HIGHLAND HEALTH AND REHABILITATION OF CASCADIA

BELLINGHAM, WA · 44 beds · For profit - Corporation

27 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 3 citation(s) where residents suffered actual harm
  • $53,339 in fines
  • 62% total nursing staff turnover

Green Flags

  • 4-star staffing rating
  • Above-average RN staffing (1.43 hrs vs 0.84 state avg)

Quick Facts

★★★☆☆
CMS Overall
★★★☆☆
Health Inspection
10
0.6x state avg
Deficiencies
$53,339
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

December 16, 2025

1 deficiency
F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

August 6, 2025

8 deficiencyies
F0584 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

F0585 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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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.

F0947 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

February 19, 2025

1 deficiency
F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

August 6, 2024

1 deficiency
F0725 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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

July 29, 2024

9 deficiencyies
F0576 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0636 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0658 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0726 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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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.

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0881 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Implement a program that monitors antibiotic use.

See full violation history →

Staffing

1.43
RN hrs/res/day
0.46
LPN hrs/res/day
2.10
CNA hrs/res/day
3.31
Weekend hrs/res/day
63%
Total nurse turnover
55%
RN turnover

A nurse checks on each resident roughly every 6.0 hours on average.

Fines & Penalties

  • Fine Jan 8, 2024
    $12,048
  • Fine Oct 18, 2023
    $41,291
Total $53,339

Ownership

For profit - Corporation Chain: CASCADIA HEALTHCARE
  • CASCADIA WASHINGTON OPERATIONS LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 12/02/2021

    NO PERCENTAGE PROVIDED Organization
  • CASCADIA SERVICES LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/08/2025

    Organization
  • BIRRELL, TIFFANY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/12/2024

    Individual
  • DHALIWAL, NAVDEEP

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/09/2023

    Individual
  • HAMMOND, OWEN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/05/2025

    Individual
  • LAFORTE, STEPHEN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/05/2025

    Individual
  • NELSON, TIMOTHY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/05/2025

    Individual
  • WHITE OAK HEALTHCARE FINANCE LLC

    5% OR GREATER SECURITY INTEREST

    Since since 08/11/2022

    Organization

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