Nursing homes / skilled nursing facilities
Advanced Health Care of Coeur d'Alene
Coeur d'Alene, ID, 83814
CMS snapshot
Nursing homes / skilled nursing facilities
Paradise Creek Health and Rehab of Cascadia
Moscow, ID, 83843
640 North Eisenhower Street
Telephone 2088826560
CMS certification number (CCN) 135067
Ownership, as reported by CMS: For profit - Limited Liability company
Last verified: 2026-09-29
Audience
Professional snapshot
What am I walking into if I work here? CareRecon shows the evidence. You make the decision.
Facility scale
- Certified beds
- 63
- Average number of residents per day
- 46.9
Measurement period: 2026-01-01 through 2026-03-31
Workforce hours
- Reported total nurse staffing hours per resident per day
- 3.35931
- Reported RN hours per resident per day
- 0.66636
- Reported LPN hours per resident per day
- 0.62692
- Reported nurse aide hours per resident per day
- 2.06602
Measurement period: 2026-01-01 through 2026-03-31
Measurement period: 2026-01-01 through 2026-03-31
Measurement period: 2026-01-01 through 2026-03-31
Measurement period: 2026-01-01 through 2026-03-31
Weekend RN hours and weekend total nurse hours are listed in the workforce section, not in this snapshot.
Stability
- Total nursing staff turnover
- 70.9
- RN turnover
- 75.0
- Administrators who left
- Not reported in this source
Measurement period: 2025-01-01 through 2025-12-31
Measurement period: 2025-01-01 through 2025-12-31
CMS regulatory history is in this record. It is listed below as separate inspections, deficiencies, penalties, and survey summaries. This is not a regulatory score.
Provider Information processing date: 2026-08-01. The Provider Information processing date is separate from the staffing period and the turnover period.
Source: CMS Provider Information (4pq5-n9py). Periods above are the stored measurement dates, not the processing date.
“Not reported in this source” is not zero, not none, and not a finding about this facility.
Workforce snapshot
These are reported hours per resident per day, not nurse-to-patient ratios.
“Not reported in this source” is not zero, not none, and not a finding about this facility.
Census
- Certified beds
- 63
- Average number of residents per day
- 46.9
Why this may matter
Bed count reported for this nursing home on the CMS snapshot.
Number of certified beds on the CMS Provider Information file. This is not available beds and not a daily census.
Source: CMS Provider Information (4pq5-n9py)
Last update: 2026-09-29; CMS processing date 2026-08-01
Measurement period: 2026-01-01 through 2026-03-31
Why this may matter
Resident census CMS used with the staffing hours for this period.
CMS census for the staffing measurement period. This is not current occupancy and not available beds.
Source: CMS Provider Information (4pq5-n9py)
Last update: 2026-09-29; CMS processing date 2026-08-01
Reported hours
- Reported total nurse staffing hours per resident per day
- 3.35931
- Reported RN hours per resident per day
- 0.66636
- Reported LPN hours per resident per day
- 0.62692
- Reported nurse aide hours per resident per day
- 2.06602
- Reported RN hours per resident per day on the weekend
- 0.45177
- Reported total nurse staff hours per resident per day on the weekend
- 2.93750
Measurement period: 2026-01-01 through 2026-03-31
Why this may matter
Workload context for total nurse staffing during this period.
CMS reported total nurse staffing hours per resident per day. This is not a nurse-to-patient ratio.
Source: CMS Provider Information (4pq5-n9py)
Last update: 2026-09-29; CMS processing date 2026-08-01
Measurement period: 2026-01-01 through 2026-03-31
Why this may matter
Workload context for registered-nurse staffing during this period.
CMS reported registered-nurse staffing hours per resident per day. This is not a nurse-to-patient ratio.
Source: CMS Provider Information (4pq5-n9py)
Last update: 2026-09-29; CMS processing date 2026-08-01
Measurement period: 2026-01-01 through 2026-03-31
Why this may matter
Workload context for LPN staffing during this period.
CMS reported LPN staffing hours per resident per day. This is not a nurse-to-patient ratio.
Source: CMS Provider Information (4pq5-n9py)
Last update: 2026-09-29; CMS processing date 2026-08-01
Measurement period: 2026-01-01 through 2026-03-31
Why this may matter
Workload context for nurse aide staffing during this period.
CMS reported nurse aide staffing hours per resident per day. This is not a nurse-to-patient ratio.
