Deficiency Index

Cherry Ridge of Cascadia

Emmett, Idaho · CCN 135095

20 surveys since 2011, 9 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
130
Surveys
20
Harm or worse
9
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse9

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file15/20

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

The facility

Certified beds
40
Ownership
For profit - Corporation
Chain
CASCADIA HEALTHCARE
County
Gem
Medicare-certified since
1984

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

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

Weighted by harm level, against 24 for-profit facilities with fewer than 66 beds in Idaho.

Last survey on record

Jul 10, 2026

122 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 day3.083.98
Registered-nurse hours per resident day0.72—
Annual nurse turnover66.7%55.6%

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

Enforcement

Special focus
SFF Candidate

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

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 harmG12.1%H—I—
No harm, potential for more than minimalD3572.9%E612.5%F612.5%
No harm, potential for minimalA—B—C—
CMS’s current file: 48 of the 130 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5582×

    Reasonably accommodate the needs and preferences of each resident.

  • F5782×

    Honor 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.

  • F6102×

    Respond appropriately to all alleged violations.

  • F6452×

    PASARR screening for Mental disorders or Intellectual Disabilities

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

In the surveyor’s words

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

  • Actual harm, isolatedF689Aug 22, 2024

    Based on record review, review of the State Survey Agency's Long-Term Care Reporting Portal, hospital record review, and staff interview, it was determined the facility failed to ensure a resident's care plan was followed to prevent falls. This was true for 1 of 4 residents (Resident #10) whose records were reviewed for falls. This failure harmed Resident #10 when she suffered fractures to her right lower leg after a fall from her bed. Findings include: Resident #10 was admitted to the facility on [DATE] with multiple diagnoses including multiple sclerosis (an irreversible condition in which the body's immune system attacks the central nervous system), and Alzheimer's disease. […]

  • No harm, potential for more than minimal, widespreadF801Jul 10, 2026

    Based on record review, review of the SOM, and staff interview, it was determined the facility failed to ensure the designated Culinary Manager met the required professional qualifications for overseeing food and nutrition services. This failure had the potential to impact all residents receiving meals and nutrition services. Findings include:The SOM, Appendix PP, revised 7/23/25, documented, if a qualified dietician or other clinically qualified nutrition professional is not employed full-time, the facility must designate a person to serve as the director of food and nutrition services. […]

  • No harm, potential for more than minimal, widespreadF812Jul 10, 2026

    Based on observation, review of the FDA Food Code, review of the SOM, and staff interviews, it was determined the facility failed to ensure 1) the kitchen cooking hood was kept clean, 2) food items were free from mold, 3) personal staff beverages were stored in a manner to prevent contamination, 4) kitchen staff performed proper hand hygiene, 5) required food and refrigerator temperatures were recorded to ensure safe hot-holding and cold-holding of Time/Temperature Control for Safety (TCS) foods. These failures placed all residents who consumed meals prepared by the facility at risk for potential contamination of food and adverse health outcomes, including food-borne illnesses. […]

  • No harm, potential for more than minimal, widespreadF867Jul 10, 2026

    Based on the facility's Quality Assurance and Performance Improvement (QAPI) Committee policy, the facility's Quality Assurance Performance Improvement Plan, and staff interview, it was determined the facility failed to ensure good faith efforts were made to implement and monitor performance improvement activities related to skin assessments and food sanitation. This failure created the potential to affect all residents who reside in the facility and receive nursing services or consume food provided by the facility. […]

  • No harm, potential for more than minimal, widespreadF761Aug 8, 2025

    Based on observation and staff interview it was determined the facility failed to ensure medications available for residents were labeled and dated. This was true for 1 of 2 medication carts inspected. This failure created the potential to receive expired medication with decreased efficacy. Findings include:On [DATE] at 9:03 AM, during a medication cart inspection the following medication was located with no open date or date of discard: Erythromycin ophthalmic ointment 5 milligram Trelegy Ellipta inhaler 62.5 microgramOn [DATE] at 09:06 AM, LPN #1 stated she was not sure how long the ophthalmic ointment was good for. She also stated both medications should have been labeled with the open date.

Read 29 findings in full →The most serious and the most recent: 29 of 130 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 10, 2026Standard and complaint18 findings
  • Feb 4, 2026Complaint3 findings
  • Aug 8, 2025Standard and complaint10 findings
  • Aug 22, 2024Standard8 findings · 1 harm
  • Jul 12, 2021Standard9 findings
  • Dec 15, 2020Complaint3 findings · 1 harm
  • Sep 24, 2020Infection control2 findings
  • May 27, 2020Infection control1 finding
Show the 12 earlier surveys
  • Dec 4, 2019Complaint7 findings
  • Sep 27, 2018Standard9 findings
  • Jun 2, 2017Standard2 findings
  • Mar 2, 2017Complaint1 finding
  • May 18, 2016Complaint1 finding · 1 harm
  • Apr 14, 2016Standard6 findings · 2 harm
  • Jan 29, 2015Standard4 findings
  • Oct 25, 2013Standard27 findings · 3 harm
  • Jul 24, 2013—2 findings
  • May 30, 2013—2 findings · 1 harm
  • Oct 12, 2012—10 findings
  • Jun 30, 2011—5 findings

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.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction