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Nursing homeFAID #12735

Highland Health and Rehabilitation of Cascadia

2400 SAMISH WAY, BELLINGHAM, WA, 98229

(360) 734-4800

44 licensed beds

CMS rates Highland Health and Rehabilitation of Cascadia 2 out of 5 overall. Federal inspectors issued 73 citations across 19 inspections in the last three years, with $63,884 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

2400 Samish Way

Bellingham, WA 98229

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Public record summary

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Bed capacity

CMS facility ID

505140

Care type

Nursing home

County

Whatcom

Facility name

Highland Health and Rehabilitation of Cascadia

Street address

2400 SAMISH WAY

City / state / ZIP

Bellingham, WA 98229

Phone

(360) 734-4800

Website

cascadiahc.com

About this facility — Highland Health and Rehabilitation of Cascadia

Highland Health and Rehabilitation of Cascadia is a Medicare/Medicaid-certified skilled nursing facility in Bellingham, Washington. It is licensed for 44 beds — well below the median for skilled nursing facilities in Washington (97 beds).

It is one of 26 senior care facilities in Bellingham and 193 skilled nursing facilities across Washington. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Cascadia Healthcare, a group of 47 facilities on this site.

Federal inspectors have cited Highland Health and Rehabilitation of Cascadia 73 times across 19 inspections in the last three years, and CMS has imposed $63,884 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Cascadia Healthcare

Ownership type

For profit - Corporation

Registered owners & officers

Cascadia Hc Group Llc

Indirect owner — since 2025

Cascadia Healthcare Llc

Indirect owner — since 2022

Cascadia Holdco Llc

Indirect owner — since 2025

Cascadia Services Llc

Operational control · Additional disclosable party — since 2025

Cascadia Washington Operations Llc

Direct owner — since 2022

Dhaliwal, Navdeep

Operational control · Additional disclosable party — since 2023

Hammond, Owen

Indirect owner · Operational control — since 2022

Laforte, Stephen

Indirect owner · Operational control — since 2025

Nelson, Timothy

Indirect owner · Operational control — since 2025

Timberline Ohi Tenant Llc

Additional disclosable party — since 2025

Vance, Nathan

Operational control · Additional disclosable party — since 2026

White Oak Healthcare Finance Llc

Security-interest holder — since 2022

Regulatory standing

Federal court records

3 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1972-05-31

CMS overall rating

2 of 5 stars

Health deficiencies

14 at the last standard inspection

Federal fines

$63,884 total

Last standard inspection

2025-08-07

Nurse staffing

3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$409 per day (≈ $12,430/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

66% Medicaid · 13% Medicare · 21% private/other

Occupancy

77% (fiscal year 2023)

Vs. state median

15% below the WA median of $480/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.

2026-08-12Health inspectionComplaint-triggered1 citation

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2026-09-25

2026-02-13Health inspectionComplaint-triggered4 citations

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2026-03-17

F-0694

G · Actual harmFrom a complaint

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

Corrected 2026-03-17

F-0732

D · No harm foundFrom a complaint

Post nurse staffing information every day.

Corrected 2026-03-17

F-0755

E · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-03-17

15 earlier / fire-safety inspections (68 citations)

2025-12-17Health inspectionComplaint-triggered1 citation

F-0686

D · No harm foundFrom a complaint

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

Corrected 2026-01-27

2025-08-07Health inspectionComplaint-triggered8 citations

F-0584

E · No harm found

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.

Corrected 2025-09-22

F-0585

D · No harm found

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.

Corrected 2025-09-22

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-09-22

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-09-22

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-09-22

F-0761

E · No harm found

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.

Corrected 2025-09-22

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-09-22

F-0947

E · No harm found

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2025-09-22

2025-02-20Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-03

2024-08-07Health inspectionComplaint-triggered1 citation

F-0725

E · No harm foundFrom a complaint

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-09-10

2024-07-30Health inspection10 citations

F-0576

D · No harm found

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2024-09-10

F-0636

D · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-09-10

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-09-10

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-09-10

F-0726

E · No harm found

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.

Corrected 2024-09-10

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-09-10

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-09-10

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-09-10

F-0881

D · No harm found

Implement a program that monitors antibiotic use.

Corrected 2024-09-10

F-0947

D · No harm found

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-09-10

2024-07-01Health inspectionComplaint-triggered1 citation

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-09-10

2024-04-29Health inspectionComplaint-triggered3 citations

F-0740

D · No harm foundFrom a complaint

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-05-21

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-05-21

F-0921

D · No harm foundFrom a complaint

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-05-21

2024-03-12Health inspectionComplaint-triggered1 citation

F-0695

D · No harm foundFrom a complaint

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-03-28

2024-01-09Health inspectionComplaint-triggered1 citation

F-0686

G · Actual harmFrom a complaint

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

Corrected 2023-12-21

2023-11-22Health inspectionComplaint-triggered1 citation

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-12-19

2023-10-19Health inspectionComplaint-triggeredInfection control3 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-11-15

F-0684

G · Actual harmFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-11-15

F-0883

D · No harm foundFrom a complaint

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-11-15

2023-07-28Health inspection2 citations

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-08-30

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2023-08-30

2025-08-07Fire-safety inspection9 citations

E-0018

F · No harm found

Establish procedures for tracking staff and patients during an emergency.

Corrected 2025-09-10

E-0020

F · No harm found

Establish policies and procedures including evacuation.

Corrected 2025-09-10

E-0036

F · No harm found

Establish emergency prep training and testing.

Corrected 2025-11-07

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-09-10

K-0222

F · No harm found

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.

Corrected 2025-09-10

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-09-10

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-09-10

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-11-07

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-09-10

2024-07-30Fire-safety inspection13 citations

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-08-27

E-0007

F · No harm found

Address patient/client population and determine types of services needed.

