Paradise Creek Health and Rehab of Cascadia was the second largest nursing home in Latah County for the first quarter of 2026, data from the Centers for Medicare and Medicaid Services (CMS) shows.
The center reported 63 available beds, which was four fewer than the county average in early 2026. On average, staff assisted 45.8 residents during the period.
The CMS awarded Paradise Creek Health and Rehab of Cascadia an overall rating of 2 out of 5. This falls below the Idaho nursing home average of 3.2.
During the period, Aspen Park of Cascadia ranked as Latah County’s largest nursing home, offering 70 beds.
As of the first quarter of 2026, Paradise Creek Health and Rehab of Cascadia had incurred $90,362 in fines across 13 penalties.
Latah County, Idaho, had two for-profit nursing homes in total.
U.S. Census Bureau estimates indicate that the country’s older population is rising as the number of younger Americans declines. From 2020 to 2024, the over-65 population rose by 13%, while those under 18 dropped 1.7%. The United States’ senior population has expanded notably in the past 100 years, climbing from 4.9 million in 1920 to more than 61 million in 2024.
A 2021 analysis projects nearly half of adults in this age category—about 28 million people—will need long-term services and supports. The same research estimates that more than a third could ultimately 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, an insurance education nonprofit. “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.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | Aspen Park of Cascadia | 5 |
| 2 | Paradise Creek Health and Rehab of Cascadia | 2 |
Information for this story was drawn from the Centers for Medicare and Medicaid Services. Access the original data set here.


