Starfile / Washington

North Cascades Health and Rehabilitation

4680 CORDATA PARKWAY, BELLINGHAM, WA 98226 · CCN 505393

Inspection history vs Washington & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$347,043

Number of fines

6

Number of penalties

6

Payment denials

0

Chain

Chain

EVERGREEN HEALTHCARE GROUP

Facilities in chain

41

Chain avg overall

2.30 / 5

Inspection citations (93)1 immediate jeopardy10 actual harm

1. DF0551Give the resident's representative the ability to exercise the resident's rights.2026-01-28 · Health · corrected 2026-02-09

   Potential for more than minimal harm

2. DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2026-01-28 · Health · corrected 2026-02-09

   Potential for more than minimal harm

3. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-28 · Health · corrected 2026-02-09

   Actual harm

4. GF0760Ensure that residents are free from significant medication errors.2026-01-28 · Health · corrected 2026-02-09

   Actual harm

5. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-28 · Health · corrected 2026-02-09

   Potential for more than minimal harm

6. DF0585Honor 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.2025-12-17 · Health · corrected 2026-01-16

   Potential for more than minimal harm

7. DF0610Respond appropriately to all alleged violations.2025-12-17 · Health · corrected 2026-01-16

   Potential for more than minimal harm

8. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-17 · Health · corrected 2026-01-16

   Potential for more than minimal harm

9. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-12-17 · Health · corrected 2026-01-16

   Potential for more than minimal harm

10. EF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2025-12-17 · Health · corrected 2026-01-16

    Potential for more than minimal harm

11. DF0610Respond appropriately to all alleged violations.2025-03-28 · Health · corrected 2025-04-14

    Potential for more than minimal harm

12. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-03-28 · Health · corrected 2025-04-14

    Potential for more than minimal harm

13. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-28 · Health · corrected 2025-04-14

    Potential for more than minimal harm

14. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-01-24 · Health · corrected 2025-02-21

    Potential for more than minimal harm

15. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2025-01-24 · Health · corrected 2025-02-21

    Potential for more than minimal harm

16. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-24 · Health · corrected 2025-02-21

    Potential for more than minimal harm

17. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-24 · Health · corrected 2025-02-21

    Potential for more than minimal harm

18. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-24 · Health · corrected 2025-02-21

    Immediate jeopardy

19. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-01-24 · Health · corrected 2025-02-21

    Potential for more than minimal harm

20. EF0730Observe each nurse aide's job performance and give regular training.2025-01-24 · Health · corrected 2025-02-21

    Potential for more than minimal harm

21. DF0758Implement 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.2025-01-24 · Health · corrected 2025-02-21

    Potential for more than minimal harm

22. EF0759Ensure medication error rates are not 5 percent or greater.2025-01-24 · Health · corrected 2025-02-21

    Potential for more than minimal harm

23. DF0760Ensure that residents are free from significant medication errors.2025-01-24 · Health · corrected 2025-02-21

    Potential for more than minimal harm

24. DF0761Ensure 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.2025-01-24 · Health · corrected 2025-02-21

    Potential for more than minimal harm

25. DF0880Provide and implement an infection prevention and control program.2025-01-24 · Health · corrected 2025-02-21

    Potential for more than minimal harm

26. DF0791Provide or obtain dental services for each resident.2024-12-30 · Health · corrected 2025-01-13

    Potential for more than minimal harm

27. EF0584Honor 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.2024-09-05 · Health · corrected 2024-10-04

    Potential for more than minimal harm

28. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-05 · Health · corrected 2024-10-04

    Potential for more than minimal harm

29. DF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-08-12 · Health · corrected 2024-09-03

    Potential for more than minimal harm

30. EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-06-20 · Health · corrected 2024-07-15

    Potential for more than minimal harm

31. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-20 · Health · corrected 2024-07-25

    Actual harm

32. DF0758Implement 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.2024-06-20 · Health · corrected 2024-07-15

    Potential for more than minimal harm

33. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-17 · Health · corrected 2024-05-06

