Royal Plaza Health And Rehabilitation Of Cascadia is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1993-12-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (208) 746-2855 or your local Medicaid office to verify current eligibility.

Royal Plaza Health And Rehabilitation Of Cascadia holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (4★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 69.0/100, placing it #8756 of 14703 facilities nationally and #65 of 80 in Idaho. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Royal Plaza Health And Rehabilitation Of Cascadia receives a reported average of 3 hours 42 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 58 minutes; Licensed Practical Nurse (LPN) — 32 minutes; Nurse Aide — 2 hours 12 minutes. On weekends, total nurse staffing is 3 hours 4 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 41.7%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 30 fine(s) over the 5-year period, totaling $567,178. 33 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 31.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Royal Plaza Health And Rehabilitation Of Cascadia ranks 8756th out of 14,703 facilities (composite score: 69.0/100), placing it in the below average nationwide. Within ID, it ranks 65th out of 80 nursing homes. In Lewiston, it ranks 4th out of 6 facilities. Among facilities sharing its ZIP code, it ranks 4th of 6. For 2026 staffing: total nurse hours rank #7,112 nationally and RN hours rank #2,173 nationally (#27 in ID). Our composite quality score of 69.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Lewiston, visit: https://nursinghomesnearme.org/idaho/lewiston/