Mountain Valley of Cascadia
601 West Cameron Avenue, Kellogg, ID 83837 · Shoshone County · (208) 784-1283
68 certified beds, about 60 residents a day · For profit - Corporation · Medicare and Medicaid since 1979
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 135065 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 1, 2025, inspectors cited 7 health deficiencies (the Idaho average is 10.3, the national average 9.2).
None of its 12 health citations since April 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.75 hours per resident per day, against 4.04 across Idaho and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
33.3% of nursing staff left within the year CMS measured (Idaho average 50.3%).
CMS links it to Cascadia Healthcare, an affiliated group of 47 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
204/23
105/24
705/25
207/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
3E
0F
Potential for minimal harm
0A
0B
0C
July 9, 2026Complaint inspection · 2 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on policy review, record review, and staff interview, it was determined the facility failed to ensure residents' representatives were immediately notified when residents fell or had a change in condition. This was true for 1 of 3 residents (Resident #116) whose records were reviewed for changes in condition. This deficient practice placed residents at risk of harm due to lack of advocacy and support from their representatives when they were unable to make decisions for themselves due to decreased health status and level of consciousness.
- D Post nurse staffing information every day.
Inspectors wroteBased on observation, record review, and staff interview, it was determined the facility failed to ensure nurse staffing information was accurate and posted daily for each shift. This failed practice had the potential to affect all residents residing in the facility and their representatives, visitors, and others who wanted to review the facility's staffing levels.
May 1, 2025Standard inspection, Complaint inspection · 7 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, FDA Food Code, and staff interview, it was determined the facility failed to ensure kitchen equipment was cleaned. These deficiencies had the potential to affect the 57 residents who consumed food prepared by the facility. This placed residents at risk for potential foodborne illnesses and adverse health outcomes.
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on staff interview, record review, and review of the State Long Term Care Reporting System, it was determined that facility failed to ensure residents were free from misappropriation of property and exploitation. This was true for 1 of 1 residents (Resident # 39) reviewed for abuse, neglect, misappropriation of resident property and exploitation. This failed practice created the potential for all facility residents to experience exploitation and misappropriation of property.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure residents' MDS documented correct assessment information. This was true for 3 of 16 residents (#12, #46, and #57) whose records were reviewed for accuracy. This deficient practice had the potential for negative outcomes if residents were not assessed and/or monitored due to inaccurate assessments.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, record review, SOM and policy review, and staff interview, it was determined the facility failed to ensure resident centered care plans were comprehensively written for 2 of 16 residents. This was true for residents (#11 and #48) reviewed for care plans. This deficient practice placed the residents at risk for harm when their care plans did not reflect the care necessary for each resident.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review, policy review and staff interview, it was determined the facility failed to ensure residents' care plan were revised and updated. This was true for 1 of 16 residents (Resident #40) whose care plans were reviewed. This deficient practice created the potential for harm if cares and services were not provided due to inaccurate information on the care plan.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and CDC guidance it was determined the facility failed to ensure glucometer (used to check the blood glucose levels) was cleaned/sanitized after being use. This was true for 2 of 2 residents (#32 and #47) observed for blood glucose level testing. This deficient practice created the potential for the spread of infectious organism from cross contamination which could harm Resident #32 and #47.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review, policy review, CDC guidelines, and staff interview it was determined the facility failed to ensure antibiotic stewardship program was implemented and resident had appropriate clinical indications for the use of an antibiotic. This was true for 1 of 4 residents (Resident #49) whose records were reviewed for antibiotic use. This deficient practice created the potential for Resident #49 to develop resistance to antibiotics resulting ineffective or difficult treatment for infections.
May 17, 2024Standard inspection · 1 citation
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, it was determined the facility failed to ensure kitchen equipment was maintained and food was stored in a safe and sanitary manner. These deficiencies had the potential to affect 58 residents residing in the facility who consumed food prepared by the facility. This placed residents at risk for potential contamination of food and adverse health outcomes, including food-borne illnesses.
April 6, 2023Standard inspection · 2 citations
- E Keep all essential equipment working safely.
Inspectors wroteBased on observation, policy review, and staff interview, it was determined the facility failed to ensure cold food storage equipment was maintained in safe operating condition. This was true for 1 of 3 cold food storage equipment (kitchen walk-in refrigerator). This placed residents at risk of contracting food borne illnesses if they consumed food that was not kept at a safe temperature.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review, policy review, and staff interview, it was determined the facility failed to ensure residents' care plans were revised and updated as needed. This was true for 1 of 15 residents (Resident #18) whose care plans were reviewed. This created the potential for harm if cares and/or services were not provided appropriately due to inaccurate information in the care plan.
Fire safety inspections
5 fire safety citations on file: 1 on May 1, 2025, 1 on May 17, 2024, 3 on April 6, 2023.
