Average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Weiser Care Of Cascadia during CMS and state inspections, most recent first.
Surveyors found that staff failed to follow the facility’s hand hygiene and infection control policies during housekeeping, medication administration, and laundry operations. A maintenance staff member cleaned one room, removed gloves, then donned new gloves to clean another room without performing hand hygiene in between. Laundry staff handled soiled linens on the dirty side of the laundry room without PPE and then moved to the clean side to fold laundered items, which leadership acknowledged posed a high risk for cross-contamination. An LPN repeatedly prepared and administered medications to multiple residents without performing hand hygiene before medication preparation or before entering and after exiting resident rooms, despite handling items such as cart keys, doorknobs, pitchers, and nutritional supplements. These failures affected all residents receiving medications and laundry services and created the potential for cross-contamination.
The facility failed to maintain a clean, sanitary, and homelike environment when housekeeping and laundry services were not provided as expected for two residents sharing a room. Facility policies required a safe, clean, and comfortable environment and daily room cleaning, including emptying trash and floor care. However, surveyors observed overfilled trash cans, a dirty paper product on the floor, a broken drawer with its outer section stuffed into the opening, and a pillowcase visibly soiled with brown residue on one resident’s bed. Both residents, one with diabetes, epilepsy, and muscle weakness and the other with dementia, legal blindness, PTSD, and Bell’s palsy, reported they were unsure when housekeeping last cleaned their room, and one was unsure when linens were last changed. The Maintenance Director confirmed the room had not been cleaned despite the expectation for daily housekeeping.
A resident with bipolar disorder, obstructive sleep apnea, and personal care needs, identified as an independent smoker, was educated on the facility’s smoking policy and informed that noncompliance would result in a 30-day written discharge notice. After the resident smoked on facility grounds, staff documented that a 30-day notice was issued, but there was no evidence that this notice was provided in writing as required by facility policy and regulation. The resident then requested to leave AMA, and while the record contained a discharge assessment and an AMA risk acknowledgment, it lacked documentation of the required written 30-day discharge notice, which the Administrator and Resource Nurse later confirmed they could not produce.
A deficiency was cited when a resident with dementia and PTSD had a positive PASRR Level I that required referral for a PASRR Level II evaluation, but the facility did not submit or obtain the Level II or provide it to the state agency upon request. Facility policy required that a positive Level I trigger a Level II evaluation and that its recommendations be incorporated into the person-centered care plan. The Medical Records Manager, responsible for PASRRs, reported she had been instructed to submit a Level II only when psychiatric medications were listed and acknowledged that the resident’s Level I should have been forwarded for Level II review.
A resident with a history of stimulant use, depression, and nutritional deficiency had a care plan directing staff to monitor and document specific withdrawal symptoms, including respiratory distress, cardiac decompensation, nausea/vomiting, anxiety, hostility, bloodshot eyes, pinpoint pupils, and diaphoresis. Review of the medical record showed no documentation that staff performed or recorded this required monitoring, and a Resource Nurse confirmed the absence of withdrawal monitoring in the record, demonstrating a failure to implement the comprehensive person-centered care plan as written.
A resident with asthma had a physician’s order for Symbicort inhaler twice daily with instructions to rinse and spit after use, consistent with the drug’s prescribing information to reduce the risk of oral Candida infection. During a medication pass, an LPN handed the inhaler to the resident, who took two puffs and declined water afterward. The LPN did not provide education about the need to rinse the mouth after inhalation and left the resident without reinforcing this instruction, later acknowledging that education should have been provided; the Resource Nurse and DON agreed the resident should have been educated to rinse after using the inhaler.
The facility failed to safely manage smoking paraphernalia and maintain accurate smoking assessments for two residents who smoked off-campus. One resident with multiple chronic conditions, including kidney disease, diabetes, COPD, CHF, and asthma, had conflicting documentation between her care plan and smoking assessment regarding whether she was an independent or dependent smoker, while her assessment also allowed her to keep smoking accessories locked in her room despite the facility’s smoke‑free policy. Another resident with a history of stimulant use, depression, and nutritional deficiency, who had acknowledged the smoke‑free policy and was care planned as an independent smoker, was observed asleep in bed holding a vape device. The DON later stated she was unaware this resident was using a vape and confirmed the expectation that all smoking paraphernalia be stored safely.
