Mountain Valley of Cascadia is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #135065. The provider type is Medicare and Medicaid. The ownership type is for profit - corporation. The address is 601 West Cameron Avenue, Kellogg, ID 83837. The overall rating is 5.
| Federal Provider Number | 135065 |
| Provider Name | MOUNTAIN VALLEY OF CASCADIA |
| Legal Business Name | KELLOG OF CASCADIA LLC |
| Address |
601 West Cameron Avenue Kellogg ID 83837 |
| County | Shoshone |
| Telephone | 2087841283 |
| Ownership Type | For profit - Corporation |
| Provider Type | Medicare and Medicaid |
| Date Approved | 1979-09-01 |
| Number of Certified Beds | 68 |
| Average Number of Residents per Day | 59 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Abuse Icon |
N Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2. |
| Most Recent Health Inspection More Than 2 Years Ago | Y |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| Quality Measure Rating | 5 |
| Long Stay Quality Measure Rating | 5 |
| Short Stay Quality Measure Rating | 4 |
| Staffing Rating | 4 |
| Registered Nurses Staffing Rating | 4 |
| Reported CNA Staffing Hours per Resident per Day | 2.65587 |
| Reported LPN Staffing Hours per Resident per Day | 0.51972 |
| Reported RN Staffing Hours per Resident per Day | 0.86123 |
| Reported Licensed Staffing Hours per Resident per Day | 1.38095 |
| Reported Total Nurse Staffing Hours per Resident per Day | 4.03682 |
| Reported Physical Therapist Staffing Hours per Resident Per Day | 0.09289 |
| Expected CNA Staffing Hours per Resident per Day | 2.08723 |
| Expected LPN Staffing Hours per Resident per Day | 0.79846 |
| Expected RN Staffing Hours per Resident per Day | 0.45924 |
| Expected Total Nurse Staffing Hours per Resident per Day | 3.34493 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.61968 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.48226 |
| Adjusted RN Staffing Hours per Resident per Day | 0.75050 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.86179 |
| Rating Cycle 1 Standard Survey Health Date | 2018-12-13 |
| Rating Cycle 1 Total Number of Health Deficiencies | 3 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 3 |
| Rating Cycle 1 Number of Complavarchar Health Deficiencies | 0 |
| Rating Cycle 1 Health Deficiency Score | 12 |
| Rating Cycle 1 Number of Health Revisits | 1 |
| Rating Cycle 1 Health Revisit Score | 0 |
| Rating Cycle 1 Total Health Score | 12 |
| Rating Cycle 2 Standard Health Survey Date | 2017-08-10 |
| Rating Cycle 2 Total Number of Health Deficiencies | 3 |
| Rating Cycle 2 Number of Standard Health Deficiencies | 3 |
| Rating Cycle 2 Number of Complavarchar Health Deficiencies | 0 |
| Rating Cycle 2 Health Deficiency Score | 8 |
| Rating Cycle 2 Number of Health Revisits | 1 |
| Rating Cycle 2 Health Revisit Score | 0 |
| Rating Cycle 2 Total Health Score | 8 |
| Rating Cycle 3 Standard Health Survey Date | 2016-05-26 |
| Rating Cycle 3 Total Number of Health Deficiencies | 0 |
| Rating Cycle 3 Number of Standard Health Deficiencies | 0 |
| Rating Cycle 3 Number of Complavarchar Health Deficiencies | 0 |
| Rating Cycle 3 Health Deficiency Score | 0 |
| Rating Cycle 3 Number of Health Revisits | 0 |
| Rating Cycle 3 Health Revisit Score | 0 |
| Rating Cycle 3 Total Health Score | 0 |
| Total Weighted Health Survey Score | 8.667 |
| Number of Facility Reported Incidents | 0 |
| Number of Substantiated Complavarchars | 0 |
| Number of Citations from Infection Control Inspections | 0 |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | 0.00 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Processing Date | 2021-05-01 |
| Notes |
CMS: Centers for Medicare & Medicaid Services CNA: Certified Nursing Assistant LPN: Licensed Practical Nurse RN: Registered Nurse |
