Nursing home report
Registered name: North Cascades Health and Rehabilitation
BELLINGHAM, WA · Medicare-certified · 122 beds
North Cascades Health and Rehabilitation Center has a 2 out of 5 overall rating, with a very low health inspection rating of 1 out of 5. It has a recent abuse citation and $112,064 in fines over the last 24 months; reported nurse staffing is 3.74 hours per resident per day, below the 4.1 federal benchmark, even though staffing is rated 4 out of 5.
Health inspections
Staffing
3.7421 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7421.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited February 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited March 2026 — isolated incident, actual harm.
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to ensure residents were free from significant medication errors. Cited January 2026 — isolated incident, actual harm.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited June 2024 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
A federal fine of $50,440 was recorded.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 4 health deficiencies.
Health inspection found 2 health deficiencies.
A federal fine of $46,040 was recorded.
A federal fine of $70,830 was recorded.
Health inspection found 5 health deficiencies.
A federal fine of $15,584 was recorded.
A federal fine of $50,278 was recorded.
On record with Medicare: 6 fines · $313,623 in total fines.
Federal fine
Mar 4, 2026
Federal fine
Jan 28, 2026
Federal fine
Dec 30, 2024
Federal fine
Jun 20, 2024
Federal fine
Mar 8, 2024
Federal fine
Sep 19, 2023
Now operated by North Cascades Health & Rehabilitation Center, previously North Cascades Health and Rehabilitation Center.
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.
