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
3 of 5 overall
3 out of 5 stars overall. Staffing and quality are rated 4 stars, but reported nurse staffing is below the federal benchmark (3.68 vs 4.1 hours per resident per day), and the home has recent federal penalties with $15,935 in fines over the last 24 months and citations for IV fluids, pressure ulcer care, and accident hazards.
Facility ratings
Health inspections
Staffing
3.6767 hrs/resident/day
Quality measures
Last inspection: February 13, 2026Penalties, last 24 months: $15,935recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6767.
Staffing detail
- Registered nurses
- 1.29
- Licensed practical nurses
- 0.35
- Nurse aides
- 2.04
- Weekend nursing
- 3.07
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 36%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
16.5%Worsening
Residents with a fall causing major injury
5.9%Improving
Residents with pressure ulcers (bedsores)
4.2%Worsening
Residents with a urinary tract infection
1.8%Steady
Residents who lost too much weight
1.1%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.7%Steady
Residents whose ability to walk got worse
4.8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
24.2%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
19.3%Improving
Residents with depressive symptoms
0.9%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
74.6%Steady
Short-stay residents given the pneumonia vaccine
84.1%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
- 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 · $69,274 in total fines.
- $15,935
Federal fine
Feb 13, 2026
- $12,048
Federal fine
Jan 9, 2024
- $41,291
Federal fine
Oct 19, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CASCADIA HEALTHCARE · 44 homes · 3.2 stars avg
- Occupancy
- 36.4 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.