Corrected 2024-08-27

E-0015

F · No harm found

Address subsistence needs for staff and patients.

Corrected 2024-08-27

E-0018

F · No harm found

Establish procedures for tracking staff and patients during an emergency.

Corrected 2024-08-27

E-0025

F · No harm found

Create arrangements with other facilities to receive patients.

Corrected 2024-08-27

E-0030

F · No harm found

List the names and contact information of those in the facility.

Corrected 2024-08-27

E-0033

F · No harm found

Establish methods for sharing information.

Corrected 2024-08-27

E-0035

F · No harm found

Provide family notifications of emergency plan.

Corrected 2024-08-27

E-0036

F · No harm found

Establish emergency prep training and testing.

Corrected 2024-08-27

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-08-27

K-0753

F · No harm found

Have restrictions on the use of highly flammable decorations.

Corrected 2024-08-27

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-27

K-0926

F · No harm found

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2024-08-27

2023-07-28Fire-safety inspection13 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-08-16

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2023-08-16

E-0007

F · No harm found

Address patient/client population and determine types of services needed.

Corrected 2023-08-16

E-0013

F · No harm found

Develop Emergency Preparedness policies and procedures.

Corrected 2023-08-16

E-0015

E · No harm found

Address subsistence needs for staff and patients.

Corrected 2023-08-16

E-0029

F · No harm found

Develop a communication plan.

Corrected 2023-08-16

E-0031

F · No harm found

Provide emergency officials' contact information.

Corrected 2023-08-30

E-0036

F · No harm found

Establish emergency prep training and testing.

Corrected 2023-08-30

E-0037

F · No harm found

Establish staff and initial training requirements.

Corrected 2023-08-30

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-08-16

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-08-16

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-08-16

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-08-30

Federal penalties

2026-02-13Fine$10,545

2024-01-09Fine$12,048

2023-10-19Fine$41,291

Total fines$63,884

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 505140.

Quality of care & staffing

How it compares in Washington.

Inspection citations, 3 years

More than 45% of nursing homes in the state

State median: 78

Federal fines, 3 years

$63,884

More than 74% of nursing homes in the state

State median: $13,065

Nurse staffing, hours per resident per day

3.7

Higher than 15% of nursing homes in the state

State median: 4.1

Nursing staff turnover, annual

63%

Higher than 94% of nursing homes in the state

State median: 43%

Resident outcomes

On 19 federal quality measures, this facility does better than the Washington average on 7 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	9.1%	13.8%	13.5%	Better than state
Lose too much weight	5.3%	5.6%	5.1%	Near state average
With a catheter inserted and left in their bladder	0.5%	0.8%	0.7%	Better than state
With a urinary tract infection	1.8%	1.7%	1.5%	Near state average
Have depressive symptoms	0.0%	17.9%	13.5%	Better than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	2.7%	2.6%	3.2%	Near state average
Assessed and appropriately given the pneumococcal vaccine	94.7%	96.2%	93.7%	Near state average
Ability to walk independently worsened	5.2%	15.6%	12.7%	Better than state
Received an antianxiety or hypnotic medication	24.0%	12.5%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	89.7%	94.3%	95.3%	Near state average
With pressure ulcers	4.1%	4.4%	4.5%	Near state average
With new or worsened bowel or bladder incontinence	20.7%	21.6%	18.3%	Near state average
Received an antipsychotic medication	20.0%	15.0%	15.4%	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	71.6%	88.7%	82.3%	Worse than state
Newly received an antipsychotic medication	0.7%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	59.4%	84.4%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	29.4%	19.7%	23.4%	Worse than state
Had an outpatient emergency department visit	5.7%	13.0%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

E-0036 3 inspections. Establish emergency prep training and testing.
F-0610 2 inspections. Respond appropriately to all alleged violations.
F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0686 2 inspections. Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E-0018 2 inspections. Establish procedures for tracking staff and patients during an emergency.
F-0658 2 inspections. Ensure services provided by the nursing facility meet professional standards of quality.

What its owners also hold

Cascadia Healthcare Llc has an ownership stake on file at 42 nursing homes, averaging 3.2 of 5 on CMS's overall rating.
Cascadia Hc Group Llc has an ownership stake on file at 42 nursing homes, averaging 3.2 of 5 on CMS's overall rating.
Cascadia Holdco Llc has an ownership stake on file at 41 nursing homes, averaging 3.2 of 5 on CMS's overall rating.
Cascadia Washington Operations Llc has an ownership stake on file at 9 nursing homes, averaging 3.1 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Washington

Licensing: Washington State Department of Social and Health Services (DSHS), Residential Care Services (RCS)
File a complaint: 800-562-6078 · Online
Long-Term Care Ombudsman: 800-562-6028. A free advocate for residents and families.
Adult Protective Services: 877-734-6277. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Island Hospital, about 16 miles. CMS rating 4 of 5.
Peacehealth United General Medical Center, about 17 miles. CMS rating 3 of 5.
Skagit Valley Hospital, about 21 miles. CMS rating 3 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Mt Baker Care Center, Bellingham, about 0.9 miles. CMS rating 5 of 5.
Rock Hill Health & Rehabilitation, Bellingham, about 2.8 miles. CMS rating 2 of 5.
Avalon Healthcare Bellingham, Bellingham, about 4.3 miles. CMS rating 5 of 5.
Alderwood Park Health and Rehab of Cascadia, Bellingham, about 5.2 miles. CMS rating 5 of 5.
North Cascades Health and Rehabilitation, Bellingham, about 7.3 miles. CMS rating 2 of 5.

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Ownership & corporate history

Primary tier

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Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

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The 73 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered