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Nursing home report

North Cascades Health and Rehabilitation

BELLINGHAM, WA · Medicare-certified · 122 beds

Needs attention
Abuse citationFor-profitChain member
2 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.5411 hrs/resident/day

Quality measures

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $70,830 was recorded.

  5. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  6. PENALTY

    A federal fine of $15,584 was recorded.

  7. 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.