HIGHLAND HEALTH AND REHABILITATION OF CASCADIA
HIGHLAND HEALTH AND REHABILITATION OF CASCADIA is a 44-bed nursing home in BELLINGHAM, Washington. CMS has certified it for Medicare and Medicaid since 1972-05-31. It averages 36.5 residents a day.
What harm was found in the violations cited at HIGHLAND HEALTH AND REHABILITATION OF CASCADIA?
CMS lists 37 health-inspection deficiencies for HIGHLAND HEALTH AND REHABILITATION OF CASCADIA since 2023-07-28, 35 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-02-13.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-02-13 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | G |
| 2026-02-13 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2026-02-13 | F0610, F0732 | Respond appropriately to all alleged violations. / Post nurse staffing information every day. | D |
| 2025-12-17 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2025-08-07 | F0584, F0761, F0947 | 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. / 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. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2025-08-07 | F0585, F0658, F0677, F0756, F0880 | 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Provide and implement an infection prevention and control program. | D |
| 2025-02-20 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-08-07 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2024-07-30 | F0658, F0726, F0880 | Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Provide and implement an infection prevention and control program. | E |
| 2024-07-30 | F0576, F0636, F0690, F0757, F0842, F0881, F0947 | Ensure residents have reasonable access to and privacy in their use of communication methods. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Implement a program that monitors antibiotic use. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D |
| 2024-07-01 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-04-29 | F0740, F0755, F0921 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2024-03-12 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2024-01-09 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2023-11-22 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-10-19 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2023-10-19 | F0550, F0883 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2023-07-28 | F0679 | Provide activities to meet all resident's needs. | E |
| 2023-07-28 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
Why was HIGHLAND HEALTH AND REHABILITATION OF CASCADIA fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2026-02-13 | Fine | $10,358 |
| 2024-01-09 | Fine | $12,048 |
| 2023-10-19 | Fine | $41,291 |
How is HIGHLAND HEALTH AND REHABILITATION OF CASCADIA staffed relative to the WA average?
| Measure | This facility | WA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.92530 | 4.36934 |
| Total nursing staff turnover (%) | 62.5 | 45.1 |
| Average number of residents per day | 36.5 | 76.0 |
Who owns HIGHLAND HEALTH AND REHABILITATION OF CASCADIA, and what chain is it in?
HIGHLAND HEALTH AND REHABILITATION OF CASCADIA is registered with CMS as For profit - Corporation, operates under the legal business name BELLINGHAM SOUTH OF CASCADIA, LLC and belongs to the CASCADIA HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | CASCADIA WASHINGTON OPERATIONS LLC | since 08/01/2022 |
| INDIRECT OWNERSHIP INTEREST | CASCADIA HC GROUP LLC, CASCADIA HEALTHCARE LLC, CASCADIA HOLDCO LLC, HAMMOND, OWEN, LAFORTE, STEPHEN, NELSON, TIMOTHY | since 06/05/2025 |
| 5% OR GREATER SECURITY INTEREST | WHITE OAK HEALTHCARE FINANCE LLC | since 08/11/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | CASCADIA SERVICES LLC, DHALIWAL, NAVDEEP, HAMMOND, OWEN, LAFORTE, STEPHEN, NELSON, TIMOTHY, VANCE, NATHAN | since 01/08/2025 |
| ADP OF THE SNF | CASCADIA SERVICES LLC, TIMBERLINE OHI TENANT LLC, DHALIWAL, NAVDEEP, VANCE, NATHAN | since 01/08/2025 |
Were you or a family member harmed at HIGHLAND HEALTH AND REHABILITATION OF CASCADIA?