Royal Plaza Health And Rehabilitation Of Cascadia
2870 Juniper Drive, Lewiston, ID, 83501 · CCN 135116
Royal Plaza Health And Rehabilitation Of Cascadia is a CMS-certified skilled nursing facility located in Lewiston, Idaho. This facility-specific record brings together official CMS provider, inspection, rating, and enforcement data while identifying what is missing or uncertain.
What stands out in the available record
The available records contain 27 cited deficiencies across 3 surveys. 5 were coded at G or above; 2 were coded at immediate-jeopardy levels J through L.
3 of the most frequently cited tags appear more than once in the available history: F0657 (2), F0684 (2), F0760 (2). Repetition can indicate a recurring compliance area, but it is not proof that the same underlying problem remained uncorrected.
Survey history
- April 2025 — Health: 3 cited deficiencies
- November 2024 — Health: 10 cited deficiencies
- July 2021 — Health: 14 cited deficiencies
Scope and severity distribution
- Scope/severity D: 16 citations
- Scope/severity E: 4 citations
- Scope/severity F: 2 citations
- Scope/severity G: 2 citations
- Scope/severity H: 1 citation
- Scope/severity J: 2 citations
5 available citations were coded at G or above, indicating actual harm or immediate jeopardy; 2 were coded J or above.
Top Deficiency Citations
- F0657 — Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2 citations)
- F0684 — Provide appropriate treatment and care according to orders, resident’s preferences and goals. (2 citations)
- F0760 — Ensure that residents are free from significant medication errors. (2 citations)
- F0584 — Honor 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. (1 citation)
- F0644 — Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (1 citation)
Deficiency categories
- Resident Rights Deficiencies: 7 citations
- Quality of Life and Care Deficiencies: 7 citations
- Resident Assessment and Care Planning Deficiencies: 6 citations
- Pharmacy Service Deficiencies: 2 citations
- Nutrition and Dietary Deficiencies: 1 citation
- Nursing and Physician Services Deficiencies: 1 citation
Official CMS Five-Star context
- Overall: 2 of 5 stars
- Health inspection: 2 of 5 stars
- Staffing: 3 of 5 stars
- Quality measure: 2 of 5 stars
CMS reports 3.24 total nurse staffing hours per resident day.
Five-Star values above are official CMS fields. POCDesk does not calculate or predict the official CMS rating.
Enforcement and penalties
No penalty actions appear in the enforcement records currently available to POCDesk. This is a statement about the present dataset, not a guarantee that no action has ever occurred.
Sources, freshness, and limitations
Source: official CMS datasets, including Provider Information, Health Deficiencies, and Penalties. View the CMS data source. The available rating record has a CMS processing date of August 2026. POCDesk last refreshed that rating record on September 2026.
POCDesk groups citations by survey date, counts recurring F-Tags across the available history, and summarizes CMS scope/severity codes. Those summaries are POCDesk organization and interpretation of public records, not official ratings or survey findings of our own. Read the governing 42 CFR Part 483 and our editorial standards and methodology.
Counts alone do not explain the residents affected, corrective work completed, current conditions, appeals, or whether a finding was later changed. Data can be delayed, suppressed, incomplete, or revised by CMS. Verify important decisions with Medicare Care Compare, state survey records, the facility, and an in-person visit.
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