Highland Health and Rehabilitation of Cascadia

2400 Samish Way, Bellingham, WA 98229 · (360) 734-4800
For profit - Corporation · 44 certified beds

Highland Health and Rehabilitation of Cascadia has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 8 citations (the Washington average is 15.8). It was fined 3 times in the last three years, $63,884 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on August 7, 2025 found 8 citations. What an inspection citation means

• 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.August 7, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.August 7, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.August 7, 2025 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.August 7, 2025 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.August 7, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.August 7, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.August 7, 2025 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.August 7, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 18 citations.

• Respond appropriately to all alleged violations.February 13, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide for the safe, appropriate administration of IV fluids for a resident when needed.February 13, 2026 · F0694 · Level of harm: Actual harm · Residents affected: Few
• Post nurse staffing information every day.February 13, 2026 · F0732 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 13, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.December 17, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.August 7, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 20, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.August 7, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 1, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.April 29, 2024 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.April 29, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.April 29, 2024 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.March 12, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.January 9, 2024 · F0686 · Level of harm: Actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 22, 2023 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.October 19, 2023 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 19, 2023 · F0684 · Level of harm: Actual harm · Residents affected: Few
• Develop and implement policies and procedures for flu and pneumonia vaccinations.October 19, 2023 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $10,545February 13, 2026
• Fine of $12,048January 9, 2024
• Fine of $41,291October 19, 2023

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home