The home failed to ensure IV fluids were given safely and appropriately when needed. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 694 — 42 CFR §483.25 — S/S: G
Nursing home report
HIGHLAND HEALTH AND REHABILITATION OF CASCADIA
BELLINGHAM, WA · Medicare-certified · 44 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
3 out of 5 stars overall. This facility has mid-range health inspection, staffing, and quality ratings, but reported nurse staffing is slightly below the federal benchmark (3.93 vs. 4.1 hours per resident per day) and it had $10,358 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.9253 hrs/resident/day
Quality measures
Last inspection: February 13, 2026Penalties, last 24 months: $10,358recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9253.
Staffing detail
- Registered nurses
- 1.22
- Licensed practical nurses
- 0.54
- Nurse aides
- 2.17
- Weekend nursing
- 3.50
Hours per resident per day.
Total staff turnover: 63%
Registered nurse turnover: 63%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
13%19%Worsening
Residents with a fall causing major injury
6.5%0%Improving
Residents with pressure ulcers (bedsores)
6.2%2.7%Improving
Residents with a urinary tract infection
3.4%0%Improving
Residents who lost too much weight
4%9.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.2%9.5%Worsening
Residents whose ability to walk got worse
—4.3%—
Long-stay residents on antianxiety or sleep medication
22.2%21.7%No change
Short-stay residents newly given an antipsychotic
0%2.2%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.7%36.3%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%92.3%Worsening
Short-stay residents given the seasonal flu vaccine
—74.6%—
Short-stay residents given the pneumonia vaccine
95.5%66.2%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
Recent history
- PENALTY
A federal fine of $10,358 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $15,935 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $63,697 in total fines.
- $10,358
Federal fine
Feb 13, 2026
- $12,048
Federal fine
Jan 9, 2024
- $41,291
Federal fine
Oct 19, 2023
Operator & ownership
Recent ownership change · Aug 1, 2022
Now operated by Highland Health and Rehabilitation of Cascadia, previously Highland Health and Rehabilitation.
- Ownership
- For profit - Corporation
- Chain
- Part of CASCADIA HEALTHCARE · 45 homes · 3.1 stars avg
- Occupancy
- 36.5 residents on an average day (83% of 44 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 54 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.