Royal Plaza Health and Rehabilitation of Cascadia
2870 Juniper Drive, Lewiston, ID 83501
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
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Free guide: the exact questions to ask Royal Plaza Health and Rehabilitation of Cascadia, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How Royal Plaza Health and Rehabilitation of Cascadia Compares
Royal Plaza Health and Rehabilitation of Cascadia is a 76-bed for-profit nursing facility in Lewiston, Idaho. It holds an overall CMS rating of 2 out of 5 stars, below the Idaho average of 3.1 stars. Its lowest sub-rating is health inspections at 2 stars. Its rate of falls resulting in major injury (4.1%) is above the Idaho average of 3.0% — a measure worth asking the staff about. With 76 certified beds, it operates near capacity at roughly 93% occupied.
Among the 6 nursing facilities ElderVoice tracks in Lewiston, 2 hold a 5-star rating and the local average is 3.7 stars.
By the numbers vs. Idaho average
- Long-stay antipsychotic medication use: 22.5% — worse than the Idaho average of 20.1%.
- Falls with major injury: 4.1% — worse than the Idaho average of 3.0% (39% higher).
- High-risk pressure ulcers: 2.6% — better than the Idaho average of 3.2%.
- Short-stay rehospitalization: 13.2% — better than the Idaho average of 18.0% (27% lower).
Comparisons use CMS Care Compare data (updated September 5, 2026) measured against Idaho averages across 80 facilities tracked by ElderVoice.
Questions to Ask Royal Plaza Health and Rehabilitation of Cascadia
Use these facility-specific questions when calling admissions, touring the building, or comparing Royal Plaza Health and Rehabilitation of Cascadia with other nursing homes in Lewiston.
How is Royal Plaza Health and Rehabilitation of Cascadia addressing its health inspections rating?
CMS currently rates this category 2 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What is Royal Plaza Health and Rehabilitation of Cascadia doing to reduce falls with major injury?
Falls with major injury is 4.1% here versus 3.0% across Idaho. Lower is generally better for this CMS measure.
What practices help Royal Plaza Health and Rehabilitation of Cascadia keep high-risk pressure ulcers below the state average?
High-risk pressure ulcers is 2.6% here versus 3.2% across Idaho. Lower is generally better for this CMS measure.
How does Royal Plaza Health and Rehabilitation of Cascadia maintain staffing when occupancy is high?
The facility reports roughly 93% occupancy across 76 certified beds, so ask how staffing is adjusted during full census periods.
How can a new family connect with existing councils at Royal Plaza Health and Rehabilitation of Cascadia?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
Where does Royal Plaza Health and Rehabilitation of Cascadia lag behind other Lewiston options?
Its 2-star overall rating is below the local average of 3.7 stars across 6 facilities. Ask administrators what differentiates this home despite the rating gap.
The Senior Community Around Lewiston
Lewiston sits in Nez Perce County, where adults 65 and older make up about 19.8% of the population — a higher share of seniors than Idaho as a whole (15.8% statewide). The area's median household income is consistent with state averages.
- Residents 65+
- 8,014 (19.8%)
- Median age
- 40.4 years
- Median household income
- $57,099
- Median home value
- $205,600
Demographics for Nez Perce County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Lewiston.
Facility Details
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