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North Cascades Health and RehabilitationCMS ratings, inspections and fines

Address
4680 Cordata Parkway, Bellingham, WA 98226
CCN
505393
Ownership type
For-profit, limited liability company
Certified beds
122
Residents per day
105
CMS flags
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CMS star ratings
Overall rating2 of 5
Health inspection rating1 of 5
Staffing rating4 of 5
Quality measure rating5 of 5
Care Compare record (Medicare.gov)

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 North Cascades Health and Rehabilitation an overall rating of 2 of 5 stars. The last standard survey was on 13 Apr 2026. The latest survey cycle has 40 health citations. The median for nursing homes in Washington is 14. CMS lists 6 fines with a total of $295,969 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.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of North Cascades Health and Rehabilitation, with medians
Rating (1 to 5 stars)This homeWhatcom County medianWashington medianUS average (CMS)
Overall rating25.03.03.0
Health inspection rating14.03.02.8
Staffing rating44.04.02.9
Quality measure rating55.04.03.6

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.

Health citations of North Cascades Health and Rehabilitation in the last three survey cycles
Survey cycleStandard surveyCitationsWashington median
Cycle 1 (latest)13 Apr 20264014
Cycle 224 Jan 20251917
Cycle 3No date3813

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.

Scope and severity of the 97 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyK0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0C0

Survey cycle 1 (latest): 40 citations

Standard survey of this cycle: .

Health citations of North Cascades Health and Rehabilitation in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
23 Jun 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation22 Jul 2026
23 Jun 2026F0610Respond appropriately to all alleged violations.DComplaint investigation22 Jul 2026
13 Apr 2026F0565Honor the resident's right to organize and participate in resident/family groups in the facility.DStandard survey22 May 2026
13 Apr 2026F0585Honor 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.EStandard survey22 May 2026
13 Apr 2026F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey22 May 2026
13 Apr 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EStandard survey22 May 2026
13 Apr 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.FStandard survey22 May 2026
13 Apr 2026F0645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard survey22 May 2026
13 Apr 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey22 May 2026
13 Apr 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey22 May 2026
13 Apr 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey22 May 2026
13 Apr 2026F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey22 May 2026
13 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey22 May 2026
13 Apr 2026F0692Provide enough food/fluids to maintain a resident's health.DStandard survey22 May 2026
13 Apr 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey22 May 2026
13 Apr 2026F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation22 May 2026
13 Apr 2026F0732Post nurse staffing information every day.BComplaint investigation22 May 2026
13 Apr 2026F0761Ensure 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.EStandard survey22 May 2026
13 Apr 2026F0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EStandard survey22 May 2026
13 Apr 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey22 May 2026
13 Apr 2026F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard survey22 May 2026
13 Apr 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey22 May 2026
13 Apr 2026F0880Provide and implement an infection prevention and control program.DStandard survey22 May 2026
13 Apr 2026F0926Have policies on smoking.FStandard survey22 May 2026
4 Mar 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation23 Mar 2026
4 Mar 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation23 Mar 2026
4 Mar 2026F0610Respond appropriately to all alleged violations.DComplaint investigation23 Mar 2026
4 Mar 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation23 Mar 2026
6 Feb 2026F0610Respond appropriately to all alleged violations.DComplaint investigation19 Feb 2026
6 Feb 2026F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint investigation19 Feb 2026
28 Jan 2026F0551Give the resident's representative the ability to exercise the resident's rights.DComplaint investigation9 Feb 2026
28 Jan 2026F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DComplaint investigation9 Feb 2026
28 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation9 Feb 2026
28 Jan 2026F0760Ensure that residents are free from significant medication errors.GComplaint investigation9 Feb 2026
28 Jan 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation9 Feb 2026
17 Dec 2025F0585Honor 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.DComplaint investigation16 Jan 2026
17 Dec 2025F0610Respond appropriately to all alleged violations.DComplaint investigation16 Jan 2026
17 Dec 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation16 Jan 2026
17 Dec 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation16 Jan 2026
17 Dec 2025F0850Hire a qualified full-time social worker in a facility with more than 120 beds.EComplaint investigation16 Jan 2026

Survey cycle 2: 19 citations

Standard survey of this cycle: .

