About North Cascades Health and Rehabilitation
North Cascades Health And Rehabilitation, located in BELLINGHAM, WA, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose North Cascades Health and Rehabilitation
Key Performance Indicators
- CMS Overall Rating 2 Stars
- Nursing Hours 3.54 hrs
- Safety Record Issues
Chain Affiliations & Network
This facility is part of the EVERGREEN HEALTHCARE GROUP network. This chain operates 43 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
North Cascades Health and Rehabilitation provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 2 |
|
| Health Inspection | 1 |
|
| Quality Measures | 5 |
|
| Staffing | 4 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 314 | Jan 24, 2025 |
| Weighted Average | 326 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 23.7% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 6.2% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.8% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.3% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 7.2% |
| Percentage of long-stay residents who lose too much weight (QM404) | 7.3% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.8% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 11.2% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 1.9% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 98.8% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 97.7% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 1.9% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 5.8% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 12.2% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 98.6% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 95.1% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 1.4% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 19.8% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 25.8% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 7 complaints
- 2024: 20 complaints
- 2025: 4 complaints
- 2026: 16 complaints
- Total: 47 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Mar 23, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Mar 23, 2026 | Respond appropriately to all alleged violations. |
| Mar 23, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Mar 23, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Feb 19, 2026 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. |
| Feb 19, 2026 | Respond appropriately to all alleged violations. |
| Feb 09, 2026 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. |
| Feb 09, 2026 | Give the resident's representative the ability to exercise the resident's rights. |
| Feb 09, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Feb 09, 2026 | Ensure that residents are free from significant medication errors. |
| Feb 09, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jan 16, 2026 | Respond appropriately to all alleged violations. |
| Jan 16, 2026 | 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. |
| Jan 16, 2026 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jan 16, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Jan 16, 2026 | Hire a qualified full-time social worker in a facility with more than 120 beds. |
| Apr 14, 2025 | Respond appropriately to all alleged violations. |
| Apr 14, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities |
| Apr 14, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jan 13, 2025 | Provide or obtain dental services for each resident. |
| Oct 04, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Oct 04, 2024 | 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. |
| Sep 03, 2024 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. |
| Jul 25, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Jul 15, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. |
| Jul 15, 2024 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. |
| May 06, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. |
| May 06, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Apr 18, 2024 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. |
| Apr 18, 2024 | Observe each nurse aide's job performance and give regular training. |
| Apr 18, 2024 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. |
| Jan 19, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. |
| Jan 19, 2024 | Provide and implement an infection prevention and control program. |
| Jan 19, 2024 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. |
| Jan 19, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Jan 19, 2024 | 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. |
| Jan 19, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Jan 19, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jan 19, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jan 19, 2024 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. |
| Dec 21, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Dec 21, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Dec 07, 2023 | Respond appropriately to all alleged violations. |
| Dec 07, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Dec 07, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Oct 13, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Oct 13, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
Nearby Hospitals
PEACEHEALTH UNITED GENERAL MEDICAL CENTER
SEDRO WOOLLEY, WA
ISLAND HOSPITAL
ANACORTES, WA
ST JOSEPH HOSPITAL
BELLINGHAM, WA
PEACEHEALTH PEACE ISLAND MEDICAL CENTER
FRIDAY HARBOR, WA
Owner & Operator Information
Business Entity
NORTH CASCADES SNF OPERATIONS, LLC
Ownership Structure
Management & Direction
- CH PACIFIC NORTHWEST HOLDINGS LLC ADP OF THE SNF
- WINNIE CHUA ADP OF THE SNF
- WINNIE CHUA OPERATIONAL/MANAGERIAL CONTROL
- WINNIE CHUA MANAGING CONTROL - GOVERNING BODY
- COUVE FINANCIAL SERVICES LLC OPERATIONAL/MANAGERIAL CONTROL
- COUVE FINANCIAL SERVICES LLC ADP OF THE SNF
- COUVE HEALTHCARE CONSULTING LLC ADP OF THE SNF
- COUVE HEALTHCARE CONSULTING LLC OPERATIONAL/MANAGERIAL CONTROL
- KODY GILTNER ADP OF THE SNF
- KODY GILTNER OPERATIONAL/MANAGERIAL CONTROL
- YISROEL HERZKA ADP OF THE SNF
- ALLEN JOHNSON OPERATIONAL/MANAGERIAL CONTROL
- ALLEN JOHNSON ADP OF THE SNF
- JASON ODENTHAL ADP OF THE SNF
- JASON ODENTHAL OPERATIONAL/MANAGERIAL CONTROL
- JASON ODENTHAL MANAGING CONTROL - GOVERNING BODY
- PACIFIC NORTHWEST OPCO MANAGEMENT LLC OPERATIONAL/MANAGERIAL CONTROL
- PACIFIC NORTHWEST OPCO MANAGEMENT LLC ADP OF THE SNF
- KYLE SERVOSS ADP OF THE SNF
- KYLE SERVOSS OPERATIONAL/MANAGERIAL CONTROL
- SHIMON SPIELMAN OPERATIONAL/MANAGERIAL CONTROL
- SHIMON SPIELMAN ADP OF THE SNF
- WASHINGTON SNF CONSULTING LLC ADP OF THE SNF
- WASHINGTON SNF CONSULTING LLC OPERATIONAL/MANAGERIAL CONTROL
- WITZCORP GLOBAL LLC ADP OF THE SNF
- YITZCHOK YENOWITZ OPERATIONAL/MANAGERIAL CONTROL
- YITZCHOK YENOWITZ ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Mt Baker Care Center | N/A | 5 |
| Christian Health Care Center | N/A | 5 |
| Alderwood Park Health and Rehab of Cascadia | N/A | 5 |
| Stafholt Health and Rehabilitation of Cascadia | N/A | 5 |
| Avalon Healthcare Bellingham | N/A | 5 |
| Highland Health and Rehabilitation of Cascadia | N/A | 3 |
| Life Care Center of Skagit Valley | N/A | 2 |
| Soundview Rehabilitation and Health Care Inc | N/A | 2 |
| North Cascades Health and Rehabilitation | N/A | 2 |
| Shuksan Rehabilitation and Health Care | N/A | 1 |
Related Analysis
Best Nursing Homes in BELLINGHAM, WA
Compare North Cascades Health and Rehabilitation to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact North Cascades Health and Rehabilitation directly at 3603981966. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.