CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Washington. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Highland Health and Rehabilitation of Cascadia is a 3-star Medicare and Medicaid certified nursing home in Bellingham, Washington with 44 certified beds. It has been operating since 1972. Its overall CMS rating is 3 out of 5.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
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.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
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.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Ensure residents have reasonable access to and privacy in their use of communication methods.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
+ 7 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CASCADIA WASHINGTON OPERATIONS LLC | DIRECT OWNERSHIP INTEREST | Organization | N/A | Aug 1, 2022 |
| CASCADIA HC GROUP LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jun 5, 2025 |
| CASCADIA HEALTHCARE LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Aug 1, 2022 |
| CASCADIA HOLDCO LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jun 5, 2025 |
| HAMMOND, OWEN | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Aug 1, 2022 |
| LAFORTE, STEPHEN | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jun 5, 2025 |
| NELSON, TIMOTHY | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jun 5, 2025 |
| WHITE OAK HEALTHCARE FINANCE LLC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Aug 11, 2022 |
| CASCADIA SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jan 8, 2025 |
| DHALIWAL, NAVDEEP | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 9, 2023 |
| HAMMOND, OWEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 5, 2025 |
| LAFORTE, STEPHEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 5, 2025 |
| NELSON, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 5, 2025 |
| VANCE, NATHAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 23, 2026 |
| CASCADIA SERVICES LLC | ADP OF THE SNF | Organization | N/A | Jan 8, 2025 |
| TIMBERLINE OHI TENANT LLC | ADP OF THE SNF | Organization | N/A | Jun 5, 2025 |
| DHALIWAL, NAVDEEP | ADP OF THE SNF | Individual | N/A | Feb 14, 2025 |
| VANCE, NATHAN | ADP OF THE SNF | Individual | N/A | Apr 9, 2026 |
Compare CMS ratings and recorded fines for Highland Health and Rehabilitation of Cascadia and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 45 facilities. View all →