Twin Falls Center

I had a stroke. I began rehab with St. Luke's rehab. Midway through Cascadia proactively visited me at St. Luke's and educated me on their rehab program. St. Luke''s rehab program was too rigorous for me. I get tired easily due to my AFIB. Cascadia offered me a rehab bed. I accepted. My other option was to get rehab in an assisted living facility, but Transitional Care of Cascadia had the necessary onsite skilled nursing for someone with my needs. I stayed a few months. I then transitioned to assisted living. I didn't want to transition out because I have chronic illnesses that require 24/7 management and need onsite, nurse practitioner, and doctor. I feel that service is necessary for residents with chronic illnesses and daily living. I can't get that service at assisted living. All Twin Falls skilled nursing facilities have this service. I think it's a partnership with St. Luke's, but other facilities were full at the time I was admitted. I have AFIB, COPD, depression, hypertension, and migraines. I have some behavior issues due to my cognitive degeneration. I have some behavior issues that result in my trying to self-diagnose or refuse pills some days to improve my help. Because I was able to walk and talk and be a good advocate for my needs, they quickly ushered me out the door to assisted living in the name of "quality of life." Yes, I would walk slowly to the front desk on my own to get my needs met, but I had constant ailments that I needed help with. I felt that there were mistakes about my food diet, and eventually got resolved, but it took an unnecessary amount of persistence to resolve the errors. Just because I can use a walker and talk doesn't mean we don't need skilled nursing. My walking wasn't exceptional. I feel I was conveniently evaluated on the outside only and not the inside. I don't feel that the staff had the time to get to know my needs and me as a person. I can walk, but I can't wipe myself good enough. I forget to brush my teeth and need reminders for a lot of things. I think it's a place that's is more welcoming to those that can't speak or move or don't have behavioral problems.

Facility revenue model appears to consist of taking in rehab residents because it's good money from Medicare, then cherry-picking when they become long-term care candidates. Sad thing is that this facility has so much potential, but it's just not capable of handling a diverse set of resident needs at this time, making it difficult for chronically-ill patients to achieve stable, long-term care. If you feel your loved one will have a strong need for long-term care even after rehab, evaluate the facility based on the latter and not the former because you might discover that you hit a yo-yo scenario: rehab > assisted living > skilled nursing. This facility is a good value for family's that have loved ones in a vegetative state as I observed compassion and empathy from the CNAs/LVNs most of the time. Residents in vegetative state and residents without family involvement are less demanding on resources. I think it's a company/management issue, not a reflection on the staff itself (there are a few staff that are rude, but that's true anywhere). I don't think this facility is good for severe (flight risk) dementia - no resources for that - or out-of-state family, unless that family wants limited involvement in care. My mother attended this facility for her rehab and later 2 months of care before they said she was "ready" for assisted living. Family is local, but I (POA) live out of state. - Rehab was good, but the irony is that she got very strong legs there because she had no choice but to help herself to the potty because the wait was 20 minutes+. I know they strive for 5 minutes, but not sure that's possible without hiring more staff (company/management issue). Yes, my mom was a fall risk, but she got lucky. - Facility phone often rings and goes to voicemail, but the upside is residents have access to a phone in their rooms, and that's good for out-of-state family. - Food is okay and the dietary staff are good workers, but overworked and there's just not a company leadership for "improvement." - Speech rehab was very poor. My perception is that it simply a checkbox and a way for the facility to outsource for cheap and keep a bulk of the Medicare dollars. - Grounds are quite nice and well-kept, though onsite activities aren't reliable. They do have music performers in a nice dining hall and I think that's very nice, but most residents don't go unless their families wheel them down. Just not enough staff for that service. - Laundry staff is exceptional, though the company itself failed to stock laundry tags and so I had to pay a third party to label my mom's clothes (not an issue, but it's indicative of the company's management). - Strong Director of Nursing and RNs, though care plan management isn't so good because it requires strong company coordination/communication (again company infrastructure) and more staffing. - Strong onsite NP. Facility failed to give my mom one of her med's just didn't make it on the "chart", and her Edema quickly worsened with not much help because RNs were too busy. I was able to root-cause by looking at pre/post admission paperwork. I simply worked with the onsite NP to resolve, and she fixed things. Again, more of a workflow management issue, not staff. I was only able to efficiently resolve because I happen to have the NP's email address, which is NOT normally distributed. If my mom should return to this Medicaid facility (her heart failure is still bad, still a fall risk, and stroke risk) and improve, and not any different than when she left - I'll update my rating and evaluating. I hope they improve it's management because there's lots of potential at this facility.

Amazing and dedicated staff !! I could go on and on about how clean and well managed the facility is but I just want to take a second and thank the staff ! Emily , Joanie , Gwen , David all make you feel right at home. Good place and amazing people. 5 ⭐️