A deficiency occurred when a physician did not document a response to a pharmacist’s recommendation following a monthly drug regimen review for a resident receiving budesonide (Symbicort) for COPD. The facility’s policy required providers to document acceptance or rejection of pharmacist recommendations in the medical record. The pharmacist advised adding a “rinse mouth and spit after use” instruction to the steroid inhaler order, consistent with the drug’s prescribing information regarding risk of oral Candida infections, but the order was never updated and no physician response was recorded. The DON reported that nurses were trained to advise mouth rinsing as a standard of practice, yet the lack of an updated order and documented provider response remained for this resident.
A resident with COPD and incomplete quadriplegia was maintained on a daily nicotine transdermal patch and had a PRN order for nicotine gum while also continuing to smoke cigarettes. The MAR showed the patch was administered, and the DON reported the resident was an infrequent smoker but could not provide documentation of infrequent smoking during the period when nicotine replacement therapy was in place. Surveyors found this combination of active nicotine replacement orders and ongoing smoking did not ensure the resident’s drug regimen was free from unnecessary medications and placed the resident at risk for adverse outcomes from overmedication.
A cognitively intact resident with a history of MI and diabetes was found with a seven-day pill container containing tablets on the bedside table, contrary to facility policy requiring medications to be stored in locked compartments. When questioned, the resident reported not knowing what medications were in the container and stated that staff administered his medications. An LPN and the DON later acknowledged that such a pill container with medications should not have been kept in the resident’s room, leading surveyors to cite a deficiency for improper medication storage.
The facility did not ensure that two residents had arbitration agreements specifying a mutually convenient venue for hearings. Instead, their agreements required arbitration to be held in the county where the facility is located before three arbitrators from the American Arbitration Association, without reference to mutual agreement or convenience. During review, the Admission Coordinator acknowledged that these residents should have been asked to sign the updated version of the agreement that includes a mutually agreed upon, convenient venue.
A resident with multiple diagnoses, including muscle weakness and lower back pain, had a urine specimen collected for suspected UTI, with the lab indicating a culture and sensitivity (C&S) would be completed. Before C&S results were available, staff informed the provider that the urine was positive for bacteria, and the provider ordered a 7-day course of IM Rocephin. The C&S was later cancelled due to no sample to perform the test. This sequence of events did not follow the facility’s Antibiotic Stewardship Policy, which required use of McGeer’s Criteria and review of culture and sensitivity reports to guide appropriate antibiotic therapy.
The facility did not have an RN on duty for 8 consecutive hours on two days, as required. The CNO worked from home and was unaware that the hours needed to be consecutive, leading to potential unmet nursing needs for all residents.
The facility did not post nurse staffing information daily or retain it for 18 months as required by policy. The Daily Posted Staffing sheet was outdated, and the Administrator admitted the medical records person missed posting weekend hours. The facility also failed to keep staffing records for the required duration.
The facility failed to properly store and label food, as observed with an undated open soy sauce container, violating the Idaho Food Code and facility policy. Additionally, refrigerator temperatures were not checked for three days, risking contamination and food spoilage for 25 residents.
The facility did not ensure a safe, clean, and homelike environment for two residents, leading to potential safety risks. A resident with dementia, diabetes, and osteoarthritis had a room with damaged walls, while another resident with a shoulder infection and diabetes had a room with a missing baseboard, posing a risk of skin tears. Staff acknowledged these issues should have been addressed.
A facility failed to complete a comprehensive MDS assessment for a resident who developed a stage 3 pressure ulcer. Despite the significant change in condition, the quarterly MDS did not document the ulcer, and a significant change MDS was not completed within the required timeframe. This oversight was confirmed by the Regional Clinical Nurse.
A facility failed to follow its wound care policy for a resident with wounds, risking infection and skin breakdown. The policy requires regular documentation and dressing changes, but bandages dated over ten days old were observed. An RN confirmed that bandages should be changed every three days, indicating a lapse in care for the resident with multiple diagnoses, including a shoulder infection and diabetes.
