Royal Plaza Health and Rehabilitation of Cascadia
2870 Juniper Drive, Lewiston, ID 83501
2 out of 5 in Medicare’s overall rating
Summary
Royal Plaza Health and Rehabilitation of Cascadia is a nursing home in Lewiston, Idaho, in Nez Perce County. According to Medicare (CMS), it has 78 certified beds and it cares for an average of 70 residents a day. It is certified by Medicare and Medicaid since 1993. It is a privately owned, for-profit home. It belongs to Cascadia Healthcare, an organization with 47 nursing homes. The closest hospital with an emergency room is St Joseph Regional Medical Center, about 2.2 miles away in a straight line.
What it offers
- Resident council
- Yes, residents have an organized council
- Residents on the day of the last inspection
- 72 (34 on Medicaid and 11 on Medicare), on April 17, 2025
- Owner (organization)
- Cascadia Idaho Operations LLC
Public data from CMS — Long-Term Care Facility Characteristics (Form 671), 2nd quarter of 2026, CMS — Nursing Homes: Provider Information, CMS — Ownership, September 30, 2026. Confirm the details when you call.
Medicare ratings
Medicare (CMS) rates certified nursing homes from 1 to 5 stars. Royal Plaza Health and Rehabilitation of Cascadia has 2 out of 5 in the overall rating.
- Overall
- 2/5
- Health inspections
- 2/5
- Staffing
- 3/5
- Quality measures
- 2/5
- Long-stay residents
- 3/5
- Short-stay residents (rehab)
- 2/5
Star ratings are a useful reference, not a final verdict: it’s best to visit, meet the staff and ask your questions. Source: CMS, September 1, 2026.
Key facts
- Ownership
- For-profit (corporation)Part of Cascadia Healthcare (47 nursing homes)
- Certification
- Medicare and Medicaid
- Resident or family council
- Resident council
- Certified since
- December 1, 1993
- CMS certification number (CCN)
- 135116
What certification means. A certified nursing home meets the federal requirements of the Centers for Medicare & Medicaid Services (CMS) to receive payments from Medicare, as a skilled nursing facility, or from Medicaid, as a nursing facility. Federal rules require it to have enough nursing staff 24 hours a day, and the state agency inspects it without advance notice. Medicare covers only short stays for skilled care (nursing or therapy), usually after an inpatient hospital stay of at least 3 days, for up to 100 days per benefit period. For long stays, ask whether your family member qualifies for Medicaid.
Services and features
Royal Plaza Health and Rehabilitation of Cascadia hasn’t shared information about its services, prices, languages or availability yet. When you call, ask who they serve, what the rate includes, whether any staff speak Spanish and whether they have an opening now. Use our checklist.
Questions to ask when you call

Marisol’s tip: a ten-minute call clears up a lot. Keep these questions handy and write down the answers so you can compare with other places.
- Do you have a bed available now, and for what kind of stay: rehab after the hospital or long-term care?
- Do you accept Medicaid from admission, or only after a period of private pay? Do you take my relative’s Medicare plan?
- Is there staff who speaks Spanish on every shift, including nights?
- What therapies do you offer (physical, occupational, speech), and how many days a week?
- How do you keep the family informed, and when is the care plan meeting?
- What are the visiting hours, and can several family members visit at once?
Location and what’s nearby
The map loads as you scroll.
- Address
- 2870 Juniper Drive, Lewiston, ID 83501Nez Perce County
- Closest hospital with an emergency room
- St Joseph Regional Medical Center415 Sixth Street, Lewiston · 2.2 miles in a straight line · source: CMS Hospital General Information
Ask which hospital they send residents to and who goes with them.
Medicare inspections
Like every certified nursing home, Royal Plaza Health and Rehabilitation of Cascadia gets regular inspections that the state carries out on Medicare’s behalf. We show you the public summary so you have the full picture. Each place can tell you how it works and what improvements it has made: it’s a good conversation to have during your visit.
- Last standard inspection
- June 26, 2026 · 12 deficiencies cited
- Fines (last 3 years)
- None on record
See the full reports on Medicare Care Compare. Source: CMS, September 1, 2026. Do you run this nursing home? Add your information so families can learn about your work.
Who to call in Idaho
- Long-Term Care Ombudsman
- Idaho Long-Term Care Ombudsman Program (Idaho Commission on Aging). A free, confidential service that advises residents and families of nursing homes and assisted living and helps resolve concerns with the facility.(877) 471-2777 · Official website
- Free Medicare counseling (SHIP)
- Senior Health Insurance Benefits Advisors (SHIBA) – Idaho Department of Insurance. They explain what Medicare covers and how to compare plans, without selling insurance.(800) 247-4422 · Official website
- Medicaid
- Idaho Department of Health and Welfare (DHW). Long-term care programs: Nursing Home Coverage (Medicaid), Aged and Disabled (A&D) Waiver, Idaho Home Choice.(877) 456-1233 · Official website
- Licensing and inspections
- Idaho Department of Health and Welfare – Bureau of Facility Standards.Look up a license
- Services for older adults
- Idaho Commission on Aging – Area Agencies on Aging and Aging & Disability Resource Center (ADRC).(877) 471-2777 · Official website
- Eldercare Locator (nationwide)
- A free national line that connects you with your local Area Agency on Aging.(800) 677-1116 · Official website
Contact information checked against official sources on October 15, 2026. These are free public services; hogaresparamayores.com is not affiliated with them.
Official data and sources
- CMS — Nursing Homes: Provider Information, updated September 30, 2026
See a mistake? Let us know and we’ll fix it. Being listed in an official registry doesn’t mean hogaresparamayores.com knows or recommends the place.
Frequently asked questions
Does Royal Plaza Health and Rehabilitation of Cascadia accept Medicaid?
Where is Royal Plaza Health and Rehabilitation of Cascadia located?
What is Royal Plaza Health and Rehabilitation of Cascadia’s Medicare rating?
What hospital is near Royal Plaza Health and Rehabilitation of Cascadia?
How much does Royal Plaza Health and Rehabilitation of Cascadia cost?
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