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A middle-range Medicare rating. Review each component and visit in person before deciding.
based on 8 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Highland Health and Rehabilitation of Cascadia has a middle-range Medicare overall rating. Strengths include compassionate and attentive nursing staff. Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
Highland Health and Rehabilitation of Cascadia receives high praise for its compassionate and professional nursing staff, particularly regarding end-of-life care and post-hospitalization rehabilitation. Reviewers consistently highlight the team's ability to listen to family concerns and maintain a positive, cohesive environment for residents.
Quality Themes
Tap a score for detailsStrengths
Rating Trends
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Distribution · 9 analyzed
Personalized based on this facility's data
Key Review Excerpts
“In 50 years of helping manage my brother's housing and medical care, Highland has the most caring, cohesive, and professional staff I've ever experienced.”
“They took great care of him during his recovery.”
“I have visited this location multiple times…the staff here are excellent. Great attitudes, happy…good environment.”
Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
7
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Families have filed multiple complaints triggering deficiencies at this facility, with issues recurring across surveys in medication management, pressure ulcer care, and safety hazards. The facility shows a pattern of deficiencies in basic care quality, nursing staff adequacy, and infection control, with some problems like accident prevention and treatment care appearing repeatedly over time despite corrections.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Federal Penalties
Fine
Feb 13, 2026
$10,358
Fine
Jan 9, 2024
$12,048
Fine
Oct 19, 2023
$41,291
Highland Health and Rehabilitation of Cascadia
for profit
Cascadia Healthcare
45 facilities nationwide
Chain avg rating: 3.2/5 · Rank 11 of 43
Owners
Cascadia Washington Operations LLC
Owner · Organization
Cascadia Hc Group LLC
Owner (parent company) · Organization
Cascadia Healthcare LLC
Owner (parent company) · Organization
Cascadia Holdco LLC
Owner (parent company) · Organization
Hammond, Owen
Owner (parent company)
Laforte, Stephen
Owner (parent company)
Nelson, Timothy
Owner (parent company)
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
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Google Reviews
8 reviews from families & visitors
Official Website
Visit highlandrehabofcascadia.com
Medicare data downloads
Original nursing home datasets
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