Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mountain Valley Of Cascadia during CMS and state inspections, most recent first.
During a kitchen inspection, surveyors found that pots and pans on the clean dish drying rack had visible residue, including a red ring and dark encrusted material. Staff reported that the items had been washed and sanitized, but agreed the residue should not be present if properly cleaned. These deficiencies had the potential to affect all residents consuming food prepared in the facility.
A cognitively intact resident with multiple health conditions gave $1,500 in cash to a dietary aide for shared apartment rent. The aide admitted to accepting the funds and using them for rent but could not provide receipts or proof of the resident's involvement in the lease, resulting in substantiated misappropriation and exploitation.
Three residents had inaccurate MDS assessments, including one who was incorrectly documented as receiving hospice care after discharge, and two whose medication records were misclassified as anticoagulants instead of antiplatelets. MDS staff confirmed these errors during interviews.
Two residents did not have comprehensive, individualized care plans reflecting their specific needs. One resident with dementia and muscle weakness was not care planned for daily wandering, despite repeated observations of this behavior. Another resident with Parkinson's disease and dysphagia had significant speech difficulties and used a communication board, but these needs and interventions were not included in the care plan. The DON confirmed these omissions.
A resident with dementia and diabetes had a care plan listing Trazodone for sleep, but the medication had been discontinued by the physician. The care plan was not updated to reflect this change, and the DON confirmed that the care plan should have been revised when the medication was stopped.
Staff failed to clean and sanitize a glucometer after performing blood glucose checks for two residents, placing the device on various surfaces without barriers and returning it to a shared storage container with other supplies. The medication aide was unsure about cleaning requirements, and the infection preventionist confirmed that proper procedures were not followed.
A resident with a resolved MSSA infection continued to receive Amoxicillin-Potassium Clavulanate without a documented stop date or ongoing clinical indication. Facility staff and the consulting pharmacist did not reassess the need for the antibiotic or include the resident in subsequent antibiotic stewardship reviews, resulting in a failure to follow the facility's antibiotic stewardship policy.
The facility failed to maintain kitchen equipment and store food safely, with condensation from cooling fans contaminating food items and a staff personal item found in the walk-in freezer. These deficiencies had the potential to affect 58 residents, placing them at risk for food contamination and adverse health outcomes.
Unclean Kitchen Equipment Observed During Inspection
Penalty
Summary
Surveyors observed that kitchen equipment, specifically pots and pans, were not properly cleaned before being stored on the clean dish drying rack. A stainless steel pot was found with a red ring around the interior, and additional baking sheet pans and cooking pots were noted to have dark residue around the upper areas and underside lips. Staff, including culinary aides and a medical records manager assisting in the kitchen, stated that these items had been washed and sanitized in the high temperature dish machine, but acknowledged that the residue should not be present if the items were truly clean. Staff were unaware that encrusted dark residue was not acceptable on cleaned kitchen equipment. These deficiencies were identified during kitchen inspections and had the potential to affect all 57 residents who consumed food prepared by the facility.
Failure to Prevent Misappropriation and Exploitation of Resident Property
Penalty
Summary
The facility failed to protect a resident from misappropriation of property and exploitation. A cognitively intact resident with multiple medical conditions, including diabetes, infection of a left artificial hip, congestive heart failure, and atrial fibrillation, reported giving $1,500 in cash to a staff member, specifically a dietary aide, for the purpose of paying first and last month's rent for an apartment they intended to share. The dietary aide admitted to accepting the money and using it for rent but was unable to provide any receipts or proof that the resident's name was added to the lease. The facility's investigation substantiated that the staff member accepted funds from the resident, which constituted misappropriation and exploitation as defined by facility policy and CMS guidelines. This incident demonstrated a failure to ensure that residents were free from wrongful use of their belongings or money, as required by the facility's abuse prevention policy.
Inaccurate MDS Assessments Documented for Multiple Residents
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) assessments accurately reflected the status of three residents. For one resident with a history of heart attack, chronic atrial fibrillation, and a language disorder, the Significant Change MDS assessment incorrectly documented that the resident was receiving hospice care, despite records showing discharge from hospice prior to the assessment. MDS staff acknowledged this was an error during interview. For two other residents with diagnoses including dementia, diabetes, high blood pressure, and heart disease, their Annual MDS assessments incorrectly indicated they were taking anticoagulant medications. Review of physician orders confirmed that neither resident was prescribed anticoagulants; instead, both were taking aspirin, an antiplatelet medication. MDS staff confirmed that the medications were incorrectly classified on the MDS forms.
