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B
Good

HIGHLAND HEALTH AND REHABILITATION OF CASCADIA

2400 SAMISH WAY · BELLINGHAM, WA 98229

3607344800 · For profit - Corporation

44 beds36.2 residents102 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
A+
Excellent
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

HIGHLAND HEALTH AND REHABILITATION OF CASCADIA receives an overall staffing grade of B (Good). With 4.0194 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.12 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 22.39% compared to weekdays. The facility has low agency staff usage (7.46% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.0194hrs/resident/day▲ 0.12
CMS benchmark: 3.48
RN HPRD
1.4466hrs/resident/day▲ 0.76
Recommended: 0.75
Weekend Drop-off
22.39%
4.2909 weekday → 3.3303 weekend
⚠ Significant weekend reduction
Agency Staff
7.46%
6.69% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1116hrs/resident/day
Direct care aides
LPN HPRD
0.4612hrs/resident/day
Licensed practical nurses
Consistency
0.5732std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Whatcom County Average-0.17 HPRD
4.19
04.02 HPRD
vs. Washington State Average-0.26 HPRD
4.28
04.02 HPRD
vs. National Average+0.12 HPRD
3.90
04.02 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
HIGHLAND HEALTH AND REHABILITATION OF CASCADIA ★
BELLINGHAM · This facility
—
B
4.01941.4466★★★☆☆
MT BAKER CARE CENTER
BELLINGHAM
0.9 mi
A+
5.31081.2383★★★★★
SHUKSAN REHABILITATION AND HEALTH CARE
BELLINGHAM
2.8 mi
B
3.97150.8218★☆☆☆☆
AVALON HEALTHCARE - BELLINGHAM
BELLINGHAM
4.3 mi
A
4.42121.1187★★★★☆
ALDERWOOD PARK HEALTH AND REHAB OF CASCADIA
BELLINGHAM
5.2 mi
B
3.810.9332★★★☆☆
North Cascades Health and Rehabilitation
BELLINGHAM
7.3 mi
B
3.75761.0363★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

12
Inspections
33
Total Deficiencies
$53,339
Fines Assessed
Dec 17, 2025Health
1 deficiency cited
▼
Aug 7, 2025Health
8 deficiencies cited
▼
Feb 20, 2025Health
1 deficiency cited
▼
Aug 7, 2024Health
1 deficiency cited
▼
Jul 30, 2024Health
10 deficiencies cited
▼
Jul 1, 2024Health
1 deficiency cited
▼
Apr 29, 2024Health
3 deficiencies cited
▼
Mar 12, 2024Health
1 deficiency cited
▼
Jan 9, 2024Health
1 deficiency cited· Includes actual harm
▼
Nov 22, 2023Health
1 deficiency cited· Includes actual harm
▼
Oct 19, 2023Health
3 deficiencies cited· Includes actual harm
▼
Jul 28, 2023Health
2 deficiencies cited
▼

Penalty History

Jan 9, 2024Fine
$12,048
Oct 19, 2023Fine
$41,291
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.