CCN 135080 · Idaho County, Idaho
Grangeville Health & Rehabilitation of Cascadia
410 East North Second Street, Grangeville, ID 83530
Grangeville Health & Rehabilitation of Cascadia is a 60-bed for-profit nursing home in Grangeville, Idaho, first certified for Medicare or Medicaid in 1980. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 43.1 residents a day, about 72% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 60
- Average residents per day
- 43.1 (71.8% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Grangeville of Cascadia, LLC
- Certified since
- Jan 1, 1980
- Chain or affiliated group
- Cascadia Healthcare (47 facilities, chain average 3.1 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Idaho median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 16 at 1, 10 at 2, 17 at 3, 18 at 4, 18 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.43 | 3.85 | 3.68 |
| RN hours per resident per day | 0.71 | 0.78 | 0.58 |
| Weekend nurse hours per resident per day | 3.09 | ||
| Nursing staff turnover | 75.0% | 50.0% | 44.9% |
| Occupancy (residents / beds) | 71.8% | 80.0% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 6 (Aug 8, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Grangeville Health & Rehabilitation of Cascadia meets that part today: 4 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Grangeville 410 Realty, LLCOrganization | Security Interest | n/a | 06/05/2025 |
| White Oak Healthcare Finance LLCOrganization | Security Interest | n/a | 08/11/2022 |
| Cascadia Hc Group LLCOrganization | Operational / Managerial Control | n/a | 06/05/2025 |
| Cascadia Healthcare LLCOrganization | Operational / Managerial Control | n/a | 09/17/2021 |
| Cascadia Holdco LLCOrganization | Operational / Managerial Control | n/a | 06/05/2025 |
| Cascadia Services LLCOrganization | Operational / Managerial Control | n/a | 01/21/2025 |
| Hammond, OwenIndividual | Operational / Managerial Control | n/a | 03/01/2022 |
| Jenkins, AdamIndividual | Operational / Managerial Control | n/a | 04/17/2024 |
| Laforte, StephenIndividual | Operational / Managerial Control | n/a | 06/05/2025 |
| Nelson, TimothyIndividual | Operational / Managerial Control | n/a | 06/05/2025 |
| Rudolph, JohnIndividual | Operational / Managerial Control | n/a | 07/04/2025 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Mar 1, 2022 | Grangeville of Cascadia, LLC | Advanced Health Care Corporation |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.