B82

HIGHLAND HEALTH AND REHABILITATION OF CASCADIA

Grade B 82/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
4/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

44

Ownership

For profit - Corporation

Total Fines

$53,339

Last Survey

N/A

2400 SAMISH WAY, BELLINGHAM, WA 98229
3607344800

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.43h
LPN
0.46h
CNA
2.10h
Total
3.99h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

CASCADIA WASHINGTON OPERATIONS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2021

CASCADIA SERVICES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

BIRRELL, TIFFANY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2024

DHALIWAL, NAVDEEP

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2023

HAMMOND, OWEN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2025

LAFORTE, STEPHEN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2025

NELSON, TIMOTHY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2025

WHITE OAK HEALTHCARE FINANCE LLC

Organization5% OR GREATER SECURITY INTERESTSince Aug 2022

Penalties & Fines (2)

$53,339total fines
DateTypeDescriptionAmount
Jan 9, 2024Fine$12,048
Oct 19, 2023Fine$41,291

Health Inspection Deficiencies (29)

August 7, 2025Health8 deficiencies
0947EMinimal harm, Pattern

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Nursing and Physician Services Deficiencies

Corrected Sep 22, 2025
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Sep 22, 2025
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 22, 2025
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Sep 22, 2025
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Sep 22, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 22, 2025
0585DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Sep 22, 2025
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Sep 22, 2025
July 30, 2024Health10 deficiencies
0636DMinimal harm, Isolated

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 10, 2024
0658EMinimal harm, Pattern

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 10, 2024
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Sep 10, 2024
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Sep 10, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 10, 2024
0881DMinimal harm, Isolated

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected Sep 10, 2024
0576DMinimal harm, Isolated

Ensure residents have reasonable access to and privacy in their use of communication methods.

Resident Rights Deficiencies

Corrected Sep 10, 2024
0726EMinimal harm, Pattern

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies

Corrected Sep 10, 2024
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 10, 2024
0947DMinimal harm, Isolated

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Nursing and Physician Services Deficiencies

Corrected Sep 10, 2024
July 1, 2024Health1 deficiency
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 10, 2024
April 29, 2024Health3 deficiencies
0740DMinimal harm, Isolated

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Quality of Life and Care Deficiencies

Corrected May 21, 2024
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected May 21, 2024
0921DMinimal harm, Isolated

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected May 21, 2024
March 12, 2024Health1 deficiency
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Mar 28, 2024
January 9, 2024Health1 deficiency1 severe
0686GActual harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Dec 21, 2023
October 19, 2023Health3 deficiencies1 severe
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Nov 15, 2023
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Nov 15, 2023
0684GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Nov 15, 2023
July 28, 2023Health2 deficiencies
0679EMinimal harm, Pattern

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Aug 30, 2023
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 30, 2023

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Frequently Asked Questions

What is the CareGrader rating for HIGHLAND HEALTH AND REHABILITATION OF CASCADIA?

HIGHLAND HEALTH AND REHABILITATION OF CASCADIA in BELLINGHAM, Washington has a CareGrader grade of B (Good), with a composite score of 82 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for HIGHLAND HEALTH AND REHABILITATION OF CASCADIA?

HIGHLAND HEALTH AND REHABILITATION OF CASCADIA has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does HIGHLAND HEALTH AND REHABILITATION OF CASCADIA have?

HIGHLAND HEALTH AND REHABILITATION OF CASCADIA has 29 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has HIGHLAND HEALTH AND REHABILITATION OF CASCADIA been fined?

Yes. HIGHLAND HEALTH AND REHABILITATION OF CASCADIA has $53,339 in total fines from CMS enforcement actions across 2 penalties.

How many beds does HIGHLAND HEALTH AND REHABILITATION OF CASCADIA have?

HIGHLAND HEALTH AND REHABILITATION OF CASCADIA has 44 certified beds with approximately 36 current residents (82% occupancy). The facility is located at 2400 SAMISH WAY, BELLINGHAM, Washington 98229. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.