North Cascades Health and Rehabilitation
North Cascades Health and Rehabilitation is a 122-bed nursing home in BELLINGHAM, Washington. CMS has certified it for Medicare and Medicaid since 1991-09-01. It averages 105.0 residents a day.
What harm was found in the violations cited at North Cascades Health and Rehabilitation?
CMS lists 97 health-inspection deficiencies for North Cascades Health and Rehabilitation, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-23.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-23 | F0609, F0610 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | D |
| 2026-04-13 | F0628, F0838, F0926 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. / Have policies on smoking. | F |
| 2026-04-13 | F0585, F0605, F0645, F0657, F0725, F0761, F0800, F0812 | 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-04-13 | F0565, F0604, F0677, F0684, F0688, F0689, F0692, F0695, F0842, F0880 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2026-04-13 | F0732 | Post nurse staffing information every day. | B |
| 2026-03-04 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2026-03-04 | F0609, F0610, F0658 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2026-02-06 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J |
| 2026-02-06 | F0610 | Respond appropriately to all alleged violations. | D |
| 2026-01-28 | F0689, F0760 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that residents are free from significant medication errors. | G |
| 2026-01-28 | F0551, F0678, F0842 | Give the resident's representative the ability to exercise the resident's rights. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-12-17 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E |
| 2025-12-17 | F0585, F0610, F0684, F0686 | 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. / Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2025-03-28 | F0610, F0645, F0689 | Respond appropriately to all alleged violations. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-01-24 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-01-24 | F0730, F0759 | Observe each nurse aide's job performance and give regular training. / Ensure medication error rates are not 5 percent or greater. | E |
| 2025-01-24 | F0623, F0625, F0677, F0684, F0698, F0758, F0760, F0761, F0880 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure that residents are free from significant medication errors. / 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. / Provide and implement an infection prevention and control program. | D |
| 2024-12-30 | F0791 | Provide or obtain dental services for each resident. | D |
| 2024-09-05 | F0584 | 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. | E |
| 2024-09-05 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-08-12 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D |
| 2024-06-20 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-06-20 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E |
| 2024-06-20 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D |
| 2024-04-17 | F0580, F0658 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-03-08 | F0692 | Provide enough food/fluids to maintain a resident's health. | G |
| 2024-03-08 | F0851, F0882 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| 2024-03-08 | F0684, F0730, F0761, F0947 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Observe each nurse aide's job performance and give regular training. / 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 |
| 2024-03-08 | F0550, F0558, F0600, F0610, F0644, F0658, F0698, F0758, F0842, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2023-12-21 | F0600, F0684 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2023-12-21 | F0761, F0812, F0813 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. | F |
| 2023-12-21 | F0607, F0725, F0880 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide and implement an infection prevention and control program. | E |
| 2023-12-21 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| 2023-11-13 | F0656, F0689 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2023-10-30 | F0610, F0657, F0684 | Respond appropriately to all alleged violations. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-09-19 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-09-19 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
Why was North Cascades Health and Rehabilitation fined 6 times?
| Date | Type | Amount |
|---|---|---|
| 2026-03-04 | Fine | $32,786 |
| 2026-01-28 | Fine | $46,040 |
| 2024-12-30 | Fine | $15,584 |
| 2024-06-20 | Fine | $50,278 |
| 2024-03-08 | Fine | $104,832 |
| 2023-09-19 | Fine | $46,449 |
How is North Cascades Health and Rehabilitation staffed relative to the WA average?
| Measure | This facility | WA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.74213 | 4.36934 |
| Total nursing staff turnover (%) | 34.5 | 45.1 |
| Average number of residents per day | 105.0 | 76.0 |
Who owns North Cascades Health and Rehabilitation, and what chain is it in?
North Cascades Health and Rehabilitation is registered with CMS as For profit - Limited Liability company, operates under the legal business name NORTH CASCADES SNF OPERATIONS LLC and belongs to the EVERGREEN HEALTHCARE GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (WA) LLC | since 08/31/2023 |
| INDIRECT OWNERSHIP INTEREST | CH PACIFIC NORTHWEST HOLDINGS LLC, PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC, WITZCORP GLOBAL LLC, HERZKA, YISROEL, YENOWITZ, YITZCHOK | since 08/31/2023 |
| MANAGING CONTROL - GOVERNING BODY | CHUA, WINNIE, ODENTHAL, JASON | since 08/31/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | COUVE FINANCIAL SERVICES LLC, COUVE HEALTHCARE CONSULTING LLC, PACIFIC NORTHWEST OPCO MANAGEMENT LLC, WASHINGTON SNF CONSULTING LLC, CHUA, WINNIE, GILTNER, KODY, JOHNSON, ALLEN, ODENTHAL, JASON, SERVOSS, KYLE, SPIELMAN, SHIMON, YENOWITZ, YITZCHOK | since 08/31/2023 |
| ADP OF THE SNF | CH PACIFIC NORTHWEST HOLDINGS LLC, COUVE FINANCIAL SERVICES LLC, COUVE HEALTHCARE CONSULTING LLC, PACIFIC NORTHWEST OPCO MANAGEMENT LLC, WASHINGTON SNF CONSULTING LLC, WITZCORP GLOBAL LLC, CHUA, WINNIE, GILTNER, KODY, HERZKA, YISROEL, JOHNSON, ALLEN, ODENTHAL, JASON, SERVOSS, KYLE, SPIELMAN, SHIMON, YENOWITZ, YITZCHOK | since 04/30/2025 |
Were you or a family member harmed at North Cascades Health and Rehabilitation?