Stafholt Health and Rehabilitation of Cascadia

456 C Street · Blaine, WA · 98230 · 3603328733

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

Why this verdict

  • Federal penalties on record: $32,890 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

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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

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.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 49
Serious harm & abuse 20% 78
Staffing 20% 77
Federal penalties 15% 36
Trend 10% 75
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: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.723.48 min · 4.1 strong
RN hours / resident-day1.300.55–0.75
Weekend hours / resident-day3.28≈ weekday level
Nursing turnover / year53%median 45%
Fines (3-yr window)2 · $47,182

Inspection citations (41 in the current record)

  • Potential for harm · D April 2, 2026 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected April 30, 2026 · Quality of Life and Care

  • Potential for harm · E April 2, 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 30, 2026 · Pharmacy Service

  • Potential for harm · E February 17, 2026

    Honor the resident's right to manage his or her financial affairs.

    Corrected April 1, 2026 · Resident Rights

  • Potential for harm · D February 17, 2026

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 1, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 17, 2026

    Respond appropriately to all alleged violations.

    Corrected April 1, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 17, 2026

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

    Corrected April 1, 2026 · Quality of Life and Care

  • Potential for harm · E February 17, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 1, 2026 · Quality of Life and Care

  • Potential for harm · E February 17, 2026

    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 1, 2026 · Pharmacy Service

  • Potential for harm · E February 17, 2026

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected April 1, 2026 · Nutrition and Dietary

  • Potential for harm · D September 4, 2025 · found via complaint

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Corrected October 3, 2025 · Quality of Life and Care

  • Potential for harm · D March 25, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected May 2, 2025 · Resident Rights

  • Potential for harm · D March 25, 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 May 2, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 25, 2025

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected May 2, 2025 · Quality of Life and Care

  • Potential for harm · D March 25, 2025

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected May 2, 2025 · Quality of Life and Care

  • Actual harm · G February 10, 2025 · 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 7, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 2, 2024 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected November 1, 2024 · Resident Rights

  • Potential for harm · D October 2, 2024 · found via complaint

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

    Corrected November 1, 2024 · Quality of Life and Care

  • Potential for harm · E August 13, 2024 · 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 September 12, 2024 · Quality of Life and Care

  • Potential for harm · D August 13, 2024 · found via complaint

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

    Corrected September 12, 2024 · Quality of Life and Care

  • Potential for harm · D August 13, 2024 · found via complaint

    Provide or obtain dental services for each resident.

    Corrected September 12, 2024 · Quality of Life and Care

  • Potential for harm · D July 23, 2024 · 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 August 31, 2024 · Resident Rights

  • Potential for harm · D April 4, 2024 · found via complaint

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

    Corrected May 7, 2024 · Resident Rights

  • Potential for harm · D April 4, 2024 · found via complaint

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected May 7, 2024 · Resident Rights

  • Potential for harm · D April 4, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected May 7, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 4, 2024 · found via complaint

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected May 7, 2024 · Administration

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

Federal penalties

DateTypeAmount / length
February 10, 2025Fine$32,890
December 26, 2023Fine$14,292
December 26, 2023Payment Denial42 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505395 · 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.