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Skilled nursing facility · CMS certified · CCN 135116

Royal Plaza Health and Rehabilitation of Cascadia

2930 Juniper Drive, Lewiston, ID 83501 · Nez Perce County · one of 80 skilled nursing facilities in Idaho
Its Medicare cost report, line by line ↓
78
certified beds
2 / 5
overall CMS rating
For-profit
ownership type
90.3%
occupancy, Oct 2026: 70 residents a day · Idaho 76.2%
1.36
case mix, 0.97x the national average
3.24
nurse hours per resident day · Idaho 4.04
What if · this building’s own numbers
Medicare cost report, FY2025, and the state rate file

Every slider starts where this building’s FY2025 Medicare cost report left it. Drag occupancy, the Medicaid rate or the costs, and see what the change does to revenue, cost and operating income.

00.0%
00%
$000
$000
$000
0.00
From this change, a year
+$000,000
profit from patient care, before rent, loan interest and depreciation
Where that leaves the building, a year
Patient revenue
$00,000,000
Cost to run it
$00,000,000
Profit from patient care (EBITDAR)
$0,000,000 to $0,000,000

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How Royal Plaza Health and Rehabilitation of Cascadia compares

Better than most of Nez Perce County on 2 of 8 lines.

Occupancy, Oct 202690.3%Better than mostHigher than 4 of the 5 other buildings in Nez Perce County

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 68.7%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day3.24Behind mostLower than all 5 other buildings in Nez Perce County

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.51. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating2 / 5Behind mostLevel with 2 of the 5 other buildings in Nez Perce County; the other 3 are ahead

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Behind mostHigher than 1 of the 5 other buildings in Nez Perce County, level with 1

CMS's star rating for the building's recent health inspections. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating3 / 5Mid-packHigher than 2 of the 5 other buildings in Nez Perce County, level with 1

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating3 / 5Behind mostHigher than 1 of the 5 other buildings in Nez Perce County, level with 1

CMS's star rating for resident-care quality measures. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.97Better than mostHigher than 3 of the 5 other buildings in Nez Perce County

Registered nurse hours for each resident, each day. The middle of the set: 0.91. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited24Behind mostMore than all 5 other buildings in Nez Perce County

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 6. Source: CMS Provider Information, Oct 2026 file.

Better than most of Idaho on 2 of 8 lines.

Occupancy, Oct 202690.3%Better than mostHigher than 67 of the 79 other buildings in Idaho

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 79.8%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day3.24Behind mostHigher than 3 of the 78 other buildings in Idaho

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.87. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating2 / 5Behind mostHigher than 12 of the 78 other buildings in Idaho, level with 16

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Behind mostHigher than 18 of the 78 other buildings in Idaho, level with 18

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating3 / 5Mid-packHigher than 28 of the 77 other buildings in Idaho, level with 18

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating3 / 5Behind mostHigher than 8 of the 78 other buildings in Idaho, level with 9

CMS's star rating for resident-care quality measures. The middle of the set: 5 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.97Better than mostHigher than 58 of the 78 other buildings in Idaho

Registered nurse hours for each resident, each day. The middle of the set: 0.76. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited24Behind mostFewer than 9 of the 79 other buildings in Idaho

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 11. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Idaho
Net margin00.0%

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Medicaid share of days00.0%

Opens with a free account

Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Royal Plaza Health and Rehabilitation of Cascadia
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Street View
2930 Juniper Drive, Lewiston, ID
Map around Royal Plaza Health and Rehabilitation of Cascadia
Map · Nez Perce County
Nez Perce County, Idaho
6 skilled nursing facilities; average overall rating 3.2, Idaho 3.1.
See how Nez Perce County compares ›
Cost report, against Idaho
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Idaho. The rank counts from the top: 1st is the highest figure among Idaho's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

What this building filed with Medicare for FY2025 (the year ending 2025-12-31), against the middle Idaho building.

Line
This building
Rank in state
Idaho median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
76.3%
69
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
8.4%
70
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
70.9%
70
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$0000.0 ptsFY0000: 00.0%
00th of 000
$422
71
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$0000.0 ptsFY0000: 00.0%
00th of 000
$416
71
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$0000.0 ptsFY0000: 00.0%
00th of 000
$19
71
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
4.3%
71

See this building's own numbers

Free account. What it filed, and where it ranks.

