Highland Health and Rehabilitation of Cascadia: Staffing, Turnover, and Inspection Record
Highland Health and Rehabilitation of Cascadia is a 44-bed for-profit nursing home in Bellingham, Washington, part of Cascadia Healthcare. In the CMS August 2026 release it reported 2.17 nurse aide hours per resident per day, 18% below the Washington average of 2.66, and 62.5% nursing staff turnover (Washington average 45.1%).
Highland Health and Rehabilitation of Cascadia
2400 Samish WayBellingham, WA 98229
Whatcom County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Highland Health and Rehabilitation of Cascadia, nurse aides logged 2.17 hours per resident per day, 18% below the Washington average. With about 37 residents a day, that works out to roughly 79 aide hours a day, or about 10 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Washington avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.17 | 2.66 | 2.32 |
| Licensed practical nurses | 0.54 | 0.77 | 0.86 |
| Registered nurses | 1.22 | 0.94 | 0.69 |
| All nursing staff | 3.93 | 4.37 | 3.86 |
| All nursing staff, weekends | 3.50 | 3.81 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
62.5% of nursing staff at Highland Health and Rehabilitation of Cascadia left over the year CMS measured, against a Washington average of 45.1% and a US average of 45.8%. Registered nurse turnover was 62.5%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 7, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 13 health deficiencies (Washington average 16.1). CMS lists 3 fines totaling $63,697 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 13, 2026 | Fine | $10,358 |
| Jan 9, 2024 | Fine | $12,048 |
| Oct 19, 2023 | Fine | $41,291 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Highland Health and Rehabilitation of Cascadia holds 3 of 5 overall; the Washington average is 3.2.
About Highland Health and Rehabilitation of Cascadia
- Ownership: For profit - Corporation
- Chain: Cascadia Healthcare, 46 homes
- Legal name: Bellingham South of Cascadia, LLC
- Medicare and Medicaid certified since: May 31, 1972
- Councils: resident council
- Area: urban
Nursing homes near Highland Health and Rehabilitation of Cascadia
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Mt Baker Care Center Bellingham | 0.9 | 70 | 3.02 | 5.00 | 41.0% | 5 | None |
| Rock Hill Health & Rehabilitation Bellingham | 2.8 | 52 | 2.06 | 3.36 | 55.2% | 2 | $74,794 |
| Avalon Healthcare Bellingham Bellingham | 4.3 | 105 | 2.50 | 4.50 | 52.3% | 5 | $32,298 |
| Alderwood Park Health and Rehab of Cascadia Bellingham | 5.2 | 102 | 2.26 | 3.98 | 48.0% | 5 | None |
| North Cascades Health and Rehabilitation Bellingham · abuse citation | 7.3 | 122 | 2.10 | 3.74 | 34.5% | 2 | $295,969 |
| Soundview Rehabilitation and Health Care Inc Anacortes · abuse citation | 16.0 | 44 | 2.19 | 3.85 | 50.0% | 2 | None |
| Life Care Center of Skagit Valley Sedro Woolley | 17.2 | 150 | 2.27 | 4.20 | 39.3% | 3 | $68,643 |
| Christian Health Care Center Lynden | 17.5 | 122 | 2.86 | 4.83 | 33.3% | 5 | $22,081 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.