Health citations of North Cascades Health and Rehabilitation in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
28 Mar 2025F0610Respond appropriately to all alleged violations.DComplaint investigation14 Apr 2025
28 Mar 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint investigation14 Apr 2025
28 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation14 Apr 2025
24 Jan 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey21 Feb 2025
24 Jan 2025F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard survey21 Feb 2025
24 Jan 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey21 Feb 2025
24 Jan 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey21 Feb 2025
24 Jan 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard survey21 Feb 2025
24 Jan 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey21 Feb 2025
24 Jan 2025F0730Observe each nurse aide's job performance and give regular training.EStandard survey21 Feb 2025
24 Jan 2025F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey21 Feb 2025
24 Jan 2025F0759Ensure medication error rates are not 5 percent or greater.EStandard survey21 Feb 2025
24 Jan 2025F0760Ensure that residents are free from significant medication errors.DStandard survey21 Feb 2025
24 Jan 2025F0761Ensure 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.DStandard survey21 Feb 2025
24 Jan 2025F0880Provide and implement an infection prevention and control program.DStandard survey21 Feb 2025
30 Dec 2024F0791Provide or obtain dental services for each resident.DComplaint investigation13 Jan 2025
5 Sep 2024F0584Honor 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.EComplaint investigation4 Oct 2024
5 Sep 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation4 Oct 2024
12 Aug 2024F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.DComplaint investigation3 Sep 2024

Survey cycle 3: 38 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of North Cascades Health and Rehabilitation in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
20 Jun 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EComplaint investigation15 Jul 2024
20 Jun 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation25 Jul 2024
20 Jun 2024F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DComplaint investigation15 Jul 2024
17 Apr 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation6 May 2024
17 Apr 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation6 May 2024
8 Mar 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey18 Apr 2024
8 Mar 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey18 Apr 2024
8 Mar 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey18 Apr 2024
8 Mar 2024F0610Respond appropriately to all alleged violations.DStandard survey18 Apr 2024
8 Mar 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey18 Apr 2024
8 Mar 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey18 Apr 2024
8 Mar 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey18 Apr 2024
8 Mar 2024F0692Provide enough food/fluids to maintain a resident's health.GStandard survey18 Apr 2024
8 Mar 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey18 Apr 2024
8 Mar 2024F0730Observe each nurse aide's job performance and give regular training.EComplaint investigation18 Apr 2024
8 Mar 2024F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey18 Apr 2024
8 Mar 2024F0761Ensure 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.EStandard survey18 Apr 2024
8 Mar 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey18 Apr 2024
8 Mar 2024F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FComplaint investigation18 Apr 2024
8 Mar 2024F0880Provide and implement an infection prevention and control program.DStandard survey18 Apr 2024
8 Mar 2024F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey18 Apr 2024
8 Mar 2024F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EComplaint investigation18 Apr 2024
21 Dec 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation19 Jan 2024
21 Dec 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint investigation19 Jan 2024
21 Dec 2023F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint investigation19 Jan 2024
21 Dec 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation19 Jan 2024
21 Dec 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation19 Jan 2024
21 Dec 2023F0761Ensure 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.FComplaint investigation19 Jan 2024
21 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation19 Jan 2024
21 Dec 2023F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.FComplaint investigation19 Jan 2024
21 Dec 2023F0880Provide and implement an infection prevention and control program.EComplaint investigation19 Jan 2024
13 Nov 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation21 Dec 2023
13 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation21 Dec 2023
30 Oct 2023F0610Respond appropriately to all alleged violations.DComplaint investigation7 Dec 2023
30 Oct 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation7 Dec 2023
30 Oct 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation7 Dec 2023
19 Sep 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation13 Oct 2023
19 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation13 Oct 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.

