North Cascades Health and Rehabilitation

4680 Cordata Parkway, Bellingham, WA 98226 · (360) 398-1966
For profit - Limited Liability company · 122 certified beds

North Cascades Health and Rehabilitation has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2026, found 22 citations (the Washington average is 15.8). It was fined 6 times in the last three years, $295,969 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on April 13, 2026 found 22 citations. What an inspection citation means

• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.April 13, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.April 13, 2026 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Have policies on smoking.April 13, 2026 · F0926 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.April 13, 2026 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.April 13, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• PASARR screening for Mental disorders or Intellectual DisabilitiesApril 13, 2026 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.April 13, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.April 13, 2026 · F0725 · 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.April 13, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.April 13, 2026 · F0800 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 13, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to organize and participate in resident/family groups in the facility.April 13, 2026 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.April 13, 2026 · F0604 · 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.April 13, 2026 · F0677 · 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.April 13, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.April 13, 2026 · F0688 · 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.April 13, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.April 13, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.April 13, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.April 13, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.April 13, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Post nurse staffing information every day.April 13, 2026 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Some

Complaint inspections, last three years

Inspections after complaints found 49 citations.

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 23, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.June 23, 2026 · F0610 · 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.April 13, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Post nurse staffing information every day.April 13, 2026 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 4, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 4, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.March 4, 2026 · F0610 · 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.March 4, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.February 6, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.February 6, 2026 · F0678 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Give the resident's representative the ability to exercise the resident's rights.January 28, 2026 · F0551 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.January 28, 2026 · F0678 · 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.January 28, 2026 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.January 28, 2026 · F0760 · Level of harm: Actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.January 28, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.December 17, 2025 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.December 17, 2025 · F0610 · 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.December 17, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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
• Hire a qualified full-time social worker in a facility with more than 120 beds.December 17, 2025 · F0850 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Respond appropriately to all alleged violations.March 28, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• PASARR screening for Mental disorders or Intellectual DisabilitiesMarch 28, 2025 · F0645 · 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.March 28, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide or obtain dental services for each resident.December 30, 2024 · F0791 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.September 5, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 5, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.August 12, 2024 · F0851 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.June 20, 2024 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.June 20, 2024 · F0686 · Level of harm: Actual harm · Residents affected: Few
• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.June 20, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.April 17, 2024 · F0580 · 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.April 17, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Observe each nurse aide's job performance and give regular training.March 8, 2024 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.March 8, 2024 · F0851 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.March 8, 2024 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.December 21, 2023 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.December 21, 2023 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.December 21, 2023 · F0644 · 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.December 21, 2023 · F0684 · Level of harm: 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.December 21, 2023 · F0725 · 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.December 21, 2023 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 21, 2023 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Have a policy regarding use and storage of foods brought to residents by family and other visitors.December 21, 2023 · F0813 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.December 21, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 13, 2023 · F0656 · 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.November 13, 2023 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.October 30, 2023 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.October 30, 2023 · F0657 · 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 30, 2023 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $32,786March 4, 2026
• Fine of $46,040January 28, 2026
• Fine of $15,584December 30, 2024
• Fine of $50,278June 20, 2024
• Fine of $104,832March 8, 2024
• Fine of $46,449September 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