Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lewiston Transitional Care Of Cascadia during CMS and state inspections, most recent first.
Staff stored employee food and therapy ice packs with resident food, and failed to properly label and date resident food items. Additionally, pest control measures were not followed, as dumpsters were left open and surrounded by trash and debris, attracting flies. These actions did not meet professional standards for food safety and sanitation.
A resident with COPD and multiple comorbidities had a care plan that was not updated after their oxygen therapy was discontinued. The care plan continued to indicate oxygen dependence despite the physician's order for oxygen being stopped, and staff confirmed the care plan should have been revised to reflect this change.
A resident with documented allergies and cognitive impairment was given a peanut butter sandwich by staff who did not check the medical record for dietary restrictions. The allergen binder meant to inform staff of such allergies was not updated or available in the snack room, leading to the resident consuming a known allergen.
A resident with lymphedema and congestive heart failure did not receive pain medication according to physician orders, as staff administered hydrocodone-acetaminophen inconsistently with prescribed pain levels. Medication administration records and staff interviews confirmed that the nurse did not follow the specific dosing instructions based on pain assessment.
A resident with multiple chronic conditions and cognitive impairment missed numerous scheduled morning medications over an extended period due to being asleep, with no timely documentation or physician notification regarding the missed doses. The care plan required medication administration as ordered and physician notification for issues, but these steps were not followed, and the facility lacked a policy for timely physician notification.
A nurse failed to perform hand hygiene and change gloves after touching room surfaces and equipment before accessing a resident's PICC line for IV antibiotic administration. This lapse in infection control occurred during care for a resident with multiple serious diagnoses, including sepsis and osteomyelitis, and was confirmed by both observation and staff interview.
The facility was found to have expired food items in the refrigerator and a greasy stove hood, potentially affecting 69 residents. Expired yogurt and sour cream were confirmed by staff, and the stove hood had lint buildup despite claims of recent cleaning. The CM was unaware of the cleaning process and was creating a new checklist.
A facility failed to update a Level I PASARR to include a PTSD diagnosis for a resident, despite the condition being documented in their care plan and MDS assessment. The PASARR forms from 2022 and 2023 incorrectly indicated no major mental health illnesses. The Social Services staff confirmed the oversight and acknowledged the need for an update.
A resident who required substantial assistance for bathing missed several scheduled showers due to a lack of documentation and follow-up on refusals or missed showers. The facility's policy required documentation of refusals, but this was not consistently done, leading to a deficiency in personal hygiene care.
Improper Food Storage and Pest Control Deficiencies
Penalty
Summary
Staff failed to store staff food and physical therapy ice packs separately from resident food in both the A-Wing Resident Snack freezer and the El Bistro Resident refrigerator and freezer. Specifically, therapy ice packs and packages of raw beef burgers labeled for employee use were stored with resident food items, and open, undated, or incorrectly dated food items such as orange juice and ice cream were found. The Culinary Director confirmed that staff food and therapy items should not be stored with resident food and that all resident food should be properly labeled with the resident's name, open date, and use by date. The Culinary Director also acknowledged that staff needed more education on proper food labeling and dating procedures. Additionally, pest control measures were not adequately followed. Two kitchen dumpsters were observed with their lids left open, and one dumpster had multiple flies surrounding the trash inside. The other dumpster had garbage and leaves piled around it on the ground. The Maintenance Director stated that the area around the dumpster was not cleaned as scheduled and that all staff were instructed to close dumpster lids after use, which was not done in this instance. The facility's pest control company visits every two weeks, but the observed conditions did not meet the required standards for pest control and sanitation.
Failure to Update Care Plan Following Discontinuation of Oxygen Therapy
Penalty
Summary
The facility failed to update the care plan for a resident who was admitted with multiple diagnoses, including COPD, oxygen dependence, diabetes, dementia, depression, and a cognitive communication deficit. Although a physician's order for continuous oxygen therapy was discontinued, the resident's care plan continued to document oxygen dependence and did not reflect the change in treatment. This oversight was confirmed through record review and staff interview, where it was acknowledged that the care plan should have been updated when the oxygen order was discontinued.
Failure to Follow Dietary Restrictions for Resident with Documented Food Allergy
Penalty
Summary
Facility staff failed to follow a documented dietary restriction related to a food allergy for a resident with multiple diagnoses, including dementia, diabetes, high blood pressure, depression, and anxiety. The resident was not cognitively intact, as noted in the admission MDS assessment. The care plan clearly documented allergies to aspirin, peanuts, and pollen. Despite this, a staff member provided the resident with a peanut butter sandwich upon request, without checking the resident's medical record for allergies. The incident occurred because the staff did not verify the resident's dietary restrictions before providing the food item. Additionally, the allergen binder, intended to keep staff informed of resident allergies, was not updated and was not in its designated location in the snack room at the time of the incident. As a result, the resident consumed a food item containing an allergen, though no signs or symptoms of an allergic reaction were observed following the event.
Failure to Follow Physician Orders for Pain Management
Penalty
Summary
The facility failed to ensure effective and appropriate pain management for a resident with multiple diagnoses, including lymphedema and congestive heart failure. The resident had physician's orders for hydrocodone-acetaminophen to be administered based on specific pain levels: one tablet for pain levels 1-5 and two tablets for pain levels 6-10. However, medication administration records showed that the orders were not followed. The resident received one tablet for a pain level of 0, one tablet for a pain level of 6, and two tablets for pain levels of 4 and 5, which did not align with the prescribed protocol. Staff interviews confirmed that the physician's orders were not adhered to, and the nurse did not review the orders after assessing the resident's pain level. These actions resulted in the resident receiving pain medication inconsistently with the physician's instructions, as documented in the medication administration record and confirmed by facility leadership.
