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Nursing HomeMedicaid

Highland Health and Rehabilitation of Cascadia

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

2400 Samish Way, Samish Hill · Bellingham, WA 9822944 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 6 Google reviews

5
4
3
2
1
Highland Health and Rehabilitation of Cascadia Nursing Home in Bellingham, WA — Street View
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What this means for your family

This facility is highly regarded for its compassionate nursing team and effective rehabilitation services, making it a strong candidate for families prioritizing staff engagement. While reviews are overwhelmingly positive, we recommend scheduling a tour to observe the daily environment firsthand, as there is very little specific data regarding facility amenities or activities.

Google Reviews

Google Reviews

6 reviews on Google
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 details
FoodN/AStaff10.0CleanN/AActivitiesN/AMedsN/AMemoryN/AComms10.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Effective post-hospitalization rehabilitation
  • Professional and cohesive care team
  • Responsive to family communication

Rating Trends

Tap a year to see what changed

2345.02024(3)5.02025(4)1.02026(1)

Distribution · 8 analyzed

5
7
4
0
3
0
2
0
1
1

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Since your team is known for being so responsive to families, how do you typically keep us updated on our loved one's daily progress?
  • 2We've heard great things about your post-hospitalization rehab programs; could you walk us through how a resident transitions from rehab back into long-term care here?
  • 3With a smaller, intimate community of 44 residents, what kind of daily social activities or group outings do you have planned to keep everyone engaged?
  • 4How does the nursing team coordinate care during shift changes to ensure the high level of attentiveness your staff is known for?
  • 5In the event of a sudden medical change or an emergency during the night, what is the specific protocol for notifying the family and contacting physicians?
  • 6What steps is the facility currently taking to address recent state survey findings and ensure the highest standards of care are maintained?

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.

End of life care family member · 2025★★★★★

They took great care of him during his recovery.

Rehab patient's family · 2024★★★★★

I have visited this location multiple times…the staff here are excellent. Great attitudes, happy…good environment.

Visitor · 2025★★★★★
Source: 6 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.29hrs
OK
Registered nurses for medical care
Total Nursing
3.68hrs
90%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
36%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
12.1%
WA
17.1%
Whatcom
31.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.8%
Better than Avg
Here
4.8%
US
15.3%
WA
18.8%
Whatcom
16.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility24.2%
Worse than Avg
Here
24.2%
US
19.5%
WA
12.2%
Whatcom
14.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.7%
Better than Avg
Here
6.7%
US
14.4%
WA
15.0%
Whatcom
13.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility19.3%
Better than Avg
Here
19.3%
US
19.4%
WA
23.0%
Whatcom
26.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
WA
95.9%
Whatcom
97.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility74.6%
Worse than Avg
Here
74.6%
US
79.7%
WA
82.0%
Whatcom
95.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility84.1%
Mixed vs Avgs
Here
84.1%
US
81.8%
WA
87.9%
Whatcom
94.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
WA
1.3%
Whatcom
0.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
3penalties
Near state avg (17.1)
21 complaint-triggered
$53,339 in fines

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.

Feb 13, 2026Complaint
4
0694Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0732Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Dec 17, 2025Complaint
1
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Aug 7, 2025Routine
16
0018Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

0020Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0036Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0222Potential for harm · WidespreadCorrected

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.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0584Potential for harm · PatternCorrected

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.

0761Potential for harm · PatternCorrected

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.

0947Potential for harm · PatternCorrected

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.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0585Potential for harm · IsolatedCorrected

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0756Potential for harm · IsolatedCorrected

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.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Aug 7, 2025Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 20, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Aug 7, 2024Complaint
1
0725Potential for harm · PatternCorrected

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

$15,935

Fine

Jan 9, 2024

$12,048

Fine

Oct 19, 2023

$41,291

Ownership & Operations

Who Operates This Facility

Owner / Operator

Highland Health and Rehabilitation of Cascadia

Organization Type

for profit

Chain Affiliation

Chain Name

Cascadia Healthcare

Chain Size

44 facilities nationwide

Chain avg rating: 3.2/5 · Rank 11 of 43

Ownership & Management

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

White Oak Healthcare Finance LLC5% or Greater Security InterestCascadia Services LLCManagerBirrell, TiffanyManagerDhaliwal, NavdeepManagerHammond, OwenManager
Source: Medicare provider data

Contact

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References & Resources

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