Cherry Ridge of Cascadia ranked as the second largest nursing facility in Gem County in the first quarter of 2026, the Centers for Medicare and Medicaid Services (CMS) reports.
According to data, this facility offered 40 beds, which is 17 fewer than the average bed count in Gem County during the first quarter of 2026. It served an average of 32.3 residents in that period.
The CMS assigned Cherry Ridge of Cascadia an overall rating of 1 out of 5, which falls short of the statewide average of 3.2 for Idaho nursing homes.
River’s Edge Rehabilitation & Living Center led the county in size for the quarter, providing 74 beds in total.
Cherry Ridge of Cascadia reported zero fines or penalties as of the first quarter of 2026.
There were 2 for-profit nursing homes recorded in Gem County, Idaho.
U.S. Census Bureau estimates indicate the population of older adults nationwide continues to rise even as the number of younger Americans declines. From 2020 to 2024, individuals age 65 and older grew by 13%, while the population under 18 dropped by 1.7%. Over the past century, the country’s senior demographic has expanded significantly, increasing from 4.9 million in 1920 to more than 61 million by 2024.
Research published in 2021 indicates nearly half of Americans in this age range—around 28 million people—will likely need long-term services and support. The study further estimates that more than a third of them could require nursing home care during their lifetimes.
“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 organization. “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 | River’s Edge Rehabilitation & Living Center | 4 |
| 2 | Cherry Ridge of Cascadia | 1 |
Details in this story were sourced from the Centers for Medicare and Medicaid Services. The underlying data can be accessed here.


