ROYAL PLAZA HEALTH AND REHABILITATION OF CASCADIA

Official Government Ratings

Care Quality Indicators

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 4 out of 5 stars, above the Idaho average of 3.2 stars. Its strongest area is health inspections (4 stars), while quality measures (2 stars) is its weakest. Its rate of falls resulting in major injury (3.3%) is above the Idaho average of 2.8% — a measure worth asking the staff about. With 76 certified beds, it maintains moderate occupancy at roughly 88% 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: 21.1% — worse than the Idaho average of 20.1%.
• Falls with major injury: 3.3% — worse than the Idaho average of 2.8%.
• High-risk pressure ulcers: 3.3% — about the same as the Idaho average of 3.3%.
• Short-stay rehospitalization: 18.6% — worse than the Idaho average of 18.5%.

Comparisons use CMS Care Compare data (updated May 4, 2026) measured against Idaho averages across 80 facilities tracked by ElderVoice.

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