Nursing home
Highland Health and Rehabilitation of Cascadia
2400 Samish Way, Bellingham, WA 98229 · Map
For profit - Corporation · Part of Cascadia Healthcare (44 facilities) · 44 certified beds
Highland Health and Rehabilitation of Cascadia is a Medicare-certified nursing home in Bellingham, Washington. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.01 hours per resident per day, below the Washington average of 4.39. Its most recent inspection on Aug 7, 2025 cited 9 deficiencies.
- 2 fines totaling $53,339In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Highland Health and Rehabilitation of Cascadia compares
This facility vs. the Washington and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Washington avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.01 | 4.39 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 1.44 | 0.88 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.11 | 2.69 | 2.34 | below avg |
| Nursing staff turnover | 62.5% | 46.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 9.0 | 17.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the February 13, 2026 inspection was corrected by March 17, 2026
Penalties in CMS records: 2 fines totaling $53,339, 2 total penalties.
What inspectors found at Highland Health and Rehabilitation of Cascadia
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Feb 13, 2026 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Feb 13, 2026 · Full report (PDF) - Potential for harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Feb 13, 2026 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 13, 2026 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Dec 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Aug 7, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 2400 Samish Way
Bellingham, WA 98229 - CMS certification #
- 505140
- Ownership
- For profit - Corporation
- Certified beds
- 44
- Avg residents/day
- 36.2
- Provider type
- Medicare and Medicaid
- First certified
- 1972-05-31
- Chain
- Cascadia Healthcare (44 facilities)
- Setting
- Urban
Part of Cascadia Healthcare
Cascadia Healthcare operates 44 nursing facilities across the United States. View all Cascadia Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Highland Health and Rehabilitation of Cascadia using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2020, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Oct 7, 2020: complaint inspection, partial (health). Case closed Oct 29, 2020. No violations cited. OSHA record. OSHA recorded the employer as Wa317961246 - Empres Highland Care LLC.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Island Hospital, Anacortes. 16.0 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Mt Baker Care Center, Bellingham. 0.9 miles away, straight line.
- Nearest home health agency office
- Peacehealth Home Health Of Whatcom County, Bellingham. 2.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 98229 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Mount Baker Kidney At Home, Bellingham, 4.7 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Davita Ferndale Dialysis, Ferndale, 10.9 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 98229.
Whatcom Hospice, office in Bellingham, 1.3 miles away, straight line (CMS family survey rating 4 of 5 stars)
Eden Hospice, office in Bellingham, 5.2 miles away, straight line
Hospice Of The Northwest, office in Mount Vernon, 20.6 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Peacehealth, Bellingham. 4.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: inland flooding relatively low, wildfire relatively low, tornado very low, heat wave relatively low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Highland Health and Rehabilitation of Cascadia a good nursing home?
CMS gives Highland Health and Rehabilitation of Cascadia an overall rating of 4 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Highland Health and Rehabilitation of Cascadia staffed?
Highland Health and Rehabilitation of Cascadia reports 4.01 total nurse hours per resident per day, compared with the Washington average of 4.39.
Has Highland Health and Rehabilitation of Cascadia had inspection problems?
Its most recent CMS inspection cited 9 deficiencies.
How many beds does Highland Health and Rehabilitation of Cascadia have?
Highland Health and Rehabilitation of Cascadia is certified for 44 beds.