Clearwater Health & Rehabilitation of Cascadia

Clearwater Health & Rehabilitation of Cascadia is a skilled nursing facility at 1204 Shriver Road in Orofino, Idaho, in Clearwater County. It is certified by the Centers for Medicare & Medicaid Services (CMS) and appears in the federal nursing home data under CMS certification number 135048, where its ownership is listed as for-profit limited liability company and it is reported as part of the Cascadia Healthcare group of facilities.

CMS records show it was first approved to provide Medicare and Medicaid services on November 19, 1969. CMS lists 60 certified beds and an average of about 39 residents per day in its most recent reporting period. At that size, the building runs with shifts of nurses, aides, therapists and support staff rather than the household feel of a small home. Its website lists services and features including private rooms, semi-private rooms, speech therapy, long-term care, and a planned activities calendar.

The site also describes round-the-clock nursing or staff coverage. Families should confirm which of these are available for a particular resident, since services can depend on the level of care, insurance and current staffing. In the CMS Care Compare data processed September 1, 2026, the facility has an overall star rating of 3 out of 5 (average), with 3 for health inspections, 3 for staffing, and 4 for quality measures on the same five-star scale.

Its most recent standard health inspection on record was on June 26, 2026, with 14 health deficiencies cited in that rating cycle. The facility reported about 3.3 total nursing hours per resident per day. CMS reports that the facility has a resident council. Star ratings and inspection reports change over time, and the full reports, including any fines, are available on Medicare's Care Compare website.

In Idaho, nursing facilities are licensed by the Department of Health and Welfare and inspected on behalf of CMS, and the inspection results feed the federal star ratings above. CMS lists the facility as participating in both Medicare and Medicaid. Medicare can cover a limited period of skilled nursing or rehabilitation after a qualifying hospital stay, and Idaho Medicaid can help pay for long-term nursing care for people who meet its financial and medical rules.

For medical care, Clearwater Valley Hospital is about 0.6 miles away in a straight line. No pharmacy appears within five miles in OpenStreetMap data, so families should ask whether the facility uses a delivery pharmacy and how refills are handled. Actual driving distances are longer, and families should ask how the facility coordinates doctor visits, prescriptions and transportation. When visiting Clearwater Health & Rehabilitation of Cascadia, it helps to ask whether a bed is available for short-term rehabilitation or long-term care, how therapy schedules are set and how progress is shared with family, how staffing works on nights and weekends, and what the discharge planning process looks like.

Seeing the building at a mealtime and talking with current residents or family members gives a fuller picture than a single tour. Local Senior Advisor is a free service to families, and a local advisor can help compare Orofino options and set up visits.