North Cascades Health and Rehabilitation in Bellingham has a 2-star overall rating, with a 1-star health inspection rating, a recent abuse citation, and $136,692 in fines over the last 24 months. Staffing is rated 4 stars, but reported nurse staffing is 3.54 hours per resident per day, below the federal benchmark of 4.1.
Last inspection: March 4, 2026Penalties, last 24 months: $136,692recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5411.
Staffing detail
Registered nurses
0.94
Licensed practical nurses
0.56
Nurse aides
2.04
Weekend nursing
3.07
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 29%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
25.8%Worsening
Residents with a fall causing major injury
1.9%Improving
Residents with pressure ulcers (bedsores)
1.4%Worsening
Residents with a urinary tract infection
0.8%Improving
Residents who lost too much weight
7.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7.2%Improving
Residents whose ability to walk got worse
5.8%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
12.2%Worsening
Short-stay residents newly given an antipsychotic
1.9%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
19.8%Improving
Residents with depressive symptoms
11.2%Worsening
Long-stay residents given the seasonal flu vaccine
98.6%Steady
Long-stay residents given the pneumonia vaccine
98.8%Improving
Short-stay residents given the seasonal flu vaccine
95.1%Steady
Short-stay residents given the pneumonia vaccine
97.7%Improving
What the inspectors found
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.
View the original federal record
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.
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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.
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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.
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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.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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PENALTY
A federal fine of $70,830 was recorded.
INSPECTION
Health inspection found 5 health deficiencies.
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PENALTY
A federal fine of $15,584 was recorded.
PENALTY
A federal fine of $50,278 was recorded.
Penalties & enforcement
On record with Medicare: 6 fines · $365,047 in total fines.
Federal fine
Jan 28, 2026
$70,830
Federal fine
Dec 30, 2024
$15,584
Federal fine
Jun 20, 2024
$50,278
Federal fine
Mar 8, 2024
$104,832
Federal fine
Sep 19, 2023
$46,449
Federal fine
Jun 9, 2023
$77,074
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of EVERGREEN HEALTHCARE GROUP · 43 homes · 2.4 stars avg
Occupancy
93 residents on an average day (76% of 122 beds)
Medicare history
Certified for 34 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.