Above average — CMS composite of the measures below.
A standard survey is most likely before around December 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 Payette Healthcare Of Cascadia during CMS and state inspections, most recent first.
The facility failed to maintain a safe and clean environment, as evidenced by a resident's difficulty maneuvering a power wheelchair due to tangled privacy curtains, and another resident's unresolved maintenance issue with a bathroom fan. Observations revealed unsafe conditions, such as a hole in the dining room floor and unsanitary shower rooms with dusty vents and a stained shower chair. Despite having a maintenance system, these issues were not addressed, indicating lapses in communication and maintenance procedures.
The facility failed to adhere to infection control practices, impacting several residents. Staff did not follow hand hygiene protocols, with CNAs handling dirty items and assisting residents without washing hands. Equipment cleaning was neglected, as a Hoyer lift was not cleaned after use. Additionally, a resident on enhanced barrier precautions did not receive proper care, as an RN administered G-tube feeding without PPE, despite clear signage. These actions placed residents at risk for cross-contamination and infection.
A facility failed to assess a resident for the ability to self-administer medications, as required by their policy. The resident, with multiple diagnoses including incomplete quadriplegia and diabetes, was given calcium carbonate tablets to use as needed without a documented assessment. The DON confirmed the assessment was not completed.
A facility failed to ensure proper handling and storage of feeding formula for a resident with a feeding tube. The resident, with a history of stroke and dysphagia, had a physician's order for Jevity 1.5. Opened bottles of the formula were left at the bedside without proper labeling or refrigeration, against facility policy. A nurse admitted to this practice, and the Clinical Resource Nurse confirmed the formula should have been refrigerated.
A facility failed to provide continuous oxygen to a resident as prescribed. The resident, dependent on supplemental oxygen due to multiple diagnoses, was left without oxygen for over four minutes when a CNA removed the nasal cannula to refill the portable liquid oxygen unit. The CNA later admitted that a backup oxygen source should have been provided.
The facility failed to conduct annual performance evaluations for CNAs, as required. A review of personnel records revealed that one CNA, hired in 2020, lacked evaluations for 2022 and 2023. The DON confirmed that these evaluations were missed, potentially allowing incompetent CNAs to provide care and increasing the risk of harm to all residents.
The facility failed to secure wound care products and resident-prescribed wound care cream in a locked treatment cart, as observed in one of two treatment carts. This oversight created the potential for unauthorized access and cross-contamination. The facility's policy requires medications and biologicals to be stored securely, with unlocked carts under nurse control. An LPN acknowledged the need to lock the cart when not nearby, and the DON confirmed this requirement.
A resident admitted with multiple health issues requested a pneumococcal vaccine, but the facility failed to administer it. The resident's medical chart lacked documentation of the vaccine being given, and the DON confirmed the omission without any documented explanation.
Deficiencies in Facility Environment and Maintenance
Penalty
Summary
The facility failed to provide a safe, clean, and homelike environment for its residents, as evidenced by several observations and resident reports. Resident #36, who uses a power wheelchair, reported difficulty maneuvering in his room due to privacy curtains that tangled with his wheelchair. Despite being the only resident in the room, staff did not allow the curtains to be adjusted, potentially compromising his safety and comfort. Additionally, Resident #33 reported a non-functioning bathroom fan, which had been an issue for several months. Despite having a maintenance management system in place, there was no record of this issue being reported or addressed, indicating a lapse in communication and maintenance procedures. The overall environment of the facility was observed to be unsafe and unsanitary. A significant hole in the dining room floor tile posed a trip hazard, and the west side shower room had multiple areas with missing or damaged tiles, creating potential fall risks. The shower rooms also had cleanliness issues, such as dusty air vents and a shower chair with an unremovable pink substance. The maintenance supervisor acknowledged the hazards but noted that repair bids had not been approved. Housekeeping staff confirmed that shower rooms should be cleaned daily, but the observed conditions suggested otherwise, highlighting a failure in maintaining a sanitary environment.
Infection Control and Prevention Failures
Penalty
Summary
The facility failed to adhere to infection control and prevention practices, impacting several residents. Observations revealed that staff did not follow proper hand hygiene protocols. For instance, a CNA handled dirty washcloths without gloves and then assisted a resident with hand and face washing without performing hand hygiene. Additionally, CNAs did not offer hand hygiene assistance to residents eating in their rooms, and there was a misunderstanding among staff about who was responsible for this task. The DON confirmed that staff should encourage residents to wash their hands before meals. The facility also failed to properly clean equipment and follow protocols during tube feeding. A CNA was observed returning a Hoyer lift to storage without cleaning it after use, which the DON acknowledged as incorrect. Furthermore, a resident with a PEG tube, who was on enhanced barrier precautions, did not receive care in accordance with these precautions. An RN administered G-tube feeding without donning the required PPE, despite clear signage indicating the need for gloves and a gown during high-contact care activities. The RN admitted to not following the protocol.
