Highland Health and Rehabilitation of Cascadia
Nursing home in Bellingham, WA
Medicare & Medicaid certified3★ overall (CMS)
Public-record details
- Address
- 2400 Samish Way, Bellingham, WA 98229
- Phone
- (360) 734-4800
- Listed under
- For-profit
- Medicare CCN
- 505140
- Overall star rating
- 3 of 5 ★★★☆☆
- Health inspection rating
- 3 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 3 of 5
- Certified beds
- 44
- Average residents per day
- 37
- Ownership
- For-profit, corporation
- Legal business name
- Bellingham South of Cascadia, LLC
- Chain
- Cascadia Healthcare (46 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- May 31, 1972
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Aug 7, 2025. CMS lists 37 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 28, 2023 to Feb 13, 2026): 18 from complaint inspections, 4 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Feb 13, 2026 | Respond appropriately to all alleged violations. | D |
| Feb 13, 2026 | Post nurse staffing information every day. | D |
| Feb 13, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| Feb 13, 2026 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | G |
| Dec 17, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| Aug 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. | D |
| Aug 7, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| Aug 7, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Aug 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. | D |
| Aug 7, 2025 | Provide and implement an infection prevention and control program. | D |
| Aug 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. | E |
| Aug 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… | E |
Fines and payment denials
CMS records 3 fines totalling $63,697 in the last three years.
| Feb 13, 2026 | Fine: $10,358 |
| Jan 9, 2024 | Fine: $12,048 |
| Oct 19, 2023 | Fine: $41,291 |
Staffing
- Total nurse staffing per resident per day
- 3.93 hours
- Registered nurse (RN) time per resident per day
- 1.22 hours
- Nurse aide time per resident per day
- 2.17 hours
- Total nurse staffing on weekends
- 3.50 hours
- Nursing staff turnover (yearly)
- 63%
- RN turnover (yearly)
- 63%
- Administrators who left in the past year
- 1
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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