Source: CMS Provider Information (4pq5-n9py)
Last update: 2026-09-29; CMS processing date 2026-08-01
Measurement period: 2026-01-01 through 2026-03-31
Why this may matter
Weekend workload context for registered-nurse staffing during this period.
CMS reported weekend registered-nurse hours per resident per day. This is not a nurse-to-patient ratio.
Source: CMS Provider Information (4pq5-n9py)
Last update: 2026-09-29; CMS processing date 2026-08-01
Measurement period: 2026-01-01 through 2026-03-31
Why this may matter
Weekend workload context for total nurse staffing during this period.
CMS description for this column is “Total number of nurse staff hours per resident per day on the weekend.” The API column name is truncated. This is not a nurse-to-patient ratio.
Source: CMS Provider Information (4pq5-n9py)
Last update: 2026-09-29; CMS processing date 2026-08-01
Workforce stability
Historical measures give context and do not predict an individual’s experience.
Administrators who left is a count, not a turnover rate.
“Not reported in this source” is not zero, not none, and not a finding about this facility.
- Total nursing staff turnover
- 70.9
- RN turnover
- 75.0
- Administrators who left
- Not reported in this source
Measurement period: 2025-01-01 through 2025-12-31
Why this may matter
CMS-reported nursing staff turnover for this period, as staffing-stability context.
Turnover figure CMS reported for the turnover period. CareRecon does not recalculate it and does not treat it as a rating.
Source: CMS Provider Information (4pq5-n9py)
Last update: 2026-09-29; CMS processing date 2026-08-01
Measurement period: 2025-01-01 through 2025-12-31
Why this may matter
CMS-reported RN turnover for this period, as staffing-stability context.
RN turnover figure CMS reported for the turnover period. CareRecon does not recalculate it and does not treat it as a rating.
Source: CMS Provider Information (4pq5-n9py)
Last update: 2026-09-29; CMS processing date 2026-08-01
Regulatory history
Inspections, health deficiencies, fire-safety findings, survey-summary counts, and penalties are separate CMS records. A deficiency is not proof of ongoing unsafe conditions. A penalty is not a deficiency. An inspection is not a deficiency.
A complaint-survey mark means CMS reported that the deficiency came from a complaint survey. It does not say the complaint was substantiated. Standard survey is shown only when CMS reported yes or no for that deficiency.
Inspections
Survey dates and survey types reported by CMS. An inspection date is not a deficiency.
Fire Safety Standard · 2026-05-07
Survey cycle 1
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Health Standard · 2026-05-07
Survey cycle 1
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Fire Safety Standard · 2024-08-29
Survey cycle 2
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Health Standard · 2024-08-29
Survey cycle 2
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Fire Safety Standard · 2023-07-14
Survey cycle 3
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Health Standard · 2023-07-14
Survey cycle 3
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Health deficiencies
Health citations from the CMS health deficiencies file. A deficiency is not proof of ongoing unsafe conditions.
Tag 0692 · 2026-05-07
Provide enough food/fluids to maintain a resident's health.
- Survey type: Health
- Scope and severity code: D
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2026-06-11
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0695 · 2026-05-07
Provide safe and appropriate respiratory care for a resident when needed.
- Survey type: Health
- Scope and severity code: D
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2026-06-11
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0812 · 2026-05-07
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Survey type: Health
- Scope and severity code: F
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2026-06-11
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0585 · 2024-08-29
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- Survey type: Health
- Scope and severity code: D
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2024-09-27
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0684 · 2024-08-29
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Survey type: Health
- Scope and severity code: G
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2024-09-27
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0689 · 2024-08-29
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Survey type: Health
- Scope and severity code: D
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2024-09-27
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0730 · 2024-08-29
Observe each nurse aide's job performance and give regular training.
- Survey type: Health
- Scope and severity code: E
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2024-09-27
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0756 · 2024-08-29
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- Survey type: Health
- Scope and severity code: D
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2024-09-27
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Showing the 8 most recent rows in this snapshot. 27 rows are indexed.
Fire-safety findings
Fire-safety citations. These are not health deficiencies.
Tag 0324 · 2026-05-07
Provide properly protected cooking facilities.
- Survey type: Fire Safety
- Scope and severity code: D
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2025-12-24
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0353 · 2026-05-07
Inspect, test, and maintain automatic sprinkler systems.