Every fire safety citation5 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Provide properly protected cooking facilities.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Idaho | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.75 | 4.04 | 3.86 |
| Registered nurses | 0.63 | 0.86 | 0.69 |
| All nursing staff on weekends | 3.08 | 3.49 | 3.42 |
| Nurse aides | 2.55 | ||
| Licensed practical nurses | 0.57 | ||
| Nursing staff turnover (share who left in a year) | 33.3% | 50.3% | 45.8% |
| Registered nurse turnover | 27.3% | 40.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.67 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.02 on weekdays and 3.08 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.65 in April to June 2025 to 3.75 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.75 | 0.63 | 4.02 | 3.08 | 5.0% | 0 of 90 | 60 |
| Oct to Dec 2025 | 3.72 | 0.62 | 3.91 | 3.24 | 3.7% | 0 of 92 | 61 |
| Jul to Sep 2025 | 3.81 | 0.64 | 4.03 | 3.27 | 5.5% | 0 of 92 | 56 |
| Apr to Jun 2025 | 3.65 | 0.73 | 3.91 | 3.00 | 5.0% | 0 of 91 | 60 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Idaho, Jan to Mar 2026 | 3.90 | 0.80 | 4.11 | 3.37 | 4.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Idaho | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 23.8 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 1.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.7 | 2.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.5 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.1 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.9 | 16.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.6 | 3.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.1 | 20.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.1 | 17.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.8 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.7 | 1.8 |
Owners and operators
Legal business name: KELLOG OF CASCADIA LLC. CMS links this home to Cascadia Healthcare, a group of 47 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Cascadia Idaho Operations LLC | Direct ownership interest | Organization | 09/01/2017 | |
| Cascadia Hc Group LLC | Indirect ownership interest | Organization | 06/05/2025 | |
| Cascadia Healthcare LLC | Indirect ownership interest | Organization | 09/01/2017 | |
| Cascadia Holdco LLC | Indirect ownership interest | Organization | 06/05/2025 | |
| Hammond, Owen | Indirect ownership interest | Individual | 09/01/2017 | |
| Laforte, Stephen | Indirect ownership interest | Individual | 06/05/2025 | |
| Nelson, Timothy | Indirect ownership interest | Individual | 06/05/2025 | |
| Timberline Ctre Tenant LLC | 5% or greater security interest | Organization | 06/05/2025 | |
| White Oak Healthcare Finance LLC | 5% or greater security interest | Organization | 08/11/2022 | |
| Cascadia Hc Group LLC | Operational/managerial control | Organization | 06/05/2025 | |
| Cascadia Healthcare LLC | Operational/managerial control | Organization | 09/01/2017 | |
| Cascadia Holdco LLC | Operational/managerial control | Organization | 06/05/2025 | |
| Cascadia Idaho Operations LLC | Operational/managerial control | Organization | 06/05/2025 | |
| Cascadia Services LLC | Operational/managerial control | Organization | 11/22/2024 | |
| Hammond, Owen | Operational/managerial control | Individual | 06/05/2025 | |
| Kulin, Emilee | Operational/managerial control | Individual | 09/01/2019 | |
| Laforte, Stephen | Operational/managerial control | Individual | 06/05/2025 | |
| Meza, Michael | Operational/managerial control | Individual | 07/01/2018 | |
| Nelson, Timothy | Operational/managerial control | Individual | 06/05/2025 | |
| Cascadia Services LLC | Adp of the SNF | Organization | 01/23/2025 | |
| Kulin, Emilee | Adp of the SNF | Individual | 06/18/2025 | |
| Meza, Michael | Adp of the SNF | Individual | 02/26/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on May 1, 2025: "Ensure each resident receives an accurate assessment."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on May 1, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on May 1, 2025: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on July 9, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.08 hours per resident per day, below the Idaho average of 3.49.
Other nursing homes nearby
- Silverton Health and Rehabilitation of Cascadia Silverton, 8.6 mi · not rated · 32 citations
Idaho contacts for a concern about a nursing home
These are the official offices in Idaho. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Idaho Department of Health and Welfare, Bureau of Facility Standards, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Idaho Long-Term Care Ombudsman Program, Idaho Commission on Aging, (877) 471-2777. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Mountain Valley of Cascadia's Medicare star rating?
- CMS rates Mountain Valley of Cascadia 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Mountain Valley of Cascadia get at its last inspection?
- 7 health deficiencies at the standard inspection on May 1, 2025. The Idaho average is 10.3.
- Has Mountain Valley of Cascadia been fined?
- CMS lists no fines in the last three years.
- Does Mountain Valley of Cascadia accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Mountain Valley of Cascadia?
- CMS lists 22 owners and managers, and links the home to Cascadia Healthcare. Legal business name: KELLOG OF CASCADIA LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.