01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-07 | 13 | 2025-08-07 | 9 |
| Cycle 2 | 2024-07-30 | 12 | 2024-07-30 | 13 |
| Cycle 3 | 2023-07-28 | 12 | 2023-07-28 | 13 |
CMS CCN 5051402026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Highland Health And Rehabilitation Of Cascadia
2400 Samish Way · Bellingham, WA 98229 · Whatcom County
Certified beds44CMS provider file
Recent citation rows72current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
72 rows in the current release
4 rows carry G–L scope/severity codes; 0 carry J–L. 15 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-13 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-03-17 · complaint2026-02-13 · HEALTHF0694Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-03-17 · complaint2026-02-13 · HEALTHF0732Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2026-03-17 · complaint2026-02-13 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-03-17 · complaint2025-12-17 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2026-01-27 · complaint2025-08-07 · FIREE0018Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-07 · FIREE0020Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-07 · FIREE0036Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Correction field: Deficient, Provider has date of correction · 2025-11-072025-08-07 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-222025-08-07 · HEALTHF0585Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-222025-08-07 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-09-222025-08-07 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-09-222025-08-07 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2025-09-222025-08-07 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-222025-08-07 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-09-22 · complaint2025-08-07 · HEALTHF0947Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Correction field: Deficient, Provider has date of correction · 2025-09-222025-08-07 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-07 · FIREK0222Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-07 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-07 · FIREK0511Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-07 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-11-072025-08-07 · FIREK0921Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-02-20 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-04-03 · complaint2024-08-07 · HEALTHF0725Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Correction field: Deficient, Provider has date of correction · 2024-09-10 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-02-13 | Fine | $10,358 | 0 |
| 2024-01-09 | Fine | $12,048 | 0 |
| 2023-10-19 | Fine | $41,291 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CASCADIA WASHINGTON OPERATIONS LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2022
- CASCADIA HC GROUP LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/05/2025
- CASCADIA HEALTHCARE LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2022
- CASCADIA HOLDCO LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/05/2025
- HAMMOND, OWENIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2022
- LAFORTE, STEPHENIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/05/2025
- NELSON, TIMOTHYIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/05/2025
- WHITE OAK HEALTHCARE FINANCE LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 08/11/2022
- CASCADIA SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/08/2025
- DHALIWAL, NAVDEEPIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/09/2023
- HAMMOND, OWENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/05/2025
- LAFORTE, STEPHENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/05/2025
- NELSON, TIMOTHYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/05/2025
- VANCE, NATHANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/23/2026
- CASCADIA SERVICES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/08/2025
- TIMBERLINE OHI TENANT LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/05/2025
- DHALIWAL, NAVDEEPIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/14/2025
- VANCE, NATHANIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/09/2026
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.93per resident day
RN hours1.22per resident day
Weekend nurse hours3.50per resident day
Staff turnover62.5%CMS reported field
06 / LOCAL RECORDS
Open the Bellingham ledger →Other published facilities nearby
Alderwood Park Health And Rehab Of Cascadia102 beds · CMS overall 5/573 citation rowsAvalon Healthcare Bellingham105 beds · CMS overall 5/543 citation rowsMt Baker Care Center70 beds · CMS overall 5/543 citation rowsNorth Cascades Health And Rehabilitation122 beds · CMS overall 2/5124 citation rowsRock Hill Health & Rehabilitation52 beds · CMS overall 2/5134 citation rows