of the 115 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6842×

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

  • F6952×

    Provide safe and appropriate respiratory care for a resident when needed.

  • F8122×

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

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

In the surveyor’s words

From the most serious findings on record at Canyon West of Cascadia, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Apr 16, 2026

    Based on observation, interview, and review of the Idaho Food Code, the facility failed to appropriately store, distribute, and label foods. This deficient practice had the potential to affect all residents who received meals prepared in the facility's kitchen. This placed residents at risk for potential contamination and use of spoiled foods, and adverse health outcomes including food-borne illnesses. Findings include:The Idaho Food Code, revised February 2021, stated, 3-501.17 Ready-to-Eat, Time/Temperature Control for Safety Food, Date Marking . […]

  • No harm, potential for more than minimal, widespreadF725Feb 7, 2025

    Based on staff interview and record review, it was determined the facility failed to provide the required Registered Nurse (RN) coverage for two of 92 days (8/18/24 and 8/25/24), reviewed for weekend staffing. This failure placed the residents at risk for inadequate assessments, delay in care and services by an RN, unmet care needs, and diminished quality of life. Findings include: As required, the facility provided payroll based data to CMS quarterly. Review of the Payroll Based Journal (PBJ) staffing data report for July 1-September 30, 2024, triggered excessively low weekend staffing during the fourth quarter of 2024. PBJ staffing defines a day as starting at 12 midnight to 12 midnight. […]

  • No harm, potential for more than minimal, widespreadF812Feb 7, 2025

    Based on observation and staff interview, it was determined the facility failed to ensure kitchen equipment was maintained, cleaned, and sanitized. These deficiencies had the potential to affect the 71 residents who consumed food prepared by the facility. This placed residents at risk for potential foodborne illnesses and adverse health outcomes due to contaminated food services equipment. Findings include: The Food Drug Administration (FDA) Code, Section 4-602.12 Cooking and Baking Equipment: Food-contact surfaces of cooking equipment must be cleaned to prevent encrustations that may impede heat transfer necessary to adequately cook food. […]

  • No harm, potential for more than minimal, patternF732Apr 16, 2026

    Based on observation, record review, and staff interview, it was determined the facility failed to ensure nurse staffing information was accurate and posted daily for each shift. This failed practice had the potential to affect all residents residing in the facility and their representatives, visitors, and others who wanted to review the facility's staffing levels. Findings include:On 4/13/25, during review of the facility Daily Staffing sheets, the surveyor observed the following issues: - September 2025 - 23rd, 24th, 25th, 26th: Missing census data on the Daily Staffing sheets.- September 2025 - 27th, 28th, 29th: Missing Daily Staffing sheets. […]

  • No harm, potential for more than minimal, patternF880Feb 7, 2025

    Based on observation, policy review, and staff interview, it was determined the facility failed to ensure infection control practices were consistently implemented as they related to environmental cleaning. Failure to ensure the shower rooms were cleaned and disinfected to maintain a sanitary environment was true for 1 of 3 showers observed. This failure had the potential to impact all residents, staff, and guests in the facility. Findings include: The facility's Infection Prevention and Control Program, revised 10/15/22, documented measures to prevent infections and appropriate use of disinfectants. On 2/5/25 at 4:45 PM, the shower room on the 200 hall was observed with the Maintenance Director. […]

Read 35 findings in full →The most serious and the most recent: 35 of 115 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 16, 2026Standard and complaint10 findings
  • Feb 7, 2025Standard6 findings
  • Sep 24, 2021Standard and complaint8 findings
  • Jan 28, 2021Complaint3 findings
  • Aug 6, 2020Infection control1 finding
  • Feb 21, 2020Standard6 findings · 3 harm
  • Jul 13, 2018Standard22 findings · 4 harm
  • Sep 9, 2016Standard9 findings
Show the 6 earlier surveys
  • Jun 4, 2015Standard8 findings
  • Apr 16, 2014Complaint1 finding
  • Feb 14, 2014—13 findings · 3 harm
  • Jan 11, 2013—8 findings
  • Sep 13, 2011—19 findings · 4 harm
  • Sep 14, 2010—1 finding · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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