- Survey type: Fire Safety
- Scope and severity code: D
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2025-12-24
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0712 · 2026-05-07
Have simulated fire drills held at unexpected times.
- Survey type: Fire Safety
- Scope and severity code: F
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2025-12-24
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0914 · 2026-05-07
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- Survey type: Fire Safety
- Scope and severity code: F
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2025-12-24
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0100 · 2024-08-29
Meet other general requirements.
- Survey type: Fire Safety
- Scope and severity code: D
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2024-01-03
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0321 · 2024-08-29
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- Survey type: Fire Safety
- Scope and severity code: D
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2024-01-03
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0345 · 2024-08-29
Have approved installation, maintenance and testing program for fire alarm systems.
- Survey type: Fire Safety
- Scope and severity code: D
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2024-01-03
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0511 · 2024-08-29
Have properly installed electrical wiring and gas equipment.
- Survey type: Fire Safety
- Scope and severity code: D
- Complaint survey: No
- Standard survey: Yes
- Infection-control inspection deficiency: No
- Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
- Correction date: 2024-01-03
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Showing the 8 most recent rows in this snapshot. 13 rows are indexed.
Penalties
Fines and payment denials from the CMS penalties file. A penalty is not a deficiency.
Fine · 2024-08-29
- Fine amount in dollars, as reported by CMS: 21320
Source: CMS Penalties (g6vv-u9sr). Last update: 2026-09-29; CMS processing date 2026-08-01.
Fine · 2023-09-25
- Fine amount in dollars, as reported by CMS: 4587
Source: CMS Penalties (g6vv-u9sr). Last update: 2026-09-29; CMS processing date 2026-08-01.
Fine · 2023-09-18
- Fine amount in dollars, as reported by CMS: 4587
Source: CMS Penalties (g6vv-u9sr). Last update: 2026-09-29; CMS processing date 2026-08-01.
Fine · 2023-09-11
- Fine amount in dollars, as reported by CMS: 4545
Source: CMS Penalties (g6vv-u9sr). Last update: 2026-09-29; CMS processing date 2026-08-01.
Fine · 2023-09-05
- Fine amount in dollars, as reported by CMS: 4587
Source: CMS Penalties (g6vv-u9sr). Last update: 2026-09-29; CMS processing date 2026-08-01.
Fine · 2023-08-28
- Fine amount in dollars, as reported by CMS: 4587
Source: CMS Penalties (g6vv-u9sr). Last update: 2026-09-29; CMS processing date 2026-08-01.
Fine · 2023-08-21
- Fine amount in dollars, as reported by CMS: 4545
Source: CMS Penalties (g6vv-u9sr). Last update: 2026-09-29; CMS processing date 2026-08-01.
Survey summary
Category totals from the CMS survey summary. These counts are not the citation list.
Inspection cycle 1
Counts from the CMS survey summary. A count is not a citation narrative.
- Health survey date: 2026-05-07
- Fire-safety survey date: 2026-05-07
- Health deficiencies in this survey summary: 3
- Fire-safety deficiencies in this survey summary: 4
- Infection-control deficiencies in this survey summary: 0
Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.
Inspection cycle 2
Counts from the CMS survey summary. A count is not a citation narrative.
- Health survey date: 2024-08-29
- Fire-safety survey date: 2024-08-29
- Health deficiencies in this survey summary: 7
- Fire-safety deficiencies in this survey summary: 5
- Infection-control deficiencies in this survey summary: 0
Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.
Inspection cycle 3
Counts from the CMS survey summary. A count is not a citation narrative.
- Health survey date: 2023-07-14
- Fire-safety survey date: 2023-07-14
- Health deficiencies in this survey summary: 17
- Fire-safety deficiencies in this survey summary: 4
- Infection-control deficiencies in this survey summary: 3
Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.
Job openings, pay, shifts, satisfaction, reviews, and workplace scores are not in this record. That is a limit of the catalog, not a finding about this facility.
Where this data came from
- Source
- CMS
- Dataset
- Provider Information
- Last verified
- 2026-09-29
- CMS dataset modified
- 2026-08-01
Last verified is when CareRecon last included this facility in a successful CMS import. It is not a CMS endorsement of CareRecon. Empty sections are omitted. Missing source values are not shown as “no” or “not offered.”
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CareRecon publishes public facility information. It does not provide medical advice, diagnoses, or treatment recommendations, and it does not tell you which facility to choose.