A facility failed to ensure NAs had the necessary competencies, as observed when an NA improperly used peri-care wipes during catheter care, contrary to guidelines. Additionally, a resident's privacy was compromised when CNAs left window blinds open during a transfer and catheter care, exposing the resident to the outside.
The facility failed to ensure medications were properly dated and not expired. During a medication cart audit, expired Bisacodyl suppositories and undated insulin pens were found. An RN acknowledged the expired medication should have been removed, and another RN confirmed the insulin pens should have been dated when opened.
The facility failed to maintain proper infection control practices, as observed in several instances. An Activities Assistant did not wash hands after removing gloves before serving a resident, and a Lead Cook handled clean dishes without changing gloves after wiping dirty counters. Additionally, two residents were not offered hand hygiene before meals. These lapses were acknowledged by staff, highlighting a breach in infection control protocols.
A resident with Myasthenia Gravis and a pelvis fracture, who uses a wheelchair, was unable to reach the sink faucet, soap, and paper towel dispenser in her room. The facility's administrator was unaware of this accessibility issue, which led to a deficiency in providing a functional environment for the resident.
Failure to Follow Hand Hygiene and Laundry Infection Control Practices
Penalty
Summary
The deficiency involves the facility’s failure to follow its own hand hygiene and infection control policies during housekeeping, medication administration, and laundry operations. The facility’s Hand Hygiene policy, revised 9/15/25, required staff to perform hand hygiene at critical moments, including immediately before and after touching a resident, after contact with objects and surfaces in the resident’s environment, and immediately after PPE removal. During observation on 02/17/26, the Maintenance Director cleaned a resident room by wiping surfaces, sweeping, cleaning the toilet, using an aerosol bottle, and mopping while wearing gloves. After completing these tasks, he removed his gloves, moved to the next room, applied new gloves, and began cleaning without performing hand hygiene between glove removal and donning new gloves. He later stated he normally performs hand hygiene before applying clean gloves and acknowledged he did not do so in this instance, which did not comply with the facility’s policy. Additional deficiencies were identified in the laundry room and during medication administration. During a laundry room inspection on 02/20/26, the Maintenance Director explained that dirty laundry is sorted on the dirty side, washed, then moved to the clean side for drying and folding, and confirmed that laundry staff do not use PPE while sorting dirty laundry. The Maintenance Director and the Administrator both acknowledged there is a high risk for cross-contamination when staff handle dirty laundry without PPE and then move to the clean side to fold clean clothing. On 02/18/26, an LPN was observed repeatedly preparing and administering medications to multiple residents without performing hand hygiene before preparing medications, before entering resident rooms, or after exiting resident rooms, despite touching items such as a medication cart key, a medication room doorknob, a pitcher, and nutritional supplement containers. The LPN later stated that hand hygiene should be performed before and after exiting resident rooms and before preparing medications, and the Infection Preventionist similarly stated that hand hygiene should be performed before entering and after exiting resident rooms and before preparing medications. These observations showed that the facility failed to ensure infection control practices were followed for hand hygiene and PPE use, affecting all residents receiving medications and laundry services and creating the potential for adverse outcomes related to cross-contamination.
Failure to Maintain Clean and Homelike Environment in Resident Room
Penalty
Summary
The deficiency involves the facility’s failure to provide a clean, comfortable, sanitary, and homelike environment, as required by its Homelike Environment and Housekeeping & Laundry Services policies. These policies state that residents have the right to a safe, clean, comfortable, and homelike environment that promotes dignity, independence, and quality of life, and that the facility must maintain a sanitary, orderly, and comfortable interior environment at all times. The daily cleaning task list requires staff to empty trash cans, dust, check the floor, and wet mop the floor in each resident room. During observation of the shared room of Resident #5 and Resident #7, surveyors noted two trash cans overfilled with garbage, a dirty paper towel or toilet tissue on the floor in front of the closet, a broken drawer with the outer section stuffed into the drawer area, and a visibly soiled pillowcase with brown residue on Resident #7’s bed. Resident #5, who had diagnoses including diabetes, epilepsy, and muscle weakness, and Resident #7, who had dementia, legal blindness, PTSD, and Bell’s palsy, both stated they were unsure when housekeeping had last cleaned their room, and Resident #7 was unsure when staff had last cleaned his bed linens. The Maintenance Director later stated that the expectation was for housekeeping staff to clean resident rooms daily and acknowledged that this room had not been cleaned as expected.
