HIGHLAND HEALTH AND REHABILITATION OF CASCADIA

2400 SAMISH WAY, BELLINGHAM, WA 98229 · CCN 505140 · 44 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections3 of 5CMS staffing3 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.

Serious inspection findings

2026-02-13 ACTUAL HARM (tag F0694, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
2024-01-09 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2023-11-22 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-10-19 ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Staffing, from payroll records

Nursing hours / resident / day

3.80

state median 3.78

Weekend staffing gap

−11%

fewer nursing hours on weekends · state median −9%

RN hours / resident / day

1.10

registered nurses only

Contract (agency) staff

23%

share of all nursing hours

Nursing staff turnover

63%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

Keep an eye on this facility

Monitoring alerts are launching soon: new citations, penalties, ownership changes, and staffing drops for facilities you follow. Leave your email and we'll notify you when it goes live for HIGHLAND HEALTH AND REHABILITATION OF CASCADIA.

Penalties and enforcement

3 enforcement action(s), totaling $63,697 in fines.

DateTypeAmount
2026-02-13Fine$10,358
2024-01-09Fine$12,048
2023-10-19Fine$41,291

Ownership

Ownership type: For profit - Corporation. Part of the CASCADIA HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 4 · Potential for more than minimal harm: 33

Survey dateTagCategorySeverityCorrected
2026-02-13F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2026-02-13F0694Quality of Life and Care DeficienciesGnot recorded
2026-02-13F0732Nursing and Physician Services DeficienciesDnot recorded
2026-02-13F0755Pharmacy Service DeficienciesEnot recorded
2025-12-17F0686Quality of Life and Care DeficienciesDnot recorded
2025-08-07F0584Resident Rights DeficienciesEnot recorded
2025-08-07F0585Resident Rights DeficienciesDnot recorded
2025-08-07F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2025-08-07F0677Quality of Life and Care DeficienciesDnot recorded
2025-08-07F0756Pharmacy Service DeficienciesDnot recorded
2025-08-07F0761Pharmacy Service DeficienciesEnot recorded
2025-08-07F0880Infection Control DeficienciesDnot recorded
2025-08-07F0947Nursing and Physician Services DeficienciesEnot recorded
2025-02-20F0689Quality of Life and Care DeficienciesDnot recorded
2024-08-07F0725Nursing and Physician Services DeficienciesEnot recorded
2024-07-30F0576Resident Rights DeficienciesDnot recorded
2024-07-30F0636Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-30F0658Resident Assessment and Care Planning DeficienciesEnot recorded
2024-07-30F0690Quality of Life and Care DeficienciesDnot recorded
2024-07-30F0726Nursing and Physician Services DeficienciesEnot recorded
2024-07-30F0757Pharmacy Service DeficienciesDnot recorded
2024-07-30F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-30F0880Infection Control DeficienciesEnot recorded
2024-07-30F0881Infection Control DeficienciesDnot recorded
2024-07-30F0947Nursing and Physician Services DeficienciesDnot recorded
2024-07-01F0684Quality of Life and Care DeficienciesDnot recorded
2024-04-29F0740Quality of Life and Care DeficienciesDnot recorded
2024-04-29F0755Pharmacy Service DeficienciesDnot recorded
2024-04-29F0921Environmental DeficienciesDnot recorded
2024-03-12F0695Quality of Life and Care DeficienciesDnot recorded
2024-01-09F0686Quality of Life and Care DeficienciesGnot recorded
2023-11-22F0689Quality of Life and Care DeficienciesGnot recorded
2023-10-19F0550Resident Rights DeficienciesDnot recorded
2023-10-19F0684Quality of Life and Care DeficienciesGnot recorded
2023-10-19F0883Infection Control DeficienciesDnot recorded
2023-07-28F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2023-07-28F0679Quality of Life and Care DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “HIGHLAND HEALTH AND REHABILITATION OF CASCADIA, BELLINGHAM” at medicare.gov/care-compare.