The Cove of Cascadia

The Cove of Cascadia is a senior care campus at 620 North 6th Street in Bellevue, Idaho, in Blaine County, where more than one level of care is offered under separate licenses. State and federal records connect the campus to an Idaho residential assisted living facility license (RC-1226) issued by the Idaho Department of Health and Welfare and to a CMS-certified skilled nursing facility (CMS certification number 135069).

This page covers the campus as a whole, so families can see the assisted living side and the nursing side in one place. Records show 32 skilled nursing beds certified by CMS and 16 licensed assisted living beds on the state license, for a combined capacity of about 48. The assisted living license lists the resident groups it is approved to serve as people living with Alzheimer's disease or other dementia, older adults (elderly), adults with mental illness, adults with traumatic brain injury, and adults with physical disabilities.

Having both levels on one campus means a resident whose needs change may be able to move between assisted living and nursing care without leaving the community, although each move depends on an assessment and available space. 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, 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, 4 for staffing, and 3 for quality measures on the same five-star scale.

Its most recent standard health inspection on record was on November 21, 2025, with 6 health deficiencies cited in that rating cycle. The facility reported about 4.5 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.

On the assisted living side, residents typically get help with daily activities such as bathing, dressing and medications, while the skilled nursing side provides 24-hour nursing care under a physician's orders for residents with higher medical needs. The state licensing record lists the facility as accepting Medicaid. In Idaho, Medicaid help with assisted living services is provided through the Aged and Disabled waiver for people who qualify, and families should confirm current availability of Medicaid-funded spaces with the facility.

CMS lists the skilled nursing side as participating in Medicare and Medicaid. For medical care, St Luke's Wood River Medical Center is about 13.1 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 The Cove of Cascadia, it helps to ask how care needs are assessed at move-in and reviewed over time, which services are included in the daily or monthly rate and which cost extra, how staffing works on nights and weekends, and what happens if a resident's needs change. 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 Bellevue options and set up visits.