Where They Care · plain answers about nursing homes

Clarkston Health and Rehab of Cascadia

1242 Eleventh Street, Clarkston, WA 99403 · 90 beds · For profit - Limited Liability company

The records flag: 2 citations where a resident was harmed.

Everything here comes from Medicare's own inspection and payroll records. We don't rank facilities or take payment from them.

Medicare overall rating
★★★
Average · 3 of 5
All nursing staff, hours / resident
3.08
RNs, LPNs and aides · state average 4.23
Weekend RN coverage
−16%
vs weekdays
Staff turnover
22%
state average 45%
2 citations where a resident was harmed
Harm was found, without immediate danger to life.
Staff turnover of 22% is below the state average
The average across this state is 45%.

These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.

Who's actually on the floor

Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.

Weekdays
0.98 hrs
Weekends
0.82 hrs
WA average
0.91 hrs

Registered nurses only — hours per resident per day. Longer is better.

Registered nurse coverage is about 16% lower at weekends.

Staff turnover: 22%

High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.

What inspectors found

State inspectors visit at least once a year and after complaints. Over the last three years this facility received 53 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.

SeverityCitations
Actual harm
A resident was harmed, without immediate danger to life
2
Potential for harm
No one harmed yet, but conditions could allow it
51
No harm
Rule and paperwork findings
0

11 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.

Medicare has issued $32,711 in fines here over the past three years.

Disclosed affiliations

Medicare requires every facility to disclose the people and companies connected to it. Most names below are not owners — they are officers, directors, managers, trustees, and what Medicare calls “additional disclosable parties.” The role beside each name is the one Medicare recorded. This is worth reading because operators tend to run their facilities alike: where the same group stands behind a dozen homes, the record across all twelve tells you more than any single inspection does.

NameRole recorded by MedicareSince
Cascadia Hc Group LLC Indirect owner 06/05/2025
Cascadia Healthcare LLC Indirect owner 12/01/2021
Cascadia Holdco LLC Indirect owner 06/05/2025
Cascadia Washington Operations LLC Direct owner 12/01/2021
Hammond, Owen Indirect owner, Operational or managerial control 12/01/2021
Laforte, Stephen Indirect owner, Operational or managerial control 06/05/2025
Nelson, Timothy Indirect owner, Operational or managerial control 06/05/2025
Cascadia Services LLC Operational or managerial control, Additional disclosable party 05/28/2021
Rudolph, John Operational or managerial control, Additional disclosable party 07/04/2025
Schiller, Andrew Operational or managerial control, Additional disclosable party 09/05/2021
Timberline Ohi Tenant LLC Holds a security interest (5% or more), Additional disclosable party 06/05/2025
White Oak Healthcare Finance LLC Holds a security interest (5% or more) 08/11/2022

Of the 12 parties disclosed here, 7 hold an ownership interest; the rest are recorded in a management, officer, financial, or other disclosable capacity. A percentage is shown only where Medicare published one — for most disclosed parties it publishes none.

Other options nearby

Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.

FacilityMilesRating Nurse hrsWeekend
Idaho State Veterans Home - Lewiston
Lewiston
1.5 5 2.08 −45%
Life Care Center of Lewiston
Lewiston
2.5 5 0.92 −44%
Royal Plaza Health and Rehabilitation of Cascadia
Lewiston
2.9 4 0.98 −40%
Cascadia of Lewiston
Lewiston
3.0 4 0.59 +8%
Lewiston Transitional Care of Cascadia
Lewiston
3.3 4 0.40 −41%
Orchard View Post Acute
Lewiston
3.9 2 1.01 −24%
Aspen Park of Cascadia
Moscow
21.9 5 0.46 −57%
Paradise Creek Health and Rehab of Cascadia
Moscow
23.3 2 0.72 −37%

Weekend column shows the change in registered-nurse coverage at weekends compared with weekdays.

Worth asking on a visit

Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.

  1. Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?

Where these numbers come from

All figures are published by the Centers for Medicare & Medicaid Services. Different measures cover different periods — some are considerably older than others, so each is dated separately below rather than under one "last updated" stamp.

Staffing hours
Jan–Mar 2026
Staff turnover
calendar year 2025
Inspections & citations
Jul 2023 – Jun 2026
Fines & penalties
last 3 years
Ownership
as reported to Medicare
Star rating & file release
CMS file dated 1 July 2026

We report what the records say and don't draw conclusions about care quality. If you believe something on this page is wrong — email a correction. It reaches a person, not a form. We check every report, fix what is wrong, and say so on the page; see how we handle corrections. If you work at this facility and our figures disagree with your own records, we want to hear that too.