Failure to Provide Required 30-Day Written Discharge Notice
Penalty
Summary
The deficiency involves the facility’s failure to provide a required 30-day written notice of discharge to a resident prior to discharge. The facility’s “Notice of Discharge and/or Transfer” policy, dated 10/7/25, stated that systems are implemented to provide written notification to residents prior to transfer. Resident #58 was admitted with multiple diagnoses including bipolar disorder, obstructive sleep apnea, and a need for assistance with personal care. The resident’s care plan, dated 10/23/25, documented that he was an independent smoker who had been educated on the facility’s smoking policy. On 10/29/25 at 10:53 AM, a progress note documented that the resident was educated on appropriate smoking areas and informed that noncompliance would result in issuance of a 30-day written notice as required by policy and regulation. A subsequent progress note on 10/29/25 at 5:10 PM documented that the resident was issued a 30-day notice due to smoking on facility grounds, but the note did not indicate that a written notice was provided. Another progress note at 5:40 PM the same day documented that the resident requested to leave the facility against medical advice. The record contained a discharge assessment (unsigned by the resident) and an acknowledgment of risk for leaving AMA signed by the resident, but there was no documentation of a written 30-day discharge notice. On 2/20/26 at 11:01 AM, the Administrator and Resource Nurse confirmed they were unable to provide documentation that a written 30-day discharge notice had been given to the resident.
Failure to Submit Required PASRR Level II Evaluation
Penalty
Summary
Surveyors found that the facility failed to provide a PASRR Level II to the designated state agency for one resident whose record was reviewed for PASRR documentation. The facility’s PASRR Process policy, revised 8/29/25, stated that a positive PASRR Level I requires an in-depth evaluation by the state-designated authority (PASRR Level II) and that recommendations from the Level II determination must be incorporated into the person-centered care plan. Resident #7 was admitted with multiple diagnoses, including dementia and PTSD. A PASRR Level I dated 8/13/25 documented these diagnoses and referred the resident for further evaluation through a PASRR Level II, but when surveyors requested a copy of the PASRR Level II on 2/19/26, the facility was unable to provide it. The Medical Records Manager, who stated she was responsible for completing residents’ PASRRs, reported she had been instructed to submit a PASRR Level II only if psychiatric medications were listed and confirmed that Resident #7’s PASRR Level I should have been forwarded for a Level II review. This failure to follow the facility’s PASRR policy and to submit the required PASRR Level II for the resident with dementia and PTSD led to the cited deficiency related to coordination of assessments with the pre-admission screening and resident review program and referral for services as needed.
Failure to Implement Care Plan Monitoring for Withdrawal Symptoms
Penalty
Summary
Surveyors identified a deficiency in the facility’s implementation of a comprehensive, person-centered care plan for one resident. The facility’s RAI and Comprehensive Care Plans Policy required that care plans be developed and implemented consistent with each resident’s specific condition, risks, and needs. Resident #42, admitted with diagnoses including other stimulant use, depression, and nutritional deficiency, had a care plan revised on 10/13/25 that directed staff to monitor and document for potential signs of withdrawal, including respiratory distress, cardiac decompensation, nausea/vomiting, anxiety, hostility, bloodshot eyes, pinpoint pupils, and diaphoresis. Record review showed no documentation that staff monitored for or recorded any signs or symptoms of withdrawal as required by the care plan, and on 2/20/26 the Resource Nurse confirmed that the resident’s record did not include monitoring for withdrawal symptoms. This failure to carry out the care plan’s specified monitoring for withdrawal constituted noncompliance with the facility’s policy and the requirement to implement a comprehensive care plan according to the resident’s identified needs.
