Highland Health and Rehabilitation of CascadiaCMS ratings, inspections and fines
- Address
- 2400 Samish Way, Bellingham, WA 98229
- CCN
- 505140
- Ownership type
- For-profit, corporation
- Certified beds
- 44
- Chain
- Cascadia Healthcare
- Residents per day
- 37
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Highland Health and Rehabilitation of Cascadia an overall rating of 3 of 5 stars. The last standard survey was on 7 Aug 2025. The latest survey cycle has 13 health citations. The median for nursing homes in Washington is 14. CMS lists 3 fines with a total of $63,697 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Washington (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Whatcom County median | Washington median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 5.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 3 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 8 homes in the county, 193 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Washington median |
|---|---|---|---|
| Cycle 1 (latest) | 7 Aug 2025 | 13 | 14 |
| Cycle 2 | 30 Jul 2024 | 12 | 17 |
| Cycle 3 | No date | 12 | 13 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Feb 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 17 Mar 2026 |
| 13 Feb 2026 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | G | Complaint investigation | 17 Mar 2026 |
| 13 Feb 2026 | F0732 | Post nurse staffing information every day. | D | Complaint investigation | 17 Mar 2026 |
| 13 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 17 Mar 2026 |
| 17 Dec 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 27 Jan 2026 |
| 7 Aug 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 22 Sep 2025 |
| 7 Aug 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 22 Sep 2025 |
| 7 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 22 Sep 2025 |
| 7 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 22 Sep 2025 |
| 7 Aug 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 22 Sep 2025 |
| 7 Aug 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 22 Sep 2025 |
| 7 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 22 Sep 2025 |
| 7 Aug 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 22 Sep 2025 |
Survey cycle 2: 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 3 Apr 2025 |
| 7 Aug 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 10 Sep 2024 |
| 30 Jul 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Standard survey | 10 Sep 2024 |
| 30 Jul 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 10 Sep 2024 |
| 30 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 10 Sep 2024 |
| 30 Jul 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 10 Sep 2024 |
| 30 Jul 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 10 Sep 2024 |
| 30 Jul 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 10 Sep 2024 |
| 30 Jul 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 10 Sep 2024 |
| 30 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Sep 2024 |
| 30 Jul 2024 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 10 Sep 2024 |
| 30 Jul 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 10 Sep 2024 |
Survey cycle 3: 12 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Sep 2024 |
| 29 Apr 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 21 May 2024 |
| 29 Apr 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 21 May 2024 |
| 29 Apr 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 21 May 2024 |
| 12 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 28 Mar 2024 |
| 9 Jan 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 21 Dec 2023 |
| 22 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 19 Dec 2023 |
| 19 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 15 Nov 2023 |
| 19 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 15 Nov 2023 |
| 19 Oct 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 15 Nov 2023 |
| 28 Jul 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Aug 2023 |
| 28 Jul 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 30 Aug 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 13 Feb 2026 | Fine | $10,358 | |
| 9 Jan 2024 | Fine | $12,048 | |
| 19 Oct 2023 | Fine | $41,291 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Washington median | Washington average (CMS) |
|---|---|---|---|
| All nurse staff | 3.93 | 4.10 | 4.37 |
| Registered nurses (RN) | 1.22 | 0.90 | 0.94 |
| Licensed practical nurses (LPN) | 0.54 | 0.77 | |
| Nurse aides | 2.17 | 2.66 | |
| All nurse staff, weekends | 3.50 | 3.60 | 3.81 |
- Nurse staff turnover in a year
- 62.5%
- Nurse staff turnover, Washington median
- 43.2%
- RN turnover in a year
- 62.5%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.8% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.3% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.6% | 14.1% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Bellingham South of Cascadia, LLC
- Chain
- Cascadia Healthcare (46 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cascadia Washington Operations LLC | Direct ownership interest | 1 Aug 2022 | |
| Cascadia HC Group LLC | Indirect ownership interest | 5 Jun 2025 | |
| Cascadia Healthcare LLC | Indirect ownership interest | 1 Aug 2022 | |
| Cascadia Holdco LLC | Indirect ownership interest | 5 Jun 2025 | |
| White Oak Healthcare Finance LLC | 5% or greater security interest | 11 Aug 2022 | |
| Cascadia Services LLC | Operational/managerial control | 8 Jan 2025 | |
| Cascadia Services LLC | Adp of the snf | 8 Jan 2025 | |
| Timberline Ohi Tenant LLC | Adp of the snf | 5 Jun 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Whatcom County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Mt Baker Care Center | Bellingham | 5 of 5 | 7 | $0 | 2 Jul 2025 | |
| Rock Hill Health & Rehabilitation | Bellingham | 2 of 5 | 26 | $74,794 | 1 May 2025 | |
| Avalon Healthcare Bellingham | Bellingham | 5 of 5 | 10 | $32,298 | 5 Dec 2025 | |
| Alderwood Park Health and Rehab of Cascadia | Bellingham | 5 of 5 | 7 | $0 | 16 Jan 2026 | |
| North Cascades Health and Rehabilitation | Bellingham | 2 of 5 | 40 | $295,969 | 13 Apr 2026 | |
| Christian Health Care Center | Lynden | 5 of 5 | 2 | $22,081 | 12 Jun 2026 | |
| Stafholt Health and Rehabilitation of Cascadia | Blaine | 4 of 5 | 11 | $47,182 | 17 Feb 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Highland Health and Rehabilitation of Cascadia (CCN 505140). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/highland-health-and-rehabilitation-of-cascadia-bellingham-wa-505140/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Highland Health and Rehabilitation of Cascadia last inspected?
- The latest inspection with a citation in the CMS record was on 13 Feb 2026. It was a complaint investigation. It gave 4 citations. The standard survey before the last one was on 30 Jul 2024.
- Who operates Highland Health and Rehabilitation of Cascadia?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Cascadia Healthcare. The CMS ownership file names Cascadia Services LLC for operational or managerial control. This site does not show the names of persons.
- Is Highland Health and Rehabilitation of Cascadia a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Washington as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.