Nursing homes › Washington › Highland Health and Rehabilitation of Cascadia
2400 Samish Way, Bellingham, WA 98229 · 3607344800 · 44 certified beds
Per CMS filings, this facility is affiliated with Cascadia Healthcare, a group operating 45 facilities in 5 states. Group record: average rating 3.1/5, 2 abuse citation icons, 5 facilities on the Special Focus list, $1,029,637 in federal fines. This facility rates below its group average (3.1/5).
Total nurse staffing: 3.93 (Washington median: 4.15). RN hours: 1.22. Weekend total: 3.50. Nursing staff turnover: 62%.
All-time on record: 37 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-13 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | G | complaint | corrected 2026-03-17 |
| 2026-02-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2026-03-17 |
| 2026-02-13 | Respond appropriately to all alleged violations. | D | complaint | corrected 2026-03-17 |
| 2026-02-13 | Post nurse staffing information every day. | D | complaint | corrected 2026-03-17 |
| 2025-12-17 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2026-01-27 |
| 2025-08-07 | 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 | Health | corrected 2025-09-22 |
| 2025-08-07 | 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. | E | Health | corrected 2025-09-22 |
| 2025-08-07 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Health | corrected 2025-09-22 |
| 2025-08-07 | 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. | D | Health | corrected 2025-09-22 |
| 2025-08-07 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-09-22 |
| 2025-08-07 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-09-22 |
| 2025-08-07 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2025-09-22 |
| 2025-08-07 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-09-22 |
| 2025-02-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-04-03 |
| 2024-08-07 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2024-09-10 |
| 2024-07-30 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2024-09-10 |
| 2024-07-30 | 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. | E | Health | corrected 2024-09-10 |
| 2024-07-30 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-09-10 |
| 2024-07-30 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Health | corrected 2024-09-10 |
| 2024-07-30 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Health | corrected 2024-09-10 |
| 2024-07-30 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2024-09-10 |
| 2024-07-30 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2024-09-10 |
| 2024-07-30 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-09-10 |
| 2024-07-30 | Implement a program that monitors antibiotic use. | D | Health | corrected 2024-09-10 |
| 2024-07-30 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Health | corrected 2024-09-10 |
| 2024-07-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-09-10 |
| 2024-04-29 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | complaint | corrected 2024-05-21 |
| 2024-04-29 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-05-21 |
| 2024-04-29 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | complaint | corrected 2024-05-21 |
| 2024-03-12 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2024-03-28 |
| 2024-01-09 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2023-12-21 |
| 2023-11-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2023-12-19 |
| 2023-10-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2023-11-15 |
| 2023-10-19 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2023-11-15 |
| 2023-10-19 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | complaint | corrected 2023-11-15 |
| 2023-07-28 | Provide activities to meet all resident's needs. | E | Health | corrected 2023-08-30 |
| 2023-07-28 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-08-30 |
| Date | Type | Amount |
|---|---|---|
| 2026-02-13 | Fine | $10,358 |
| 2024-01-09 | Fine | $12,048 |
| 2023-10-19 | Fine | $41,291 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CASCADIA WASHINGTON OPERATIONS LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 08/01/2022 |
| CASCADIA HC GROUP LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 06/05/2025 |
| CASCADIA HEALTHCARE LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 08/01/2022 |
| CASCADIA HOLDCO LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 06/05/2025 |
| HAMMOND, OWEN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 08/01/2022 |
| LAFORTE, STEPHEN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 06/05/2025 |
| NELSON, TIMOTHY | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 06/05/2025 |
| CASCADIA SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/08/2025 |
| DHALIWAL, NAVDEEP | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/09/2023 |
| HAMMOND, OWEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/05/2025 |
| LAFORTE, STEPHEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/05/2025 |
| NELSON, TIMOTHY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/05/2025 |
| VANCE, NATHAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/23/2026 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 505140. Corrections: data@carerecords.org.