PARADISE CREEK HEALTH AND REHAB OF CASCADIA – MOSCOW, ID

CMS Verified | 2026-03-01

Paradise Creek Health And Rehab Of Cascadia

640 NORTH EISENHOWER STREET, Moscow, ID 83843
(208) 882-6560
63 beds
All Moscow facilities
2.0*
Overall
2.0*
Health Inspection
4.0*
Quality Care
2.0*
Staffing
66.08
Score /100
#9923
National Rank

#9923
of 14703 facilities
National
32.5% position
#68
of 80 in ID
State Rank
#2
of 2 in Latah
County Rank
#2
of 2 in Moscow
City Rank
#2
of 2 in ZIP 83843
ZIP Rank






About Paradise Creek Health And Rehab Of CascadiaParadise Creek Health And Rehab Of Cascadia is located at 640 North Eisenhower Street, Moscow, ID, reachable at (208) 882-6560. This For profit – Corporation facility operates 63.0 certified beds and serves an average of 48 residents per day. It is part of the Cascadia Healthcare network (44 facilities nationwide). Medicare and Medicaid services have been provided since 1977-06-01. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Paradise Creek Health And Rehab Of Cascadia

Address

640 North Eisenhower Street, Moscow, ID 83843

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 63 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: CASCADIA HEALTHCARE

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
❌ 44 fine(s) over 5 years
5-Year Trend
Declining over 5 years
66.08
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#9923 of 14703 nationally – #68 of 80 in Idaho

Who Is This Facility Best For?

Paradise Creek Health And Rehab Of Cascadia may be considered for families with limited options in Moscow, ID, but its lower CMS ratings suggest careful due diligence is warranted. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families prioritizing high RN coverage should discuss staffing schedules directly with the facility, as registered nurse hours have trended downward in recent years.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

2 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightParadise Creek Health And Rehab Of Cascadia currently provides 3 hours 14 minutes of total nurse staffing per resident per day, including 43 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. RN hours per resident have declined from 85 min/day (2022) to 43 min/day (2026) — a trend families should be aware of. Total nursing staff turnover is high at 68.8%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 14 minutes
Nurse Aide Hours1 hour 59 minutes
Licensed Practical Nurse (LPN) Hours32 minutes
Registered Nurse (RN) Hours43 minutes
Physical Therapist Hours7 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 56 minutes
Weekend Registered Nurse (RN) Hours24 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 13 fine(s) totaling $90,362. 4 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 13
Total Fines Amount $90362.0
Payment Denials 0
Total Penalties 13
Abuse Flag on Record N
Total Weighted Health Survey Score 79.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#9,923
of 14,703
National
Bottom 33%
#68
of 80
ID State
Bottom 15% in ID
#2
of 2
️ Latah County
#2 of 2
#2
of 2
️ Moscow
#2 of 2
#2
of 2
ZIP 83843
#2 of 2

Nationally, Paradise Creek Health And Rehab Of Cascadia ranks 9923rd out of 14,703 facilities (composite score: 66.1/100), placing it in the below average nationwide. Within ID, it ranks 68th out of 80 nursing homes. In Moscow, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #11,618 nationally and RN hours rank #4,740 nationally (#41 in ID).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank ID State Rank Note
2022 4.00 #4,281 / 14,703 #48 / 80 Above average
2023 3.41 #8,583 / 14,703 #64 / 80 Below average
2024 3.93 #4,685 / 14,703 #34 / 80 Above average
2025 3.70 #6,897 / 14,703 #49 / 80 Above average
2026 3.24 #11,618 / 14,703 #71 / 80 ⚠️ Bottom 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank ID State Rank Note
2022 1.41 #709 / 14,703 #9 / 80 Top 5%
2023 1.48 #520 / 14,703 #7 / 80 Top 5%
2024 0.95 #2,062 / 14,703 #20 / 80 Top 25%
2025 0.84 #3,030 / 14,703 #33 / 80 Top 25%
2026 0.71 #4,740 / 14,703 #41 / 80 Above average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Paradise Creek Health And Rehab Of Cascadia is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1977-06-01. 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) 882-6560 or your local Medicaid office to verify current eligibility.

Paradise Creek Health And Rehab Of Cascadia holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (2★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 66.1/100, placing it #9923 of 14703 facilities nationally and #68 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 Paradise Creek Health And Rehab Of Cascadia receives a reported average of 3 hours 14 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 43 minutes; Licensed Practical Nurse (LPN) — 32 minutes; Nurse Aide — 1 hour 59 minutes. On weekends, total nurse staffing is 2 hours 56 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 68.8%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 13 fine(s) totaling $90,362. 4 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 13 fine(s) totaling $90,362, and 0 Medicare payment denial(s). Total penalties: 13. The Total Weighted Health Survey Score is 79.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Paradise Creek Health And Rehab Of Cascadia ranks 9923rd out of 14,703 facilities (composite score: 66.1/100), placing it in the below average nationwide. Within ID, it ranks 68th out of 80 nursing homes. In Moscow, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #11,618 nationally and RN hours rank #4,740 nationally (#41 in ID). Our composite quality score of 66.1/100 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 Moscow, visit: https://nursinghomesnearme.org/idaho/moscow/

Contact and Location

ADR
Address

640 NORTH EISENHOWER STREET, Moscow, ID 83843
Get directions on Google Maps

TEL
LLC
Legal Name

MOSCOW NORTH OF CASCADIA LLC

MAP
Browse by Location

All Idaho ·
Latah County ·
Moscow ·
ZIP 83843

Facility Details

Number of Certified Beds 63
Average Residents / Day 48 (76% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Latah County, ID
City Moscow, ID
ZIP Code 83843
Approved Since June 1, 1977
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 135067
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org