Failure to Prevent and Report Significant Medication Errors
Penalty
Summary
The facility failed to ensure that significant medication errors were prevented for one resident with multiple diagnoses, including dementia, diabetes, hypertension, depression, and anxiety. The resident was not cognitively intact and had several physician orders for medications to be administered at specific times. Review of the Medication Administration Record (MAR) from June to August showed that the resident did not receive multiple morning medications on numerous days, with the reason documented as the resident being asleep. There was also one instance of medication refusal. The resident's care plan directed staff to administer medications as ordered and to monitor and document effectiveness and side effects, including over-sedation and lethargy, and to notify the physician as indicated. Despite repeated missed doses, there was no documentation in the medical record regarding the effects of the missed medications or any notification to the physician until mid-August, when an SBAR was submitted noting the resident's preference to sleep in. The Chief Nursing Officer confirmed that there was no documentation or physician notification regarding the missed medications prior to this date. Additionally, the facility did not have a policy specifying when the physician should be notified about missed medications, but acknowledged that best practice would have been to notify the physician within 24-48 hours.
Failure to Follow Infection Control Protocol During IV Medication Administration
Penalty
Summary
A deficiency was identified when a nurse failed to follow infection prevention and control standards during the administration of intravenous (IV) medication to a resident with a peripherally inserted central catheter (PICC) line. The nurse was observed washing her hands, donning a gown and gloves, and preparing the IV medication. However, after putting on gloves, she touched the resident's divider curtain and the IV pump, then continued with the procedure without changing gloves or performing hand hygiene before accessing the resident's PICC port. This action was contrary to facility policy, CDC guidelines, and WHO recommendations, all of which require hand hygiene and the use of clean gloves before handling invasive devices or after contact with potentially contaminated surfaces. The resident involved had a history of sepsis, pneumonia, diabetes, and was being treated for osteomyelitis with IV vancomycin via a PICC line. The nurse's failure to change gloves or perform hand hygiene after touching inanimate objects in the resident's environment and before accessing the PICC port was confirmed through observation and staff interview. The nurse acknowledged the lapse in infection control practices, and the Chief Nursing Officer confirmed that proper hand hygiene and glove use are required before accessing IV sites.
Expired Food and Unclean Stove Hood Found in Facility Kitchen
Penalty
Summary
The facility failed to ensure that food was not expired and that the stove hood was cleaned, which could potentially affect the 69 residents consuming food prepared by the facility. During an observation, it was found that the walk-in refrigerator contained expired food items, including four containers of low-fat yogurt and one container of sour cream. A staff member confirmed that these food items were expired, indicating a lapse in adherence to the facility's Food and Supply Storage policy, which mandates that all food be stored to maintain safety and sanitation. Additionally, the stove hood in the kitchen was observed to be greasy with lint buildup, which was not in compliance with the 2022 FDA Food Code. Despite the Culinary Assistant's claim that the hood was cleaned the previous week, it remained dirty, and there was no documentation to confirm regular cleaning. The CM acknowledged the oversight and was in the process of creating a new cleaning checklist, but admitted that the hood had not been cleaned that week and was unaware of how it was cleaned previously.
Failure to Update PASARR for Resident with PTSD
Penalty
Summary
The facility failed to ensure that a Level I Preadmission Screening and Resident Review (PASARR) was updated to include a diagnosis of Post-Traumatic Stress Disorder (PTSD) for a resident. This deficiency was identified during a review of the PASARR records for a resident who had been admitted and readmitted to the facility with multiple diagnoses, including PTSD and other anxiety disorders. Despite these diagnoses being documented in the resident's care plan and quarterly MDS assessment, the PASARR forms from both 2022 and 2023 incorrectly indicated that the resident did not have any major mental health illnesses, including PTSD and anxiety disorders. The Social Services staff, responsible for overseeing PASARR reviews, confirmed during an interview that the resident had a diagnosis of PTSD and acknowledged the need to update the PASARR to reflect this information. The facility's policy requires that any resident with a newly evident or possible serious mental disorder be referred to the appropriate state-designated authority for review. The failure to update the PASARR could potentially result in the resident not receiving necessary specialized services for their mental health needs.
Failure to Provide Scheduled Bathing for Resident
Penalty
Summary
The facility failed to ensure that residents were provided with bathing consistent with their needs, specifically for one resident who was reviewed for activities of daily living. The facility's policy required staff to provide a shower, tub bath, or bed bath as scheduled and to document any refusals of care. However, Resident #6, who was cognitively intact and required substantial assistance for bathing, reported missing scheduled showers. The resident's bathing/shower record confirmed missed showers on several occasions. Interviews with staff revealed that showers were typically completed during the week, and if a shower was missed, a refusal sheet was supposed to be completed and signed, with the shower made up the next day. However, there was a lack of documentation for refusals or missed showers, which prevented the system from flagging these issues for follow-up. This lack of documentation and follow-up led to the deficiency in providing adequate personal hygiene care for the resident.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 26 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Lewiston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Orchard View Post Acute | 0.6 mi | ★★★★★ | 0 | 0 |
| Cascadia Of Lewiston | 0.9 mi | ★★★★★ | 5 | 0 |
| Royal Plaza Health And Rehabilitation Of Cascadia | 0.9 mi | ★★★★★ | 14 | 0 |
| Life Care Center Of Lewiston | 1 mi | ★★★★★ | 0 | 0 |
| Idaho State Veterans Home - Lewiston | 1.8 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.