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Special Focus Facility candidate

Medicare lists this nursing home as a candidate for its Special Focus Facility program, for nursing homes with a history of serious quality problems.

Nursing home

Cascades at Desert View

Buhl, Idaho · Twin Falls County

  • 820 Sprague Avenue, Buhl, ID 83316 · Directions
  • (208) 543‑6401
  • Medicare overall rating: 1 of 5 starsMedicare overall rating
  • Ownership: For profit – limited liability company
  • 52 health citations in its last 3 inspection cycles (most serious: level G). See the inspection record

Summary

Cascades at Desert View is a Medicare-certified nursing home in Buhl, Idaho, with 57 certified beds. Medicare overall rating: 1 of 5 stars. Most recent standard health inspection: 2026-05-15, with 24 health deficiencies. Ownership: for profit – limited liability company. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 1 of 5 starsMedicare overall rating
57Certified beds
Health inspections: 1 of 5 starsHealth inspections

Quick answers

Where is Cascades at Desert View?
820 Sprague Avenue, Buhl, ID 83316, in Twin Falls County, Idaho.
What is the phone number of Cascades at Desert View?
(208) 543-6401, as listed by Medicare (CMS).
What is the Medicare star rating of Cascades at Desert View?
Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
Has Cascades at Desert View been fined?
Medicare lists no fines for Cascades at Desert View.
What did inspectors find at Cascades at Desert View?
In its last three inspection cycles (May 31, 2024 to May 15, 2026), Medicare lists 52 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 1 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 1 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 2 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 4 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 4 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 4 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (May 31, 2024 to May 15, 2026), Cascades at Desert View had 52 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 4.05 hours per resident per day; the Idaho average is 3.99 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: May 15, 2026 — 24 health citations

Inspections in this cycle: November 19, 2025 (complaint investigation); May 15, 2026 (complaint investigation); May 15, 2026 (standard health inspection).

Show 24 citations (levels A to F, no actual harm)
  • F0585 Level F May 15, 2026 · from a complaint · corrected June 18, 2026

    “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.”

  • F0727 Level F May 15, 2026 · from a complaint · corrected June 18, 2026

    “Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.”

  • F0804 Level F May 15, 2026 · from a complaint · corrected June 18, 2026

    “Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”

  • F0812 Level F May 15, 2026 · from a complaint · corrected June 18, 2026

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0880 Level F May 15, 2026 · from a complaint · corrected June 18, 2026

    “Provide and implement an infection prevention and control program.”

  • F0812 Level F November 19, 2025 · from a complaint · corrected November 26, 2025

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0925 Level F November 19, 2025 · from a complaint · corrected November 26, 2025

    “Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”

  • F0680 Level E May 15, 2026 · from a complaint · corrected June 18, 2026

    “Ensure the activities program is directed by a qualified professional.”

  • F0684 Level E May 15, 2026 · from a complaint · corrected June 18, 2026

    “Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

  • F0732 Level E May 15, 2026 · from a complaint · corrected June 18, 2026

    “Post nurse staffing information every day.”

  • F0550 Level D May 15, 2026 · from a complaint · corrected June 18, 2026

    “Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”

  • F0552 Level D May 15, 2026 · from a complaint · corrected June 18, 2026

    “Ensure that residents are fully informed and understand their health status, care and treatments.”

  • F0558 Level D May 15, 2026 · corrected June 18, 2026

    “Reasonably accommodate the needs and preferences of each resident.”

  • F0582 Level D May 15, 2026 · from a complaint · corrected June 18, 2026

    “Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”

  • F0605 Level D May 15, 2026 · from a complaint · corrected June 18, 2026

    “Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”

  • F0628 Level D May 15, 2026 · from a complaint · corrected June 18, 2026

    “Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”

  • F0645 Level D May 15, 2026 · from a complaint · corrected June 18, 2026

    “PASARR screening for Mental disorders or Intellectual Disabilities”

  • F0655 Level D May 15, 2026 · from a complaint · corrected June 18, 2026

    “Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”

  • F0656 Level D May 15, 2026 · from a complaint · corrected June 18, 2026

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

  • F0657 Level D May 15, 2026 · from a complaint · corrected June 18, 2026

    “Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”

  • F0658 Level D May 15, 2026 · from a complaint · corrected June 18, 2026

    “Ensure services provided by the nursing facility meet professional standards of quality.”

  • F0688 Level D May 15, 2026 · from a complaint · corrected June 18, 2026

    “Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”

  • F0695 Level D May 15, 2026 · from a complaint · corrected June 18, 2026

    “Provide safe and appropriate respiratory care for a resident when needed.”

  • F0842 Level D May 15, 2026 · from a complaint · corrected June 18, 2026

    “Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”

Previous cycle: April 3, 2025 — 15 health citations

Inspections in this cycle: April 3, 2025 (standard health inspection).

Show 15 citations (levels A to F, no actual harm)
  • F0657 Level E April 3, 2025 · corrected May 8, 2025

    “Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”

  • F0947 Level E April 3, 2025 · corrected May 8, 2025

    “Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”

  • F0552 Level D April 3, 2025 · corrected May 8, 2025

    “Ensure that residents are fully informed and understand their health status, care and treatments.”

  • F0584 Level D April 3, 2025 · corrected May 8, 2025

    “Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”

  • F0641 Level D April 3, 2025 · corrected May 8, 2025

    “Ensure each resident receives an accurate assessment.”

