In the first quarter of 2026, Cascadia Idaho Operations, LLC owned Grangeville Health & Rehabilitation of Cascadia, the Centers for Medicare and Medicaid Services (CMS) reported. Located in Idaho County, the facility has been under Cascadia Idaho Operations, LLC since Sep. 17, 2021.
Grangeville Health & Rehabilitation of Cascadia operates as a for-profit nursing facility.
The nursing home earned an overall CMS rating of 4 stars in that timeframe, surpassing Idaho’s nursing home average of 3.2. CMS ratings are based on factors including health inspection outcomes, staffing, and quality of resident care.
Data shows that Grangeville Health & Rehabilitation of Cascadia provided care to an average of 40.3 residents per day in early 2026, offering 60 available beds. The facility does not have a hospital-based designation.
Grangeville Health & Rehabilitation of Cascadia had no fines or penalties recorded for the first quarter of 2026.
Idaho County contained one for-profit nursing home during that period.
U.S. Census Bureau estimates indicate the country’s population of older adults is rising while younger populations decrease. From 2020 to 2024, the number of Americans age 65 and older climbed 13%, and the number under 18 decreased by 1.7%. The older adult population has expanded significantly in the past 100 years, from 4.9 million in 1920 to more than 61 million by 2024.
A 2021 study found nearly half of this age group—about 28 million people—may need long-term services and supports, and the study estimates that over one-third may eventually require nursing home care.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Grangeville Health & Rehabilitation of Cascadia | Cascadia Idaho Operations, LLC | For profit – Corporation | 4 | 40.3 |
Information in this article was obtained from the Centers for Medicare and Medicaid Services. The source data can be found here.


