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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeWashingtonHighland Health and Rehabilitation of Cascadia

Highland Health and Rehabilitation of Cascadia

2400 Samish Way, Bellingham, WA 982293607344800
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
4/5
Quality
4/5
Beds
44
certified
2 fine(s) totaling $53,339

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 44 certified beds with an average of 36.2 residents per day (82% occupancy)

• Last health inspection found 10 deficiencies (inspected Aug 7, 2025)

• Has been fined a total of $53,339 across 2 fine(s)

• Total nursing staff: 4.01 hours per resident per day

• Staff turnover rate: 62.5% (high)

• Part of the Cascadia Healthcare chain (44 facilities)

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. The facility scored at average compared to Washington facilities.

Beds
44
Avg Residents/Day
36.2
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
May 31, 1972
Sprinklers
Yes
Council
Resident
County
Whatcom
Last Inspection
Aug 7, 2025
Deficiencies (Cycle 1)
10
Weighted Score
76.0
Infection Citations
1

Deficiency Citations (33)

F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Dec 17, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Feb 20, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0585Potential for Harm

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.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0947Potential for Harm

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Aug 7, 2024Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Jul 1, 2024Corrected: NoCycle: 2
F0740Potential for Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey: Apr 29, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Apr 29, 2024Corrected: NoCycle: 2
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Apr 29, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Mar 12, 2024Corrected: NoCycle: 2
F0576Potential for Harm

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0636Potential for Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0726Potential for Harm

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.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0947Potential for Harm

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey: Jul 30, 2024Corrected: NoCycle: 2
F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Jan 9, 2024Corrected: NoCycle: 3
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Nov 22, 2023Corrected: NoCycle: 3
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Oct 19, 2023Corrected: NoCycle: 3
F0684Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Oct 19, 2023Corrected: NoCycle: 3

+ 3 more deficiencies

Total Fines
$53,339
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineJan 9, 2024
$12,048
FineOct 19, 2023
$41,291

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.11 hrs
National avg: 2.35 hrs
LPN0.46 hrs
National avg: 0.86 hrs
RN1.44 hrs
National avg: 0.68 hrs
Total Nursing4.01 hrs
National avg: 3.89 hrs
Weekend Total3.33 hrs
National avg: 0.00 hrs
Physical Therapist0.08 hrs
National avg: 0.07 hrs
Total Turnover
62.5%
RN Turnover
54.5%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (8)

NameRoleTypeOwnership %Since
CASCADIA WASHINGTON OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/ADec 2, 2021
CASCADIA SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 8, 2025
BIRRELL, TIFFANYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 12, 2024
DHALIWAL, NAVDEEPOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 9, 2023
HAMMOND, OWENOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 5, 2025
LAFORTE, STEPHENOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 5, 2025
NELSON, TIMOTHYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 5, 2025
WHITE OAK HEALTHCARE FINANCE LLC5% OR GREATER SECURITY INTERESTOrganizationN/AAug 11, 2022

Nearby Nursing Homes

All Washington facilities

Mt Baker Care Center

Bellingham, WA · 70 beds

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Health
Staffing
Quality
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Shuksan Rehabilitation and Health Care

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For profit$73,622 in fines
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Quality
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Avalon Healthcare - Bellingham

Bellingham, WA · 105 beds

For profit$201,925 in fines
Health
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Alderwood Park Health and Rehab of Cascadia

Bellingham, WA · 102 beds

For profit$52,574 in fines
Health
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Quality
5.2 mi

North Cascades Health and Rehabilitation

Bellingham, WA · 122 beds

For profit$347,043 in fines
Health
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Quality
7.3 mi

Frequently Asked Questions

What is the CMS rating for Highland Health and Rehabilitation of Cascadia?▾
Highland Health and Rehabilitation of Cascadia has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 4/5, and quality measures rating of 4/5. This facility is rated average.
Has Highland Health and Rehabilitation of Cascadia had any health inspection violations?▾
Highland Health and Rehabilitation of Cascadia had 10 deficiency citations in its most recent health inspection (Aug 7, 2025). The facility has been fined a total of $53,339 across 2 fine(s). It also has 1 infection control citation(s).
What are the staffing levels at Highland Health and Rehabilitation of Cascadia?▾
Highland Health and Rehabilitation of Cascadia provides 4.01 total nursing staff hours per resident per day, including 1.44 RN hours, 0.46 LPN hours, and 2.11 nurse aide hours. The total staff turnover rate is 62.5%.
How many beds does Highland Health and Rehabilitation of Cascadia have?▾
Highland Health and Rehabilitation of Cascadia has 44 certified beds with an average of 36.2 residents per day, resulting in approximately 82% occupancy. The facility is For profit - Corporation owned and is part of the Cascadia Healthcare chain.
Are there other nursing homes near Highland Health and Rehabilitation of Cascadia?▾
Yes, there are 5 other nursing homes in Bellingham, Washington with an average rating of 3/5. You can compare all facilities on the Bellingham nursing homes page.

Part of Cascadia Healthcare

This chain operates 44 facilities. View all →