Failure to Educate Resident on Mouth Rinsing After Corticosteroid Inhaler Use
Penalty
Summary
The facility failed to ensure a medication was administered according to professional standards of practice for one resident receiving a corticosteroid inhaler. The Symbicort prescribing information and the physician’s order both specified that the resident should rinse her mouth with water and spit after inhalation to reduce the risk of localized Candida albicans infection in the mouth and throat. Resident #29, who had a diagnosis of asthma and an order for Symbicort two puffs orally twice daily with mouth rinsing afterward, was observed taking two puffs from her inhaler and returning it to the LPN. After administering the inhaler, LPN #1 told the resident she would get her some water, but when the resident stated she did not need the water, the LPN left without providing education on the importance of rinsing her mouth after using the inhaler. In a subsequent interview, LPN #1 acknowledged that the resident did not want the water and admitted she should have educated the resident about rinsing her mouth but did not do so. The Resource Nurse and the DON also stated that the resident should have been educated to rinse her mouth after using the inhaler.
Failure to Safely Manage Smoking Paraphernalia and Smoking Assessments
Penalty
Summary
The facility failed to ensure smoking paraphernalia was stored in a safe location and to maintain accurate smoking assessments for residents who smoke off-campus. The facility’s Non-Smoking Campus Policy, revised 9/12/25, stated that smoking, including e‑cigarettes and vaping devices, was not permitted anywhere on the premises and that the facility maintained a smoke‑free environment. Despite this, Resident #6’s care plan dated 1/8/26 documented that she was an independent smoker who could smoke when off the facility’s property as she desired, while nursing progress notes dated 1/15/26 documented she was a dependent/assisted smoker and to review the evaluation. A smoking assessment dated 1/15/26 documented Resident #6 was a dependent smoker who required assistance but could keep her smoking accessories locked in her room. On 2/17/26 at 10:15 AM, the Administrator stated residents who chose to smoke off-campus were assessed for independent or dependent smoking status, and on 2/19/26 at 4:48 PM, the DON stated Resident #6’s 1/15/26 smoking assessment was not accurate as she was an independent smoker. The facility also failed to ensure safe storage of smoking paraphernalia for Resident #42. Resident #42, admitted with diagnoses including other stimulant use, depression, and nutritional deficiency, had a care plan revised 10/15/25 documenting she was an independent smoker and had been educated on the facility’s smoke/nicotine use policy. A Smoke‑Free Acknowledgment in her record documented the facility’s smoke‑free policy and expectations. On 2/18/26 at 10:35 AM, Resident #42 was observed lying on her bed asleep with a vape device in her right hand. On 2/20/26 at 12:10 PM, the DON stated she was not aware that Resident #42 was using a vape and confirmed that although Resident #42 was an independent smoker, the expectation was that all smoking paraphernalia be stored safely.
Failure to Obtain Physician Response to Pharmacist Recommendation for Steroid Inhaler Use
Penalty
Summary
The deficiency involves the facility’s failure to ensure that a physician responded to a pharmacist’s documented recommendation following a monthly drug regimen review. The facility’s Pharmacist Consultation Policy, revised 9/16/25, required that irregularities identified by the pharmacist be reported to the provider and that the provider document acceptance or rejection of the recommendations in the medical record. For one resident reviewed for unnecessary medications, Resident #48, the pharmacist completed a Consultation Report on 11/11/25 recommending that the resident rinse and spit after use of budesonide (Symbicort) to align with the medication’s prescribing information, which warns of localized Candida albicans infections of the mouth and throat and advises rinsing the mouth after inhalation. Resident #48 had a physician’s order dated 9/26/25 for budesonide (Symbicort) inhalation twice daily for COPD. The pharmacist’s Consultation Report specifically requested consideration of adding “rinse mouth out and spit after use” to the budesonide order, but there was no documentation that the physician responded to this recommendation, and the resident’s medication order was not updated to include the mouth-rinsing instruction. A handwritten “Standard of Care” notation appeared at the bottom of the Consultation Report, and during an interview, the DON stated that nurses were expected and trained to advise residents to rinse their mouths after using a steroid inhaler, but acknowledged that the physician’s order had not been updated because it was only a pharmacist recommendation. This lack of documented physician response and order update was identified for 1 of 6 residents reviewed for unnecessary medications and created the potential for the resident to develop oral thrush.
