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78/100

Canyon West of Cascadia Inspection Report, Violations & Safety Grade (Caldwell, Idaho)

2814 South Indiana Avenue, Caldwell, Idaho 83605

Phone: 2084590808

CMS Overall:4/5

Overview & Bed Count

Certified Beds
103
Avg Residents/Day
71.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Canyon
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing2/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityIdaho AvgDifference
RN Hours per Resident per Day0.760.84-0.08
Total Nurse Hours per Resident per Day3.133.99-0.86
CMS Staffing Rating2/53/5-
Nursing Staff Turnover52.8%49.5%-

Health Citation History

24 health citations on record

DateCategoryDescriptionSeverity
2026-04-16Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2026-04-16Nursing and Physician Services DeficienciesPost nurse staffing information every day.E – Moderate Harm Potential
2026-04-16Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2026-04-16Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2026-04-16Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2026-04-16Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-04-16Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2026-04-16Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.D – Moderate Harm Potential
2026-04-16Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2026-04-16Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-02-07Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F – Moderate Harm Potential
2025-02-07Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-02-07Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-02-07Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2025-02-07Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2025-02-07Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2021-09-24Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E – Moderate Harm Potential
2021-09-24Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.E – Moderate Harm Potential
2021-09-24Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2021-09-24Infection Control DeficienciesReport COVID19 data to residents and families.E – Moderate Harm Potential
2021-09-24Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.E – Moderate Harm Potential
2021-09-24Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2021-09-24Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.D – Moderate Harm Potential
2021-09-24Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential

Fire Safety Citation History

5 fire safety citations on record

DateCategoryDescriptionSeverity
2026-04-16Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2026-04-16Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2026-04-16Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2025-02-07Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2021-09-24Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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