Lewiston Transitional Care of Cascadia

Lewiston Transitional Care of Cascadia is a skilled nursing facility at 3315 8Th Street in Lewiston, Idaho, in Nez Perce County. It is certified by the Centers for Medicare & Medicaid Services (CMS) and appears in the federal nursing home data under CMS certification number 135021, 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 September 1, 1972. CMS lists 96 certified beds and an average of about 66 residents per day in its most recent reporting period. That makes it a sizable building, with a larger staff and a more structured daily routine than a small residential home. According to the community's own website, it offers services and features including short-term rehabilitation, long-term care, private rooms, semi-private rooms, speech therapy, in-house therapy gym, 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 4 out of 5 (above average), with 4 for health inspections, 2 for staffing, and 2 for quality measures on the same five-star scale.

Its most recent standard health inspection on record was on August 21, 2025, with 6 health deficiencies cited in that rating cycle. The facility reported about 3.5 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, Valley Medical Center is about 1.7 miles away in a straight line, and Saint Joseph's Regional Medical Center is about 2.9 miles away. The nearest pharmacy in OpenStreetMap data is Walgreens, about 1.2 miles away. Actual driving distances are longer, and families should ask how the facility coordinates doctor visits, prescriptions and transportation. When visiting Lewiston Transitional Care 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 Lewiston options and set up visits.