Unnecessary Nicotine Therapy While Resident Continued to Smoke
Penalty
Summary
The facility failed to ensure a resident’s medication regimen was free from unnecessary medications when a resident received nicotine replacement therapy while also smoking cigarettes. The resident, who had multiple diagnoses including incomplete quadriplegia and COPD, was admitted with orders for a 14 mg/24 hr nicotine transdermal patch to be applied daily and nicotine polacrilex gum 4 mg to be given every 3 hours as needed for nicotine craving. The electronic health record documented that the resident was assessed for independence with smoking on two occasions, and the MAR showed that the nicotine patch was administered as ordered. The DON stated the resident was an infrequent smoker but acknowledged the facility could not provide documentation that the resident smoked infrequently while still using the nicotine patches and having an active order for nicotine gum. This resulted in the resident simultaneously having and using nicotine patches, having an order for nicotine gum, and continuing to smoke cigarettes, which the surveyors determined did not meet the requirement that each resident’s drug regimen be free from unnecessary drugs and placed the resident at risk for adverse outcomes from overmedication.
Improper Storage of Medications in Resident Room
Penalty
Summary
The facility failed to ensure medications were safely stored in locked compartments in accordance with its Medication Storage & Labeling policy and professional standards. The policy, released on 10/13/25, required that general medications be stored in locked compartments such as cabinets, carts, or a medication room. During a survey, a seven-day pill container containing white and blue tablets was observed on top of the bedside table of Resident #18, who was awake in bed at the time. Resident #18 had been admitted with multiple diagnoses, including myocardial infarction and diabetes, and a comprehensive MDS assessment documented that he was cognitively intact. When initially asked about the pill container, Resident #18 did not respond. Later, when an LPN asked if he knew what medications were inside the pill container, Resident #18 stated he did not know. He also stated he had not taken any of the medications from the pill container because staff were administering his medications. The presence of the pill container with medications in the resident’s room was acknowledged by nursing leadership, who stated that the pill container with medication inside should not be in the resident’s room. The surveyors determined that this constituted a failure to store medications in locked compartments as required, resulting in a deficiency related to medication storage.
Failure to Use Arbitration Agreements With Mutually Convenient Venue
Penalty
Summary
The facility failed to ensure that its Arbitration Agreement provided for a venue that was convenient to both parties, as required for a neutral and fair arbitration process. Record review showed that one resident admitted on an unspecified date signed an Arbitration Agreement on 8/26/25, and another resident admitted on an unspecified date had a representative sign an Arbitration Agreement on 9/19/25. Both agreements stated that any arbitration hearing would be held in the county where the facility is located before a board of three arbitrators selected from the American Arbitration Association (AAA), without reference to mutual agreement or convenience of venue. During an interview on 2/19/26, the Admission Coordinator reviewed these agreements and produced the facility’s updated Arbitration Agreement, which specified that hearings would be held in a mutually agreed upon venue convenient to both parties before three arbitrators selected from the AAA. The Admission Coordinator stated that the two residents should have been asked to sign the new Arbitration Agreement when the facility updated it. This deficiency was identified for 2 of 3 residents whose arbitration agreements were reviewed, indicating that the facility did not obtain updated agreements reflecting the mutually convenient venue requirement for those residents.
Antibiotic Initiated Without Required Culture and Sensitivity Results
Penalty
Summary
The facility failed to follow its Antibiotic Stewardship Policy by initiating antibiotic therapy without culture and sensitivity results to guide treatment for one resident. The policy, revised on 6/16/25, stated the facility would improve antibiotic use through an Antibiotic Stewardship Program, utilize McGeer's Criteria to validate infections, and routinely review culture and sensitivity reports as part of infection surveillance. For urinary tract infections without an indwelling catheter, McGeer's Criteria require at least one clinical sign or symptom and at least one microbiologic criterion, including specific quantitative culture results. The facility's care plan for the resident, dated 12/29/25, directed staff to monitor, document, and report signs and symptoms of urinary tract infection to the provider as needed. The resident was admitted with multiple diagnoses including muscle weakness, lower back pain, and a need for assistance with personal care. A urine specimen was collected on 1/8/26, with the laboratory report indicating that a culture and sensitivity test would be completed. On 1/9/26, a nursing progress note documented that the provider was informed the urine was positive with bacteria and ordered Rocephin 1 gram intramuscularly for 7 days, while the facility was still waiting for the culture and sensitivity results. A subsequent laboratory report dated 1/14/26 documented that the culture and sensitivity was cancelled due to no sample to perform the test. On 2/20/26, the ADON confirmed that the provider ordered antibiotic therapy before culture and sensitivity results were available to determine appropriate therapy.