Failure to Assess Resident for Self-Administration of Medications
Penalty
Summary
The facility failed to ensure that a resident was initially assessed to determine if they were safe to self-administer medications. This deficiency was identified for one of two residents, specifically Resident #36, who was admitted with multiple diagnoses including incomplete quadriplegia, diabetes with diabetic polyneuropathy, and gastro-esophageal reflux. On a specific date, Resident #36 reported being given calcium carbonate oral chewable tablets at bedside to use as needed, without a documented self-administration medication assessment in his medical records. The Director of Nursing (DON) confirmed that the assessment had not been completed for this resident, which was a requirement according to the facility's policy on self-administration of medications.
Improper Handling of Feeding Formula for Resident with Feeding Tube
Penalty
Summary
The facility failed to provide adequate care and treatment for a resident with a feeding tube, specifically regarding the handling and storage of feeding formula. The resident, who was admitted with diagnoses including stroke and dysphagia, had a physician's order for Jevity 1.5 to be administered via PEG tube every four hours. On multiple occasions, opened bottles of the feeding formula were observed left at the resident's bedside without proper labeling or refrigeration, contrary to the facility's policy. A nurse admitted to leaving the formula at the bedside until it was used, and the Clinical Resource Nurse later confirmed that the formula should have been refrigerated after opening. This oversight created the potential for harm if complications arose from improper tube feeding practices.
Failure to Provide Continuous Oxygen to Resident
Penalty
Summary
The facility failed to ensure that a resident received continuous oxygen as prescribed by the physician. The resident, who was admitted with multiple diagnoses including stroke, dysphagia, and dependence on supplemental oxygen, had an order for oxygen at 2 liters per minute via nasal cannula continuously. On one occasion, a CNA removed the resident from the portable liquid oxygen to refill the unit, leaving the resident without oxygen for over four minutes. The CNA later acknowledged that she should not have removed the resident from the oxygen without first providing a backup source.
Failure to Conduct Annual CNA Performance Evaluations
Penalty
Summary
The facility failed to ensure that each Certified Nursing Assistant's (CNA) performance was evaluated at least once every 12 months, as required. This deficiency was identified during a review of personnel records for five CNAs, where it was found that one CNA, hired on May 1, 2020, did not have documented annual evaluations for the years 2022 and 2023. The Director of Nursing (DON) confirmed that the evaluations should be conducted annually and acknowledged that some evaluations, including that of the identified CNA, had been missed. This oversight created the potential for incompetent CNAs to provide care, thereby increasing the risk of harm to all 44 residents living in the facility.
Failure to Secure Wound Care Products in Locked Cart
Penalty
Summary
The facility failed to ensure that wound care products and resident-prescribed wound care cream were secured in a locked treatment cart. This was observed in one of two treatment carts, creating the potential for residents to access prescribed wound care cream intended for other residents and presenting a risk for cross-contamination of wound care products stored in the cart. The facility's Medication Management policy, revised on 10/15/22, requires medications and biologicals to be stored appropriately to prevent unauthorized access, with unlocked medication/treatment carts under nurse control at all times. On 8/4/24 at 11:03 AM, the west hall wound care treatment cart was observed to be unlocked when the nurse was not present. At 11:13 AM, an LPN stated she thought the cart needed to be closed and locked when she was not near it. On 8/8/24 at 10:10 AM, the DON confirmed that treatment carts should be locked when a nurse is not present.
Failure to Administer Requested Pneumococcal Vaccine
Penalty
Summary
The facility failed to provide a pneumococcal vaccine to a resident who requested it upon admission. The resident, admitted with multiple diagnoses including metabolic encephalopathy, chronic fatigue, and repeated falls, requested the vaccine on admission. However, a review of the resident's medical chart revealed no documentation that the vaccine had been administered. The Director of Nursing confirmed that the vaccine had not been given and there was no explanation documented in the resident's chart for this omission.
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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.
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Nursing homes near Payette
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Weiser Care Of Cascadia | 12.4 mi | ★★★★★ | 12 | 0 |
| Pioneer Nursing Home | 17.1 mi | ★★★★★ | 3 | 0 |
| Cherry Ridge Of Cascadia | 24.2 mi | ★★★★★ | 21 | 0 |
| River's Edge Rehabilitation & Living Center | 25.5 mi | ★★★★★ | 13 | 0 |
| Caldwell Care Of Cascadia | 30.1 mi | ★★★★★ | 18 | 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.