Highland Health and Rehabilitation of Cascadia
2400 Samish Way · Bellingham, WA · 98229 · 3607344800
44 certified beds For profit - Corporation Chain: Cascadia Healthcare
Why this verdict
- Federal penalties on record: $15,935 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.68 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.29 | 0.55–0.75 |
| Weekend hours / resident-day | 3.07 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 3 · $69,274 |
Inspection citations (37 in the current record)
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Actual harm · G February 13, 2026 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected March 17, 2026 · Quality of Life and Care
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Potential for harm · D February 13, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 13, 2026 · found via complaint
Post nurse staffing information every day.
Corrected March 17, 2026 · Nursing and Physician Services
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Potential for harm · E February 13, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 17, 2026 · Pharmacy Service
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Potential for harm · D December 17, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 27, 2026 · Quality of Life and Care
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Potential for harm · E August 7, 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 September 22, 2025 · Resident Rights
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Potential for harm · D August 7, 2025
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 September 22, 2025 · Resident Rights
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Potential for harm · D August 7, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 22, 2025 · Quality of Life and Care
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Potential for harm · D August 7, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 22, 2025 · Pharmacy Service
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Potential for harm · E August 7, 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 September 22, 2025 · Pharmacy Service
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Potential for harm · E August 7, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected September 22, 2025 · Nursing and Physician Services
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Potential for harm · D August 7, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 22, 2025 · Infection Control
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Potential for harm · D February 20, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 3, 2025 · Quality of Life and Care
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Potential for harm · E August 7, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 10, 2024 · Nursing and Physician Services
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Potential for harm · D July 30, 2024
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected September 10, 2024 · Resident Rights
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Potential for harm · D July 30, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected September 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 30, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 30, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 10, 2024 · Quality of Life and Care
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Potential for harm · E July 30, 2024
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.
Corrected September 10, 2024 · Nursing and Physician Services
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Potential for harm · D July 30, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 10, 2024 · Pharmacy Service
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Potential for harm · D July 30, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 30, 2024
Provide and implement an infection prevention and control program.
Corrected September 10, 2024 · Infection Control
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Potential for harm · D July 30, 2024
Implement a program that monitors antibiotic use.
Corrected September 10, 2024 · Infection Control
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Potential for harm · D July 30, 2024
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected September 10, 2024 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 13, 2026 | Fine | $15,935 |
| January 9, 2024 | Fine | $12,048 |
| October 19, 2023 | Fine | $41,291 |
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 505140 · certified since May 31, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.