Royal Plaza Health and Rehabilitation of Cascadia
2870 JUNIPER DRIVE, Lewiston, ID 83501
Lewiston, Idaho · CMS verdict
Royal Plaza Health and Rehabilitation of Cascadia's CMS overall star rating stands at 4 of 5, above the Idaho state average (3.1) and reflecting above-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Royal Plaza Health and Rehabilitation of Cascadia in Lewiston, Idaho holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 62 of 100 (grade D). The 76-bed facility operates where a semi-private nursing-home room in Idaho runs a median of $10,494 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 4 of 5 stars. How this is calculated.
How the 62 is built
Each segment is a dimension's weighted points toward the score, summing to 62.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
Royal Plaza Health and Rehabilitation of Cascadia holds a CMS overall quality rating of 4 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (4/5), staffing (4/5), and quality measures (3/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Lewiston, Idaho, this facility operates 76 certified beds with an average daily census of roughly 62 residents - an occupancy rate of about 82%. The facility is classified under for profit - partnership ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 82% occupancy, this facility runs close to its typical range for a stabilized operation.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (27 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Royal Plaza Health and Rehabilitation of Cascadia compares to Idaho
CMS five-star sub-ratings (0–5) for this facility against the Idaho facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Idaho state average. Higher is better on all four CMS measures.
Where Royal Plaza Health and Rehabilitation of Cascadia ranks in Idaho
Among the 79 CMS-rated nursing homes in Idaho, Royal Plaza Health and Rehabilitation of Cascadia’s 4-star overall rating is higher than 58% of them. The bars show how all Idaho homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
14 Idaho homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 76 |
| Residents | 62 |
| Ownership | For profit - Partnership |
| County | Nez Perce |
| Penalties | 0 |
| Deficiencies | 27 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Royal Plaza Health and Rehabilitation of Cascadia? ▾
CMS rates Royal Plaza Health and Rehabilitation of Cascadia at 4 out of 5 stars overall. The three sub-ratings behind that number: health inspection 4/5, staffing 4/5, quality measures 3/5.
How much does a nursing home cost per month in Idaho? ▾
In Idaho, a semi-private nursing home room runs a median $10,494/month ($125,925/year) per the CareScout 2025 survey; private rooms average $12,167/month.
What services does Royal Plaza Health and Rehabilitation of Cascadia offer? ▾
Royal Plaza Health and Rehabilitation of Cascadia is a skilled nursing facility with 76 beds with approximately 62 current residents. It operates under for profit - partnership ownership. The facility has recorded 27 deficiencies and 0 penalties in CMS inspections.
Does Royal Plaza Health and Rehabilitation of Cascadia have any deficiencies or penalties? ▾
Royal Plaza Health and Rehabilitation of Cascadia has multiple deficiencies (27 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Idaho? ▾
In Idaho, alternatives include assisted living ($5,175/mo), home health aides ($7,341/mo), and adult day care (N/A/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Idaho elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 135116.
Read our methodology - how this data is sourced, computed, and verified.