Shuksan Rehabilitation and Health Care
1530 James Street · Bellingham, WA · 98225 · 3607339161
52 certified beds For profit - Corporation Chain: Hyatt Family Facilities
Why this verdict
- 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: $74,794 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
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
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
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.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$74,794 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.85 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.95 | 0.55–0.75 |
| Weekend hours / resident-day | 3.19 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 1 · $74,794 |
Inspection citations (61 in the current record)
-
Potential for harm · E March 18, 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 April 17, 2026 · Pharmacy Service
-
Potential for harm · E March 18, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 17, 2026 · Pharmacy Service
-
Potential for harm · D March 18, 2026 · found via complaint
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 17, 2026 · Pharmacy Service
-
Potential for harm · D March 18, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 17, 2026 · Infection Control
-
Potential for harm · D September 4, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 11, 2025 · found via complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected August 29, 2025 · Administration
-
Immediate jeopardy · K May 1, 2025 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected June 4, 2025 · Administration
-
Immediate jeopardy · L May 1, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected June 4, 2025 · Administration
-
Actual harm · G May 1, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 4, 2025 · Quality of Life and Care
-
Potential for harm · D May 1, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E May 1, 2025
Respond appropriately to all alleged violations.
Corrected June 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D May 1, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 4, 2025 · Resident Rights
-
Potential for harm · D May 1, 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 June 4, 2025 · Resident Rights
-
Potential for harm · E May 1, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 4, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D May 1, 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 June 4, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D May 1, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 4, 2025 · Quality of Life and Care
-
Potential for harm · D May 1, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected June 4, 2025 · Quality of Life and Care
-
Potential for harm · D May 1, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected June 4, 2025 · Quality of Life and Care
-
Potential for harm · E May 1, 2025
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected June 4, 2025 · Nursing and Physician Services
-
Potential for harm · D May 1, 2025
Observe each nurse aide's job performance and give regular training.
Corrected June 4, 2025 · Nursing and Physician Services
-
Potential for harm · D May 1, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 4, 2025 · Pharmacy Service
-
Potential for harm · D May 1, 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 June 4, 2025 · Pharmacy Service
-
Potential for harm · E May 1, 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 June 4, 2025 · Pharmacy Service
-
Potential for harm · E May 1, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 4, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D May 1, 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 June 4, 2025 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 11, 2025 | Fine | $74,794 |
| May 16, 2024 | Payment Denial | 14 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505098 · 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.