Nursing Home

Highland Health And Rehabilitation Of Cascadia

2400 Samish Way, Bellingham, WA 98229

Part of Cascadia Healthcaresee all 45 affiliated facilities

44 certified beds 37 residents per day on average

CMS Five-Star Quality Rating

3 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Medicare Outcome Measures

Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
3.9 hours

WA average: 4.4 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
1.2 hours

WA average: 0.9 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
3.5 hours

WA average: 3.8 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
62.5%

WA average: 45.1% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Penalties & Enforcement

3 fines totaling $63,697 in the recent inspection window (most recent: February 13, 2026).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type
For profit - Corporation
Chain
Cascadia Healthcare
Who owns this facility — 18 entries in CMS's ownership records expand ↓
  • Cascadia Washington Operations LLC Organization
    Direct owner since 08/01/2022
  • Cascadia Hc Group LLC Organization
    Indirect owner since 06/05/2025
  • Cascadia Healthcare LLC Organization
    Indirect owner since 08/01/2022
  • Cascadia Holdco LLC Organization
    Indirect owner since 06/05/2025
  • Hammond, Owen Individual
    Indirect owner since 08/01/2022
  • Laforte, Stephen Individual
    Indirect owner since 06/05/2025
  • Nelson, Timothy Individual
    Indirect owner since 06/05/2025
  • White Oak Healthcare Finance LLC Organization
    Security interest (≥5%) since 08/11/2022
  • Cascadia Services LLC Organization
    Operational/managerial control since 01/08/2025
  • Dhaliwal, Navdeep Individual
    Operational/managerial control since 01/09/2023

…and 8 more entries in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 13 health (WA avg 16.1) · 9 fire (WA avg 10.3) · ⚠ 4 serious Details

37 deficiencies cited across recent inspection cycles, including ⚠ 4 serious (actual harm or immediate jeopardy), and 1 infection-control citation. Most recent survey: February 13, 2026.

Most recent inspection cycle: 13 health deficiencies · WA average: 16.1 · National: 9.3

35 fire-safety deficiencies cited — most often emergency preparedness (22) and gas, vacuum, and electrical systems (6).

Most recent fire-safety inspection (2025-08-07): 9 deficiencies · WA average: 10.3 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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How Highland Health And Rehabilitation Of Cascadia compares nearby

Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.

Among the 9 nursing homes within 25 miles, Highland Health And Rehabilitation Of Cascadia's overall star rating is 3★; the median among the 8 peers reporting it is 4★.

Measure This facility Nearby median Best nearby
Overall star rating reported by 8 of 8 nearby peers 3★ 4★ 5★
Health inspections reported by 8 of 8 nearby peers 3★ 3.5★ 5★
Staffing reported by 8 of 8 nearby peers 3★ 4★ 5★
Quality measures reported by 8 of 8 nearby peers 3★ 5★ 5★

The comparison group

Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

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