  • F0645 Level D April 3, 2025 · corrected May 8, 2025

    “PASARR screening for Mental disorders or Intellectual Disabilities”

  • F0684 Level D April 3, 2025 · corrected May 8, 2025

    “Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

  • F0689 Level D April 3, 2025 · corrected May 8, 2025

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

  • F0755 Level D April 3, 2025 · corrected May 8, 2025

    “Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”

  • F0756 Level D April 3, 2025 · corrected May 8, 2025

    “Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”

  • F0758 Level D April 3, 2025 · corrected May 8, 2025

    “Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”

  • F0759 Level D April 3, 2025 · corrected May 8, 2025

    “Ensure medication error rates are not 5 percent or greater.”

  • F0761 Level D April 3, 2025 · corrected May 8, 2025

    “Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”

  • F0812 Level D April 3, 2025 · corrected May 8, 2025

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0880 Level D April 3, 2025 · corrected May 8, 2025

    “Provide and implement an infection prevention and control program.”

Earlier cycle: May 31, 2024 — 13 health citations

Inspections in this cycle: May 31, 2024 (complaint investigation); May 31, 2024 (standard health inspection).

  • F0600 Level G May 31, 2024 · from a complaint · past non-compliance (already fixed before the inspection) (February 14, 2024)

    “Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”

    actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show 12 less serious citations (levels A to F)
  • F0812 Level F May 31, 2024 · from a complaint · corrected July 3, 2024

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0578 Level E May 31, 2024 · from a complaint · corrected July 3, 2024

    “Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.”

  • F0625 Level E May 31, 2024 · from a complaint · corrected July 3, 2024

    “Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.”

  • F0880 Level E May 31, 2024 · from a complaint · corrected July 3, 2024

    “Provide and implement an infection prevention and control program.”

  • F0622 Level D May 31, 2024 · from a complaint · corrected July 3, 2024

    “Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.”

  • F0641 Level D May 31, 2024 · from a complaint · corrected July 3, 2024

    “Ensure each resident receives an accurate assessment.”

  • F0644 Level D May 31, 2024 · from a complaint · corrected July 3, 2024

    “Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”

  • F0695 Level D May 31, 2024 · from a complaint · corrected July 3, 2024

    “Provide safe and appropriate respiratory care for a resident when needed.”

  • F0700 Level D May 31, 2024 · from a complaint · corrected July 3, 2024

    “Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.”

  • F0883 Level D May 31, 2024 · from a complaint · corrected July 3, 2024

    “Develop and implement policies and procedures for flu and pneumonia vaccinations.”

  • F0909 Level D May 31, 2024 · from a complaint · corrected July 3, 2024

    “Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.”

  • F0919 Level D May 31, 2024 · from a complaint · corrected July 3, 2024

    “Make sure that a working call system is available in each resident's bathroom and bathing area.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (3)
  • E0036 Level E April 3, 2025 · corrected July 24, 2024

    “Establish emergency prep training and testing.”

  • E0037 Level E April 3, 2025 · corrected July 24, 2024

    “Establish staff and initial training requirements.”

  • E0039 Level E April 3, 2025 · corrected July 24, 2024

    “Conduct testing and exercise requirements.”

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeIdahoNational
Registered nurse (RN) hours per resident per day0.550.840.69
Licensed practical nurse (LPN) hours per resident per day0.970.730.86
Nurse aide hours per resident per day2.532.412.35
Total nurse staff hours per resident per day4.053.993.90
Total nurse staff hours per resident per day on the weekend3.513.393.43
RN hours per resident per day on the weekend0.370.560.48
Nursing staff turnover (per year)55.8%49.5%45.3%
RN turnover (per year)80.0%40.7%42.5%
Administrators who left in the last year1.00.30.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 19 nursing homes: Cascades Healthcare.

Legal business name: Cascades at Desert View LLC.

Owners and managers Medicare lists (12)
NameRoleShareSince
Cascades at Desert View LLCDirect owner—January 1, 2023
Desert View Holdings of Buhl, LLCDirect owner—January 1, 2023
Takayama FLPIndirect owner23%January 1, 2023
Tower Bridge FLPIndirect owner23%January 1, 2023
Moore, ThomasIndirect owner10%January 1, 2023
Eelir FLPPartnerNOT APPLICABLEJanuary 1, 2023
Quest FLPPartnerNOT APPLICABLEJanuary 1, 2023
Ronnmark FLPPartnerNOT APPLICABLEJanuary 1, 2023
Quest FLPManagement company (operational or managerial control)NOT APPLICABLEJanuary 1, 2023
Ronnmark FLPManagement company (operational or managerial control)NOT APPLICABLEJanuary 1, 2023
Takayama FLPManagement company (operational or managerial control)NOT APPLICABLEJanuary 1, 2023
Tower Bridge FLPManagement company (operational or managerial control)NOT APPLICABLEJanuary 1, 2023

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds57
Average residents per day34.5
Takes part inMedicare and Medicaid
OwnershipFor profit – limited liability company
Group or chain (affiliated entity)Cascades Healthcare
Legal business nameCascades at Desert View LLC
First approved by Medicare/Medicaid1981-10-01
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address820 Sprague Avenue, Buhl, ID 83316
CountyTwin Falls County
StateIdaho
Phone(208) 543‑6401
CMS Certification Number135089
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13