Alderwood Park Health and Rehab of Cascadia

2726 Alderwood Avenue · Bellingham, WA · 98225 · 3607332322

102 certified beds For profit - Limited Liability company Chain: Cascadia Healthcare

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 81 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 54
Serious harm & abuse 20% 100
Staffing 20% 79
Federal penalties 15% 100
Trend 10% 86
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.823.48 min · 4.1 strong
RN hours / resident-day0.950.55–0.75
Weekend hours / resident-day3.39≈ weekday level
Nursing turnover / year39%median 45%
Fines (3-yr window)none

Inspection citations (45 in the current record)

  • Potential for harm · E January 16, 2026

    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.

    Corrected February 16, 2026 · Resident Rights

  • Potential for harm · D January 16, 2026

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected February 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 16, 2026

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E January 16, 2026

    Provide 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.

    Corrected February 16, 2026 · Quality of Life and Care

  • Potential for harm · D January 16, 2026

    Provide enough food/fluids to maintain a resident's health.

    Corrected February 16, 2026 · Quality of Life and Care

  • Potential for harm · D January 16, 2026

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

    Corrected February 16, 2026 · Quality of Life and Care

  • Potential for harm · D January 16, 2026

    Provide and implement an infection prevention and control program.

    Corrected February 16, 2026 · Infection Control

  • Potential for harm · E February 28, 2025

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected April 21, 2025 · Resident Rights

  • Potential for harm · E February 28, 2025

    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.

    Corrected April 21, 2025 · Resident Rights

  • Potential for harm · E February 28, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 21, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 28, 2025

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

    Corrected April 21, 2025 · Quality of Life and Care

  • Potential for harm · E February 28, 2025

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

    Corrected April 21, 2025 · Nursing and Physician Services

  • Potential for harm · D February 28, 2025

    Post nurse staffing information every day.

    Corrected April 21, 2025 · Nursing and Physician Services

  • Potential for harm · D February 28, 2025

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

    Corrected April 21, 2025 · Pharmacy Service

  • Potential for harm · D February 28, 2025

    Implement 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.

    Corrected April 21, 2025 · Pharmacy Service

  • Potential for harm · D February 28, 2025

    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.

    Corrected April 21, 2025 · Pharmacy Service

  • Potential for harm · D February 28, 2025

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected April 21, 2025 · Administration

  • Potential for harm · E February 28, 2025

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

    Corrected April 21, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E February 28, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 21, 2025 · Infection Control

  • Potential for harm · D January 7, 2025 · found via complaint

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

    Corrected January 22, 2025 · Quality of Life and Care

  • Potential for harm · D October 28, 2024 · found via complaint

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

    Corrected November 25, 2024 · Quality of Life and Care

  • Potential for harm · D May 29, 2024 · found via complaint

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

    Corrected July 5, 2024 · Quality of Life and Care

  • Potential for harm · D May 29, 2024 · found via complaint

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

    Corrected July 5, 2024 · Quality of Life and Care

  • Potential for harm · E March 26, 2024

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected May 6, 2024 · Resident Rights

  • Potential for harm · D March 26, 2024

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected May 6, 2024 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505092 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.