Penalties of North Cascades Health and Rehabilitation in the CMS penalties file
DateTypeFineDays without payment
4 Mar 2026Fine$32,786
28 Jan 2026Fine$46,040
30 Dec 2024Fine$15,584
20 Jun 2024Fine$50,278
8 Mar 2024Fine$104,832
19 Sep 2023Fine$46,449

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.

Nurse staffing hours per resident per day at North Cascades Health and Rehabilitation
StaffThis homeWashington medianWashington average (CMS)
All nurse staff3.744.104.37
Registered nurses (RN)1.050.900.94
Licensed practical nurses (LPN)0.600.77
Nurse aides2.102.66
All nurse staff, weekends3.153.603.81
Nurse staff turnover in a year
34.5%
Nurse staff turnover, Washington median
43.2%
RN turnover in a year
22.7%
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.

Quality measures of North Cascades Health and Rehabilitation, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeWashington medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay6.8%13.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.4%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.5%2.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.3%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay6.1%16.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.7%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay26.7%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, limited liability company
Legal business name
North Cascades SNF Operations LLC
Chain
Evergreen Healthcare Group (44 homes in the CMS chain file)
Organisations in the CMS ownership record of North Cascades Health and Rehabilitation
OrganisationRole in the CMS recordInterestSince
Pacific Northwest SNF Operations Holdings (WA) LLCDirect ownership interest31 Aug 2023
CH Pacific Northwest Holdings LLCIndirect ownership interest31 Aug 2023
Pacific Northwest SNF Operations Holdings LLCIndirect ownership interest31 Aug 2023
Witzcorp Global LLCIndirect ownership interest31 Aug 2023
Couve Financial Services LLCOperational/managerial control31 Aug 2023
Couve Healthcare Consulting LLCOperational/managerial control31 Aug 2023
Pacific Northwest Opco Management LLCOperational/managerial control31 Aug 2023
Washington SNF Consulting LLCOperational/managerial control31 Aug 2023
CH Pacific Northwest Holdings LLCAdp of the snf31 Aug 2023
Couve Financial Services LLCAdp of the snf30 Apr 2025
Couve Healthcare Consulting LLCAdp of the snf30 Apr 2025
Pacific Northwest Opco Management LLCAdp of the snf30 Apr 2025
Washington SNF Consulting LLCAdp of the snf30 Apr 2025
Witzcorp Global LLCAdp of the snf31 Aug 2023

The site shows organisations only. It does not show the names of persons.

Other homes in Whatcom County

The 7 nearest other nursing homes in Whatcom County, Washington
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Alderwood Park Health and Rehab of CascadiaBellingham5 of 57$016 Jan 2026
Avalon Healthcare BellinghamBellingham5 of 510$32,2985 Dec 2025
Rock Hill Health & RehabilitationBellingham2 of 526$74,7941 May 2025
Mt Baker Care CenterBellingham5 of 57$02 Jul 2025
Highland Health and Rehabilitation of CascadiaBellingham3 of 513$63,6977 Aug 2025
Christian Health Care CenterLynden5 of 52$22,08112 Jun 2026
Stafholt Health and Rehabilitation of CascadiaBlaine4 of 511$47,18217 Feb 2026

All 8 nursing homes in Whatcom County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of North Cascades Health and Rehabilitation (CCN 505393). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/north-cascades-health-and-rehabilitation-bellingham-wa-505393/

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 North Cascades Health and Rehabilitation last inspected?
The latest inspection with a citation in the CMS record was on 23 Jun 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 24 Jan 2025.
Who operates North Cascades Health and Rehabilitation?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Evergreen Healthcare Group. The CMS ownership file names 4 organisations for operational or managerial control. This site does not show the names of persons.
Is North Cascades Health and Rehabilitation 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.