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HomeWashingtonHighland Health and Rehabilitation of Cascadia

Highland Health and Rehabilitation of Cascadia

2400 Samish Way, Bellingham, WA 982293607344800WebsiteGoogle Maps
4.3on Google(6 reviews)
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
3/5
Staffing
3/5
Quality
3/5
Beds
44
certified
3 fine(s) totaling $63,697

How Highland Health and Rehabilitation of Cascadia Compares in Washington

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.

CMS overall rating
3/5
WA average
3.2/5
Close to state average
Health inspection rating
3/5
WA average
2.8/5
Close to state average
Staffing rating
3/5
WA average
3.6/5
Below state average
Nursing hours per resident
3.93 hrs/day
WA average
4.37 hrs/day
Below state average
RN hours per resident
1.22 hrs/day
WA average
0.94 hrs/day
Above state average
Staff turnover
62.5%
WA average
45.4%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Reported nursing time is 3.93 hours per resident per day, below the state average of 4.37.
Reported RN time is 1.22 hours per resident per day, above the state average of 0.94.
Staff turnover is 62.5%, higher than the Washington average of 45.4%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
22
deficiency citations
Inspected Jul 30, 2024
Most recent cycle
13
deficiency citations
Inspected Aug 7, 2025
The most recent cycle recorded 9 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$10,524/mo
Washington median
Private Room
$12,419/mo
Washington median
Whatcom County 65+
40,971
18.1% of county
County Population
226,523
Whatcom County

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.

Beds
44
Avg Residents/Day
36.5
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)
13
Weighted Score
101.0
Infection Citations
1

Deficiency Citations (37)

F0694Actual Harm

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0732Potential for Harm

Post nurse staffing information every day.

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0686Potential for Harm

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

Survey: Dec 17, 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
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
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
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 7, 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: 2
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
F0658Potential for Harm

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

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
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 30, 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
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
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
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
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: 3
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: 3
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: 3
F0695Potential for Harm

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

Survey: Mar 12, 2024Corrected: NoCycle: 3

+ 7 more deficiencies

Total Fines
$63,697
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineFeb 13, 2026
$10,358
FineJan 9, 2024
$12,048
FineOct 19, 2023
$41,291

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

Nurse Aide2.17 hrs
National avg: 2.32 hrs
LPN0.54 hrs
National avg: 0.86 hrs
RN1.22 hrs
National avg: 0.69 hrs
Total Nursing3.93 hrs
National avg: 3.86 hrs
Weekend Total3.50 hrs
National avg: 0.00 hrs
Physical Therapist0.13 hrs
National avg: 0.07 hrs
Total Turnover
62.5%
RN Turnover
62.5%
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 (18)

NameRoleTypeOwnership %Since
CASCADIA WASHINGTON OPERATIONS LLCDIRECT OWNERSHIP INTERESTOrganizationN/AAug 1, 2022
CASCADIA HC GROUP LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AJun 5, 2025
CASCADIA HEALTHCARE LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AAug 1, 2022
CASCADIA HOLDCO LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AJun 5, 2025
HAMMOND, OWENINDIRECT OWNERSHIP INTERESTIndividualN/AAug 1, 2022
LAFORTE, STEPHENINDIRECT OWNERSHIP INTERESTIndividualN/AJun 5, 2025
NELSON, TIMOTHYINDIRECT OWNERSHIP INTERESTIndividualN/AJun 5, 2025
WHITE OAK HEALTHCARE FINANCE LLC5% OR GREATER SECURITY INTERESTOrganizationN/AAug 11, 2022
CASCADIA SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 8, 2025
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
VANCE, NATHANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 23, 2026
CASCADIA SERVICES LLCADP OF THE SNFOrganizationN/AJan 8, 2025
TIMBERLINE OHI TENANT LLCADP OF THE SNFOrganizationN/AJun 5, 2025
DHALIWAL, NAVDEEPADP OF THE SNFIndividualN/AFeb 14, 2025
VANCE, NATHANADP OF THE SNFIndividualN/AApr 9, 2026

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Highland Health and Rehabilitation of Cascadia and nearby alternatives.

All Washington facilities
Highland Health and Rehabilitation of Cascadia
Bellingham, WACurrent facility
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $63,697
Mt Baker Care Center
Bellingham, WA4,752 ft
CMS
5/5
Health
5/5
Staffing
5/5
Recorded fines: None
Shuksan Rehabilitation and Health Care
Bellingham, WA2.8 mi
CMS
2/5
Health
1/5
Staffing
2/5
Recorded fines: $74,794
Avalon Healthcare Bellingham
Bellingham, WA4.3 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: $32,298
Alderwood Park Health and Rehab of Cascadia
Bellingham, WA5.2 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: None
North Cascades Health and Rehabilitation
Bellingham, WA7.3 miAbuse flag
CMS
2/5
Health
1/5
Staffing
4/5
Recorded fines: $313,623
Soundview Rehabilitation and Health Care INC
Anacortes, WA16.0 miAbuse flag
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Highland Health and Rehabilitation of Cascadia
Bellingham, WA · Current facility
—3/53/53/5$63,697
Mt Baker Care Center
Bellingham, WA
4,752 ft5/55/55/5None recorded
Shuksan Rehabilitation and Health Care
Bellingham, WA
2.8 mi2/51/52/5$74,794
Avalon Healthcare Bellingham
Bellingham, WA
4.3 mi5/54/54/5$32,298
Alderwood Park Health and Rehab of Cascadia
Bellingham, WA
5.2 mi5/54/54/5None recorded
North Cascades Health and Rehabilitation
Bellingham, WA
7.3 mi2/51/54/5$313,623
Soundview Rehabilitation and Health Care INC
Anacortes, WA
16.0 mi2/52/53/5None recorded

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.

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 3/5, and quality measures rating of 3/5. This facility is rated average.
How much does Highland Health and Rehabilitation of Cascadia cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Washington is $10,524/month for a semi-private room and $12,419/month for a private room (Genworth/CareScout 2024). Highland Health and Rehabilitation of Cascadia participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Highland Health and Rehabilitation of Cascadia had any health inspection violations?▾
Highland Health and Rehabilitation of Cascadia had 13 deficiency citations in its most recent health inspection (Aug 7, 2025). The current CMS dataset records 3 fine(s) totaling $63,697. 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 3.93 total nursing staff hours per resident per day, including 1.22 RN hours, 0.54 LPN hours, and 2.17 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 36.5 residents per day, resulting in approximately 83% 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. This page lists 6 nearby nursing homes in Washington, including 5 in Bellingham. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Highland Health and Rehabilitation of Cascadia?▾
On Google Maps, Highland Health and Rehabilitation of Cascadia has a rating of 4.3 out of 5 based on 6 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 3/5.

Part of Cascadia Healthcare

This chain operates 45 facilities. View all →