Failure to Ensure RN Coverage for 8 Consecutive Hours
Penalty
Summary
The facility failed to ensure that a registered nurse (RN) was on duty for at least 8 consecutive hours a day, 7 days a week, as required. This deficiency was identified during a review of staffing records and staff interviews, revealing that on two specific days, 9/7/24 and 9/8/24, the facility did not meet this requirement. On 9/7/24, the Chief Nursing Officer (CNO) was scheduled to work for only 6 hours, and on 9/8/24, another RN was scheduled to work intermittently. Furthermore, the CNO admitted to working from home on both days and was unaware that the 8 hours of RN coverage needed to be consecutive. This oversight created the potential for harm if nursing needs, whether routine or emergency, went unmet, potentially affecting all residents in the facility.
Failure to Post and Retain Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that nurse staffing information was accurately posted daily for each shift and retained for review for 18 months, as required by their policy. The policy, dated 11/28/17, mandates the daily posting of the total number and actual hours worked by RNs, LPNs, CNAs, and the resident census, with records to be kept for a minimum of 18 months or as required by state law. On 9/22/24, it was observed that the Daily Posted Staffing sheet was dated 9/20/24, indicating a failure to post the nursing hours for the last two days. The Administrator acknowledged that the medical records person was responsible for posting the weekend nursing hours on Friday but had missed it. Additionally, the Administrator confirmed on 9/25/24 that the facility had not retained the Daily Posted Staffing Sheets for the required 18 months.
Deficient Food Storage and Labeling Practices
Penalty
Summary
The facility failed to appropriately store and label food, as observed during a survey. Specifically, an open container of soy sauce was found in the food storage area without a date, which is a violation of the Idaho Food Code and the facility's own policy. The Idaho Food Code requires that refrigerated, ready-to-eat, time/temperature control for safety food prepared and held in a food establishment for more than 24 hours must be clearly marked with a date to indicate when it should be consumed, sold, or discarded. The facility's policy also mandates that opened food products should be labeled with their contents and use-by dates. During the survey, it was noted that the soy sauce container was not dated, and the lead staff member acknowledged that it should have been. Additionally, the survey revealed that the temperatures of the back hall snack refrigerator had not been checked and documented for three consecutive days. The Culinary Manager confirmed that the nursing staff was responsible for checking and documenting the refrigerator and freezer temperatures but failed to do so. This oversight in monitoring refrigerator temperatures and the lack of proper food labeling and storage practices had the potential to affect 25 of 26 residents who received meals and snacks at the facility, placing them at risk for potential contamination and use of spoiled foods, which could lead to adverse health outcomes, including food-borne illnesses.
Facility Fails to Maintain Safe and Homelike Environment
Penalty
Summary
The facility failed to provide a safe, clean, and homelike environment for two residents, leading to a potential safety risk and diminished quality of life. Resident #28, who has dementia, diabetes, and osteoarthritis, was found to have a room with scrapes, chipped paint, and holes in the walls. The Administrator and CNO acknowledged that the walls should have been repaired after the previous resident moved out. Resident #199, with a right shoulder infection and diabetes, had a room where the baseboard by the sink was missing, and part of it was sticking out, posing a risk of skin tears. The Maintenance Manager confirmed that the baseboard should have been fixed.
Failure to Complete Significant Change MDS for Pressure Ulcer
Penalty
Summary
The facility failed to complete a comprehensive Minimum Data Set (MDS) assessment for a resident who experienced a significant change in condition after developing a pressure ulcer. The resident, who was admitted with diagnoses including dementia, diabetes, and osteoarthritis, developed a silver dollar-sized open wound on the right buttock, which progressed to a stage 3 pressure injury. Despite this significant change, the resident's quarterly MDS did not document the presence of a pressure ulcer, and a significant change MDS was not completed within the required 14 days of diagnosing the pressure ulcer. This oversight was confirmed by the Regional Clinical Nurse, who acknowledged that the MDS should have been modified to reflect the resident's condition accurately.
