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Medicare-certifiedSkilled Nursing

Highland Health and Rehabilitation of Cascadia

Bellingham, WashingtonMedicare inspection record
(360) 734-4800

About Highland Health and Rehabilitation of Cascadia

HIGHLAND HEALTH AND REHABILITATION OF CASCADIA is a for profit - corporation nursing home in BELLINGHAM, WA with 44 certified beds.

Community at a glance

Capacity

44 residents

Location

Bellingham, WA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

2400 SAMISH WAY, Bellingham, Washington 98229

(360) 734-4800

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on August 7, 2025, state inspectors cited 13 health deficiencies (the Washington average is 15.8).

Nurses and nurse aides spend 3 hours 56 minutes with each resident a day, below the Washington average of 4 hours 22 minutes.

Medicare fined Highland Health and Rehabilitation of Cascadia 2 times in the last three years, $22,593 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 56 minutesBelow the Washington average
Registered nurse time per resident, per day1 hour 13 minutesAbove the Washington average
Nursing staff who left in the past year63%Above the Washington average

1 administrator has left the home in the past year.

Inspections

32 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

February 13, 2026 · Complaint investigation · 4 citations

  • Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Mar 17, 2026
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Mar 17, 2026
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 17, 2026
  • Post nurse staffing information every day.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Mar 17, 2026

December 17, 2025 · Complaint investigation · 1 citation

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

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 27, 2026
August 7, 2025 · Standard inspection · 8 citations+
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Sep 22, 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 locked compartments, separately locked, compartments for controlled drugs.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Sep 22, 2025
  • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Sep 22, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 22, 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 22, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Sep 22, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 22, 2025
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Sep 22, 2025
February 20, 2025 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 3, 2025
August 7, 2024 · Complaint investigation · 1 citation+
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Sep 10, 2024
July 30, 2024 · Standard inspection · 10 citations+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Sep 10, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Sep 10, 2024
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Sep 10, 2024
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 10, 2024
  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Sep 10, 2024
  • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 10, 2024
  • Ensure residents have reasonable access to and privacy in their use of communication methods.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 10, 2024
  • Implement a program that monitors antibiotic use.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Sep 10, 2024
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 10, 2024
  • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Sep 10, 2024
July 1, 2024 · Complaint investigation · 1 citation+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Sep 10, 2024
April 29, 2024 · Complaint investigation · 3 citations+
  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 21, 2024
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected May 21, 2024
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected May 21, 2024
March 12, 2024 · Complaint investigation · 1 citation+
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 28, 2024
January 9, 2024 · Complaint investigation · 1 citation+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintAlready fixed by Dec 21, 2023
November 22, 2023 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Dec 19, 2023

Fines and payment denials

2 fines totaling $22,593 in the last three years.

  • February 13, 2026Fine: $10,545
  • January 9, 2024Fine: $12,048

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
Bellingham South of Cascadia, LLC
Medicare-certified beds
44
Average residents per day
37
Accepts
Medicare and Medicaid
First certified
May 31, 1972
Part of a chain
Cascadia Healthcare, 47 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
505140

Location

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2400 SAMISH WAYBellingham, WA 98229

12 other communities within 10 miles

Senior living near Bellingham

Questions about Highland Health and Rehabilitation of Cascadia

How did Highland Health and Rehabilitation of Cascadia do on its last inspection?+

State inspectors visited on August 7, 2025 and cited 13 health deficiencies, 6 of them from complaint investigations. The Washington average is 15.8.

How much nursing care does each resident get at Highland Health and Rehabilitation of Cascadia?+

Nurses and aides spend 3 hours 56 minutes with each resident per day, including 1 hour 13 minutes from registered nurses. 63% of nursing staff left over the past year.

Has Highland Health and Rehabilitation of Cascadia been fined by Medicare?+

Yes. Medicare fined Highland Health and Rehabilitation of Cascadia 2 times in the last three years, totaling $22,593.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Bellingham Skilled Nursing in Washington Skilled Nursing guide Information last updated October 2026