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.
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.
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).
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/
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.