Overview
Royal Plaza Health and Rehabilitation of Cascadia has a Medicare overall rating of 2 out of 5, below the Idaho average of 3.1. It ranks 6th of 6 nursing homes in Lewiston. It scores best on quality of care (3 of 5) and lowest on health inspections (2 of 5).
Residents receive about 3.4 hours of nursing care per day, fewer than at 83% of nursing homes in Idaho (the state average is 4.0 hours). Of that, 1.0 hours come from registered nurses.
Its most recent standard inspection, on June 26, 2026, found 12 health deficiencies, more than the Idaho average of 10.5. All of them came from complaint investigations. It has no fines on record for the past three years, while 34% of Idaho nursing homes have been fined.
Royal Plaza Health and Rehabilitation of Cascadia is a for-profit facility with 78 certified beds, caring for about 70 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1993.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 100%
Top 78%
Top 83%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- June 26, 2026
- Health deficiencies cited
- 12
- Complaint-related deficiencies
- 12
- Fines in the last 3 years
- 0
- Payment denials
- 0
- Total penalties
- 0
Staffing
Average hours of care each resident receives per day.
- All nursing staff3.42 hrs
- Registered nurses (RN)0.97 hrs
- Licensed practical nurses (LPN)0.42 hrs
- Nurse aides2.02 hrs
- Physical therapists0.07 hrs
Facility details
- Ownership
- For profit - Corporation
- Certified beds
- 78
- Average residents per day
- 70
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- December 1, 1993
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes