Twin Falls Transitional Care of Cascadia in Twin Falls, ID is owned by a for-profit corporation, in Twin Falls, ID, in zipcode 83301, is in the Western states, Medicaid certified, Medicare certified, cited for abuse or neglect at a harm or potential-harm level, got worse on scores over the last two years (3 in total), had a deficiency in how to develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, had a deficiency in how to develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals, had a deficiency in how to ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents, had a deficiency in how to 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 is only used when the medication is necessary and PRN use is limited, had a deficiency in how to provide and implement an infection prevention and control program, had a deficiency in how to provide appropriate treatment and care according to orders, resident's preferences and goals, had a severe deficiency in how to protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody, had a severe deficiency in how to provide appropriate pressure ulcer care and prevent new ulcers from developing, had a severe deficiency in how to provide safe, appropriate pain management for a resident who requires such services, had a severe deficiency in how to respond appropriately to all alleged violations, has a Resident Council, has automatic sprinklers in all required areas, doesn't have facility-reported incidents or payment denials, has a 1-star rating in health inspection, has a 5-star rating in each of quality measures, long-stay quality measures, short-stay quality measures, staffing, and registered-nurse staffing (5 total), has a 1- or 2-star rating in both overall and health inspection, has a 4- or 5-star rating in each of quality measures, long-stay quality measures, short-stay quality measures, staffing, and registered-nurse staffing (5 total), is worse than the nationwide mental-health averages in short-stay residents who newly received an antipsychotic medication, is better than the nationwide mental-health averages in both long-stay residents who received an antipsychotic medication and long-stay residents who have depressive symptoms, is better than the nationwide hospital-related averages in each of short-stay residents who had an outpatient emergency department visit, short-stay residents who were rehospitalized after a nursing home admission, outpatient emergency department visits per 1,000 long-stay resident days, and hospitalizations per 1,000 long-stay resident days, is worse than the nationwide averages in short-stay residents who made improvements in function and newly received an antipsychotic medication, is better than the nationwide averages in short-stay residents who were assessed and appropriately given the pneumococcal vaccine, were assessed and appropriately given the seasonal influenza vaccine, had an outpatient emergency department visit, and were rehospitalized after a nursing home admission (4 total), is worse than the nationwide physical-health averages in long-stay residents who had a catheter inserted and left in their bladder and were low-risk and lost control of their bowels or bladder, and is better than the nationwide physical-health averages in long-stay residents who became less able to move independently, were high-risk and had pressure ulcers, experienced one or more falls with major injury, were physically restrained, has a urinary tract infection, lose too much weight, and needed increased help with daily activities (7 total).

Numeric values:
- incentive bonus payments per $1M in claims ($48,411)
- total fines ($32,702)
- change in total fines over two years (+$3,400)
- total fines per resident ($789.90)
- long-stay residents assessed and appropriately given the pneumococcal vaccine (100%)
- long-stay residents assessed and appropriately given the seasonal influenza vaccine (95.1%)
- short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (94.5%)
- short-stay residents assessed and appropriately given the pneumococcal vaccine (92.5%)
- low-risk long-stay residents who lose control of their bowels or bladder (74.1%)
- short-stay residents who made improvements in function (62.8%)
- certified-bed occupancy rate (35.7%)
- short-stay residents who were rehospitalized or had an outpatient emergency department visit (24.7%)
- short-stay residents who were rehospitalized after a nursing home admission (20.2%)
- long-stay residents whose need for help with daily activities has increased (8.0%)
- long-stay residents who received an antianxiety or hypnotic medication (7.9%)
- long-stay residents whose ability to move independently worsened (7.0%)
- long-stay residents who received an antipsychotic medication (6.7%)
- high-risk long-stay residents with pressure ulcers (6.5%)
- long-stay residents who lose too much weight (5.4%)
- short-stay residents who had an outpatient emergency department visit (4.5%)
- long-stay residents with a catheter inserted and left in their bladder (2.7%)
- short-stay residents who newly received an antipsychotic medication (2.6%)
- long-stay residents who have depressive symptoms (2.3%)
- long-stay residents with a urinary tract infection (0.7%)
- long-stay residents experiencing one or more falls with major injury (0.7%)
- long-stay residents who were physically restrained (0.0%)
- change in health-inspection rating over two years (-1 star)
- change in overall rating over two years (-2 stars)
- change in quality-measures rating over two years (0 stars)
- change in residents in certified beds over two years (-19.1)
- change in staffing rating over two years (+1 star)
- health-inspection rating (1 star)
- long-stay quality-measures rating (5 stars)
- overall rating (2 stars)
- quality-measures rating (5 stars)
- registered-nurse staffing rating (5 stars)
- RN staffing hours per resident per day (1.16)
- short-stay quality-measures rating (5 stars)
- staffing rating (5 stars)
- total nurse staffing hours per resident per day (4.50)
- change in facility-reported incidents or substantiated complaints over two years (-10)
- change in last-inspection-cycle health-deficiency score over two years (+75)
- change in last-inspection-cycle total health-inspection score over two years (+75)
- change in total last-inspection-cycle fire-safety deficiencies over two years (-3)
- change in total last-inspection-cycle health deficiencies over two years (-1)
- change in total weighted health survey score over two years (+65.8)
- count of administration deficiencies (0)
- count of automatic sprinkler systems deficiencies (0)
- count of construction deficiencies (0)
- count of corridor walls and doors deficiencies (0)
- count of electrical deficiencies (0)
- count of emergency plans and fire drills deficiencies (0)
- count of emergency preparedness deficiencies (0)
- count of environmental deficiencies (1)
- count of exit deficiencies (0)
- count of fire alarm systems deficiencies (0)
- count of freedom from abuse, neglect, and exploitation deficiencies (3)
- count of gas, vacuum, and electrical systems deficiencies (0)
- count of hazardous area deficiencies (0)
- count of illumination and emergency power deficiencies (0)
- count of interior deficiencies (0)
- count of laboratories deficiencies (0)
- count of medical gases and anesthetizing areas deficiencies (0)
- count of miscellaneous deficiencies (0)
- count of nursing and physician services deficiencies (1)
- count of nutrition and dietary deficiencies (0)
- count of pharmacy service deficiencies (2)
- count of quality of life and care deficiencies (5)
- count of resident assessment and care planning deficiencies (2)
- count of resident rights deficiencies (2)
- count of services deficiencies (0)
- count of smoke deficiencies (0)
- count of smoking regulations deficiencies (0)
- facility-reported incidents (0)
- facility-reported incidents or substantiated complaints (7)
- facility-reported incidents or substantiated complaints per 100 residents in a certified bed (16.9)
- fines (2)
- health deficiencies during the last inspection cycle (16)
- health deficiencies from complaint surveys during the last inspection cycle (0)
- health deficiencies from the standard survey during the last inspection cycle (16)
- health-deficiency score during the last inspection cycle (203)
- hospitalizations per 1,000 long-stay resident days (0.81)
- outpatient emergency department visits per 1,000 long-stay resident days (0.54)
- payment denials (0)
- substantiated complaints (7)
- total health-inspection score during the last inspection cycle (203)
- total number of fire-safety deficiencies (0)
- total number of health deficiencies (16)
- total penalties (2)
- total weighted health survey score during the last 3 inspection cycles (168.2)
- certified beds (116)
- change in RN staffing hours per resident per day (+0.3)
- change in total nurse staffing hours per resident per day (+0.5)
- LPN staffing hours per resident per day (0.92)
- Nurse Aide staffing hours per resident per day (2.53)
- residents in certified beds (41.4)
- years certified for Medicare/Medicaid (32.7)