North Cascades Health and Rehabilitation
4680 Cordata Parkway · Bellingham, WA · 98226 · 3603981966
122 certified beds For profit - Corporation Chain: Evergreen Healthcare Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $136,854 in fines in the last 24 months.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$136,854 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.54 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.94 | 0.55–0.75 |
| Weekend hours / resident-day | 3.07 | ≈ weekday level |
| Nursing turnover / year | 38% | median 45% |
| Fines (3-yr window) | 6 · $338,413 |
Inspection citations (96 in the current record)
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Potential for harm · E April 13, 2026 · 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 May 22, 2026 · Nursing and Physician Services
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No harm found · B April 13, 2026 · found via complaint
Post nurse staffing information every day.
Corrected May 22, 2026 · Nursing and Physician Services
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Actual harm · G March 4, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 4, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 4, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 4, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 23, 2026 · Resident Assessment and Care Planning
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Immediate jeopardy · J February 6, 2026 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected February 19, 2026 · Quality of Life and Care
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Potential for harm · D February 6, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 19, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G January 28, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 9, 2026 · Quality of Life and Care
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Actual harm · G January 28, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 9, 2026 · Pharmacy Service
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Potential for harm · D January 28, 2026 · found via complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected February 9, 2026 · Resident Rights
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Potential for harm · D January 28, 2026 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected February 9, 2026 · Quality of Life and Care
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Potential for harm · D January 28, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 17, 2025 · found via complaint
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 January 16, 2026 · Resident Rights
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Potential for harm · D December 17, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 16, 2026 · Quality of Life and Care
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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 16, 2026 · Quality of Life and Care
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Potential for harm · E December 17, 2025 · found via complaint
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected January 16, 2026 · Administration
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Potential for harm · D March 28, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 28, 2025 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 28, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 14, 2025 · Quality of Life and Care
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Immediate jeopardy · J January 24, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 21, 2025 · Quality of Life and Care
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Potential for harm · D January 24, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected February 21, 2025 · Resident Rights
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Potential for harm · D January 24, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected February 21, 2025 · Resident Rights
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Potential for harm · D January 24, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 21, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 4, 2026 | Fine | $50,440 |
| January 28, 2026 | Fine | $70,830 |
| December 30, 2024 | Fine | $15,584 |
| June 20, 2024 | Fine | $50,278 |
| March 8, 2024 | Fine | $104,832 |
| September 19, 2023 | Fine | $46,449 |
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 505393 · certified since September 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.