Nursing HomeInspections

Highland Health and Rehabilitation of Cascadia

Nursing home in Bellingham, WA

Medicare & Medicaid certified3★ overall (CMS)

Call (360) 734-4800Send a messageMap ↗

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

CMS certification number 505140. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

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.

InspectionCitationSeverity
Feb 13, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 13, 2026Post nurse staffing information every day.
Nursing and Physician Services · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 13, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
E
Potential for more than minimal harm, pattern
Feb 13, 2026Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Dec 17, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 7, 2025Honor 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.
Resident Rights
D
Potential for more than minimal harm, isolated
Aug 7, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Aug 7, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Aug 7, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Aug 7, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 7, 2025Honor 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.
Resident Rights
E
Potential for more than minimal harm, pattern
Aug 7, 2025Ensure 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…
Pharmacy Service
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 37. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $63,697 in the last three years.

Feb 13, 2026Fine: $10,358
Jan 9, 2024Fine: $12,048
Oct 19, 2023Fine: $41,291

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

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

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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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