Failure to Follow Wound Care Policy
Penalty
Summary
The facility failed to adhere to its comprehensive person-centered care plan for a resident with wounds, leading to a potential risk of infection and skin breakdown. The facility's policy on the prevention and treatment of pressure ulcers and other skin alterations requires documentation of wound evaluations with each dressing change or at least weekly. This documentation should include details such as the location, size, exudate, pain, wound bed, and surrounding tissue. However, during an observation on 9/22/24, it was noted that the bandages on the resident's legs and left toe were dated 9/11/24, indicating they had not been changed in accordance with the policy. An RN confirmed that skin tear bandaging should be changed every three days, highlighting a lapse in following the care plan for the resident, who was admitted with multiple diagnoses including a right shoulder infection and diabetes.
Deficiency in Nursing Assistant Competency and Resident Privacy
Penalty
Summary
The facility failed to ensure that Nursing Assistants (NAs) performed tasks for which they had the necessary knowledge, skills, and competencies. This deficiency was observed in one of the six NAs at the facility. The facility's policy on indwelling catheters, revised on 4/12/22, emphasized infection control and proper hygiene practices, including cleaning the catheter-urethral interface daily with soap and water. However, during an observation on 9/24/24, NA #2 was seen using peri-care wipes incorrectly by wiping toward, rather than away from, the urinary meatus, contrary to the guidelines outlined in the facility's policy and other authoritative sources like the CDC and AHRQ. Additionally, the facility failed to maintain the privacy and dignity of a resident during care procedures. On the same day, CNA #1 and NA #2 used a Hoyer lift to transfer a resident from a wheelchair to a bed, leaving the window blinds open and exposing the resident's bottom and perineum area to the outside. This lack of privacy continued as they prepared the resident for catheter care, again with the window blinds open, exposing the resident's urinary meatus area. Both CNA #1 and NA #2 acknowledged that they should have closed the window blinds before transferring the resident and performing catheter care.
Medication Management Deficiency
Penalty
Summary
The facility failed to ensure medications available for residents were properly dated and not expired, as observed during a survey. During an audit of the back hall medication cart, a box of Bisacodyl suppositories with an expiration date of November 2023 was found, indicating it should have been removed from the cart. RN #1 acknowledged that the expired medication should have been taken off the cart. Additionally, during the front hall medication cart audit, two insulin pens were found without dates in the top drawer. RN #2 was unsure if the insulin pens had been used and confirmed that they should have been dated when opened. This oversight was reiterated by RN #2, who stated that the insulin pen was not dated as required.
Infection Control Lapses in Hand Hygiene and Kitchen Practices
Penalty
Summary
The facility failed to adhere to infection control and prevention practices, impacting the safety and sanitation of the environment. An Activities Assistant was observed removing gloves without washing hands before serving a resident lemonade, only sanitizing her hands after delivering the drink. In the kitchen, a Lead Cook was seen wiping dirty counters and handling clean dishes without changing gloves or washing hands. Additionally, the Business Office Manager delivered breakfast meals to two residents without offering them hand hygiene before eating. These actions were acknowledged by staff, indicating a lapse in following proper infection control protocols.
Inaccessible Facilities for Wheelchair-Bound Resident
Penalty
Summary
The facility failed to provide a functional environment for a resident, leading to a deficiency in meeting the resident's physical needs. This issue was identified during an observation on September 24, 2024, when a resident who uses a wheelchair was unable to reach the sink faucet and handles, soap, or paper towel dispenser in her room. The resident had been admitted with multiple diagnoses, including Myasthenia Gravis and a left pelvis fracture, which necessitated the use of a wheelchair. The facility's administrator acknowledged the issue, stating he was unaware that these items were inaccessible to residents in wheelchairs.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
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 13 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
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Weiser
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Payette Healthcare Of Cascadia | 12.4 mi | ★★★★★ | 10 | 0 |
| Pioneer Nursing Home | 23.2 mi | ★★★★★ | 3 | 0 |
| Cherry Ridge Of Cascadia | 33.5 mi | ★★★★★ | 21 | 0 |
| River's Edge Rehabilitation & Living Center | 34.9 mi | ★★★★★ | 13 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Weiser Care Of Cascadia.
100% money-back within 48 hours.
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.