Quality and staffing
CMS Care Compare · Oct 2026
Overall rating2 / 5 · state 3.1
Health inspection2 / 5 · state 2.6
Staffing3 / 5 · state 3
RN hours per resident per day0.97 · state 0.84
Overall rating, last 5 quarters
052Q3’244Q3’254Q4’254Q1’264Q2’26latest
up 2 stars over the 5 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingIdahonationrecent quarters
Needed more help with daily activities23.4%worse than state15.4%13.5%2025Q2: 14.6%2025Q3: 22.4%2025Q4: 28.3%2026Q1: 16.4%2026Q2: 26.9%
14.6% → 26.9%
Q2’25 to Q2’26
Catheter inserted and left in0.0%better than state1.0%0.7%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Urinary tract infection5.0%worse than state2.0%1.5%2025Q2: 6.0%2025Q3: 4.1%2025Q4: 10.5%2026Q1: 3.6%2026Q2: 1.7%
6.0% → 1.7%
Q2’25 to Q2’26
Fall with major injury4.0%worse than state3.1%3.2%2025Q2: 3.9%2025Q3: 2.0%2025Q4: 3.4%2026Q1: 6.8%2026Q2: 3.4%
3.9% → 3.4%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)3.0%worse than state1.7%1.5%2025Q2: 0.0%2025Q3: 5.0%2025Q4: 6.5%2026Q1: 2.7%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Ability to walk independently worsened20.8%worse than state15.8%12.7%2025Q2: 18.8%2025Q3: 23.8%2025Q4: 19.9%2026Q1: 24.5%2026Q2: 15.8%
18.8% → 15.8%
Q2’25 to Q2’26
Pressure ulcers1.5%better than state3.4%4.5%2025Q2: 6.7%2025Q3: 4.5%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 1.8%
6.7% → 1.8%
Q2’25 to Q2’26
Given an antipsychotic24.9%worse than state20.3%15.4%2025Q2: 13.9%2025Q3: 22.0%2025Q4: 27.7%2026Q1: 24.5%2026Q2: 25.0%
13.9% → 25.0%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Jun 2026
last standard survey
24
deficiencies cited · Idaho avg 13.2
$0
fines, last 3 years
2022
last change of ownership on the federal file
Reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Idaho
state rate files
$227
median daily rate across the Idaho buildings in our rate book, Oct 2026 file
Idaho rates and what changed ›
Nez Perce County
buildingbedsoverallLife Care Center of Lewiston1215 / 5Cascadia of Lewiston344 / 5Lewiston Transitional Care of Cascadia964 / 5Idaho State Veterans Home - Lewiston662 / 5Orchard View Post Acute1272 / 5Royal Plaza Health and Rehabilitation of Cascadia782 / 5
All Idaho buildings in Nez Perce County ›
Also in Lewiston, ID
5 other certified skilled nursing facilities in Lewiston
buildingbedsoverallCascadia of Lewiston344 / 5Idaho State Veterans Home - Lewiston662 / 5Lewiston Transitional Care of Cascadia964 / 5Life Care Center of Lewiston1215 / 5Orchard View Post Acute1272 / 5
Idaho at a glance
80
buildings
6,115
licensed beds
75%
occupancy
81%
for-profit
Idaho market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyCascadia of LewistonLewiston · 0.0 mi344 / 5over 85%Lewiston Transitional Care of CascadiaLewiston · 0.9 mi964 / 5under 70%Life Care Center of LewistonLewiston · 1.3 mi1215 / 5under 70%Idaho State Veterans Home - LewistonLewiston · 1.4 mi662 / 570-85%Orchard View Post AcuteLewiston · 1.4 mi1272 / 5under 70%Clarkston Health and Rehab of CascadiaClarkston · 2.9 mi903 / 5over 85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Royal Plaza Health and Rehabilitation of Cascadia?
Royal Plaza Health and Rehabilitation of Cascadia in Lewiston, ID carries an overall CMS rating of 2 out of 5 stars in the Oct 2026 CMS file.
How many beds does Royal Plaza Health and Rehabilitation of Cascadia have?
Royal Plaza Health and Rehabilitation of Cascadia is certified for 78 beds in the Oct 2026 CMS file.
How full is Royal Plaza Health and Rehabilitation of Cascadia?
CMS's reported average residents put Royal Plaza Health and Rehabilitation of Cascadia's occupancy in the over 85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.

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