| Role Played | Owner Name | Owner Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | CASCADIA IDAHO OPERATIONS LLC | Organization | 100% | since 09/01/2017 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | BODILY, WARREN | Individual | NO PERCENTAGE PROVIDED | since 09/01/2017 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | CASCADIA HEALTHCARE LLC | Organization | NO PERCENTAGE PROVIDED | since 09/01/2017 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | HAMMOND, OWEN | Individual | NO PERCENTAGE PROVIDED | since 09/01/2017 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | HOSAC, NATHAN | Individual | NO PERCENTAGE PROVIDED | since 09/01/2017 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | SMITH, MATTHEW | Individual | NO PERCENTAGE PROVIDED | since 09/01/2017 |
| OFFICER | BODILY, WARREN | Individual | since 09/01/2017 | |
| OFFICER | HAMMOND, OWEN | Individual | since 09/01/2017 | |
| OPERATIONAL/MANAGERIAL CONTROL | BODILY, WARREN | Individual | since 09/01/2017 |
| Street Address |
601 WEST CAMERON AVENUE |
| City | KELLOGG |
| State | ID |
| Zip Code | 83837 |
| Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
|---|---|---|---|---|
| Discovery Rehabilitation and Living · Sawtooth Healthcare Inc | 600 Shanafelt Street, Salmon, ID 83467 | 2087568391 | 1997-12-04 | 5 |
| Wellspring Health & Rehabilitation of Cascadia · Canyon County of Cascadia, LLC | 2105 12th Avenue Road, Nampa, ID 83686 | 2084675721 | 1983-09-09 | 2 |
| Temple View Transitional Care Center · Cress Creek Healthcare, Inc. | 660 South Second Street West, Rexburg, ID 83440 | 2083560220 | 1988-03-02 | 2 |
| Desert View Care Center of Buhl · Charolais Care III, Inc | 820 Sprague Avenue, Buhl, ID 83316 | 2085436401 | 1981-10-01 | 3 |
| St Luke's Rehab - Elks Sub Acute Rehab Unit · St Lukes Regional Medical Center | 600 North Robbins Road, Boise, ID 83702 | 2084894444 | 1993-06-03 | 5 |
| Cascadia of Nampa · Nampa of Cascadia LLC | 900 N Happy Valley Rd, Nampa, ID 83687 | 2084019639 | 2018-03-07 | 3 |
| Oak Creek Rehabilitation Center of Kimberly · Charolais Care II, Inc | 500 Polk Street East, Kimberly, ID 83341 | 2084235591 | 1981-09-01 | 5 |
| Teton Post Acute Care & Rehabilitation · Empres At Idaho Falls, LLC | 3111 Channing Way, Idaho Falls, ID 83404 | 2085290067 | 2013-09-05 | 3 |
| Ashton Memorial Living Center · Ashton Memorial Inc | 700 North Second Street, Ashton, ID 83420 | 2086527461 | 1985-06-19 | 5 |
| Terraces of Boise, The · Humangood Idaho | 5301 E Warm Springs Ave, Boise, ID 83716 | 2083365550 | 2016-12-21 | 4 |
| Find all nursing homes in the state of ID | ||||
| Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
|---|---|---|---|---|
| Caldwell Care of Cascadia · Caldwell of Cascadia LLC | 210 Cleveland Boulevard, Caldwell, ID 83605 | 2084591522 | 1970-05-01 | 2 |
| Aspen Park of Cascadia · Moscow of Cascadia LLC | 420 Rowe Street, Moscow, ID 83843 | 2088824576 | 1982-02-19 | 5 |
| Cove of Cascadia, The · Bellevue of Cascadia, LLC | 620 North Sixth Street, Bellevue, ID 83313 | 2087887180 | 1982-05-07 | 4 |
| Cherry Ridge of Cascadia · Emmett of Cascadia LLC | 501 West Idaho Boulevard, Emmett, ID 83617 | 2083653597 | 1984-01-27 | 4 |
| Orchards of Cascadia, The · Nampa West of Cascadia LLC | 404 North Horton Street, Nampa, ID 83651 | 2084669292 | 1970-05-01 | 4 |
| Payette Healthcare of Cascadia · Payette of Cascadia, LLC | 1019 Third Avenue South, Payette, ID 83661 | 2086424455 | 1977-07-01 | 4 |
| Clearwater Health & Rehabilitation of Cascadia · Clearwater of Cascadia | 1204 Shriver Road, Orofino, ID 83544 | 2084764568 | 1969-11-19 | |
| Twin Falls Transitional Care of Cascadia · Twin Falls of Cascadia, LLC | 674 Eastland Drive, Twin Falls, ID 83301 | 2087344264 | 1988-03-10 | 2 |
| Coeur D'Alene Health & Rehabilitation of Cascadia · Coeur D Alene of Cascadia | 2514 North Seventh Street, Coeur D'Alene, ID 83814 | 2086648128 | 1978-01-01 | 2 |
| Brookfield Health and Rehab of Cascadia · Battleground of Cascadia LLC | 510 North Parkway, Battle Ground, WA 98604 | 3606875141 | 1989-03-09 | 4 |
Do you have more infomration about Mountain Valley of Cascadia? Please fill in the following form.
This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.