Failure to Develop Comprehensive, Resident-Centered Care Plans
Penalty
Summary
The facility failed to ensure that comprehensive, resident-centered care plans were developed and implemented for two residents. For one resident with dementia, heart failure, and muscle weakness, the care plan did not include directions for managing daily wandering behavior, despite documentation in the MDS assessment and multiple observations of the resident wandering into other residents' rooms and approaching exit doors. The Director of Nursing confirmed that the care plan should have addressed the resident's wandering. For another resident with Parkinson's disease and dysphagia, the care plan did not document the resident's significant difficulty with speech (dysarthria) or the use of a communication board, even though physician notes and communication records indicated these needs. Staff were instructed to encourage the resident to speak slower and use the communication board, but these interventions were not reflected in the care plan. The Director of Nursing acknowledged the omission upon review.
Failure to Update Care Plan After Medication Discontinuation
Penalty
Summary
The facility failed to ensure that a resident's care plan was revised and updated to reflect current physician orders. Specifically, a resident with dementia and diabetes had a care plan initiated that included the use of Trazodone for sleep, but the physician's order for Trazodone had been discontinued. Despite the discontinuation, the care plan was not updated to remove the reference to Trazodone. The Director of Nursing confirmed that care plans are to be updated quarterly and as needed, and acknowledged that the care plan should have been revised when the medication was discontinued, but this was not done.
Failure to Clean and Sanitize Glucometer After Use
Penalty
Summary
Facility staff failed to properly clean and sanitize a glucometer after use during blood glucose testing for two residents. On two separate occasions, a medication aide (MAC) entered residents' rooms with a glucometer and associated supplies, placed the glucometer directly on overbed tables and sink counters without using a barrier, and performed blood glucose checks. After testing, the MAC placed the glucometer on various surfaces and then returned it to a storage container without cleaning or sanitizing it. The storage container also held other supplies such as cotton balls, alcohol wipes, lancets, and test strips. During interviews, the MAC admitted to not cleaning or sanitizing the glucometer before placing it back in its container and expressed uncertainty about the need for cleaning since each glucometer had its own container. The facility's Infection Preventionist (IP) confirmed that a barrier should be used between the glucometer and surfaces, and that the glucometer should be cleaned before storage. These actions were not in accordance with CDC guidelines for environmental infection control in healthcare facilities.
Failure to Review and Discontinue Unnecessary Antibiotic Therapy
Penalty
Summary
The facility failed to implement its antibiotic stewardship program as required, resulting in a resident continuing to receive antibiotic therapy without appropriate clinical indication. Record review showed that a resident with a history of Methicillin Susceptible Staphylococcus Aureus (MSSA) infection and sepsis was prescribed Amoxicillin-Potassium Clavulanate with no documented stop date. Despite the resolution of the infection, the antibiotic was not discontinued, and there was no evidence that the indication for continued use was reviewed or confirmed by the facility's staff or consulting pharmacist. Interviews with the Infection Preventionist (IP) and the Pharmacist revealed that the ongoing need for the antibiotic was not reassessed after the initial prescription, and the resident was not included in subsequent antibiotic stewardship reviews. The IP acknowledged not seeking clarification from the infectious disease physician regarding the continued use of the antibiotic after the infection had resolved. The Pharmacist also agreed that the indication for the antibiotic should have been reviewed, but this was not done, contrary to the facility's policy and CDC guidelines.
Improper Food Storage and Kitchen Equipment Maintenance
Penalty
Summary
The facility failed to ensure kitchen equipment was maintained and food was stored in a safe and sanitary manner. During a kitchen tour, condensation from the cooling fans in the walk-in freezer was observed falling and accumulating on various food items, including a yogurt container, multiple containers of ice cream and frozen berries, an open bag of berries, and two loaves of bread. Additionally, a pipe on the outer left side of the ventilation unit inside the walk-in freezer was covered with a white frozen substance, and an unsealed cardboard box with packaged food was leaning against the pipe. The dietitian confirmed that the food was not being stored appropriately and removed the contaminated items immediately. Furthermore, a staff personal item, an iced coffee, was found stored in the facility's walk-in freezer. The dietitian confirmed that personal food should not be stored in the walk-in freezer and should be kept in the employee break room. These deficiencies had the potential to affect 58 residents residing in the facility who consumed food prepared by the facility, placing them at risk for potential contamination of food and adverse health outcomes, including food-borne illnesses.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 24 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Kellogg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Silverton Health And Rehabilitation Of Cascadia | 8.6 mi | — | 24 | 0 |
| Valley Vista Care Center Of St Maries | 25.8 mi | ★★★★★ | 19 | 0 |
| Coeur D Alene Health Of Cascadia | 32.1 mi | ★★★★★ | 14 | 0 |
| Lakeside Rehabilitation And Care Center | 32.3 mi | ★★★★★ | 0 | 0 |
| Ironwood Rehabilitation And Care Center | 32.9 mi | ★★★★★ | 21 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.