    Potential for more than minimal harm

34. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-04-17 · Health · corrected 2024-05-06

    Potential for more than minimal harm

35. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-08 · Health · corrected 2024-04-18

    Potential for more than minimal harm

36. DF0558Reasonably accommodate the needs and preferences of each resident.2024-03-08 · Health · corrected 2024-04-18

    Potential for more than minimal harm

37. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-08 · Health · corrected 2024-04-18

    Potential for more than minimal harm

38. DF0610Respond appropriately to all alleged violations.2024-03-08 · Health · corrected 2024-04-18

    Potential for more than minimal harm

39. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-03-08 · Health · corrected 2024-04-18

    Potential for more than minimal harm

40. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-08 · Health · corrected 2024-04-18

    Potential for more than minimal harm

41. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-08 · Health · corrected 2024-04-18

    Potential for more than minimal harm

42. GF0692Provide enough food/fluids to maintain a resident's health.2024-03-08 · Health · corrected 2024-04-18

    Actual harm

43. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-03-08 · Health · corrected 2024-04-18

    Potential for more than minimal harm

44. EF0730Observe each nurse aide's job performance and give regular training.2024-03-08 · Health · corrected 2024-04-18

    Potential for more than minimal harm

45. DF0758Implement 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.2024-03-08 · Health · corrected 2024-04-18

    Potential for more than minimal harm

46. EF0761Ensure 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.2024-03-08 · Health · corrected 2024-04-18

    Potential for more than minimal harm

47. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-08 · Health · corrected 2024-04-18

    Potential for more than minimal harm

48. FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-03-08 · Health · corrected 2024-04-18

    Potential for more than minimal harm

49. DF0880Provide and implement an infection prevention and control program.2024-03-08 · Health · corrected 2024-04-18

    Potential for more than minimal harm

50. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-03-08 · Health · corrected 2024-04-18

    Potential for more than minimal harm

51. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-03-08 · Health · corrected 2024-04-18

    Potential for more than minimal harm

52. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-21 · Health · corrected 2024-01-19

    Actual harm

53. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-12-21 · Health · corrected 2024-01-19

    Potential for more than minimal harm

54. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-12-21 · Health · corrected 2024-01-19

    Potential for more than minimal harm

55. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-21 · Health · corrected 2024-01-19

    Actual harm

56. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-12-21 · Health · corrected 2024-01-19

    Potential for more than minimal harm

57. FF0761Ensure 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.2023-12-21 · Health · corrected 2024-01-19

    Potential for more than minimal harm

58. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-21 · Health · corrected 2024-01-19

    Potential for more than minimal harm

59. FF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2023-12-21 · Health · corrected 2024-01-19

    Potential for more than minimal harm

60. EF0880Provide and implement an infection prevention and control program.2023-12-21 · Health · corrected 2024-01-19

    Potential for more than minimal harm

61. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-13 · Health · corrected 2023-12-21

    Potential for more than minimal harm

62. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-13 · Health · corrected 2023-12-21

    Potential for more than minimal harm

63. DF0610Respond appropriately to all alleged violations.2023-10-30 · Health · corrected 2023-12-07

    Potential for more than minimal harm

64. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-30 · Health · corrected 2023-12-07

    Potential for more than minimal harm

65. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-30 · Health · corrected 2023-12-07

    Potential for more than minimal harm

66. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-09-19 · Health · corrected 2023-10-13

    Potential for more than minimal harm

67. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-19 · Health · corrected 2023-10-13

    Actual harm

68. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-06-09 · Health · corrected 2023-07-26

    Potential for more than minimal harm

69. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-06-09 · Health · corrected 2023-07-26

    Potential for more than minimal harm

70. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-06-09 · Health · corrected 2023-07-26

    Potential for more than minimal harm

71. EF0584Honor 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.2023-06-09 · Health · corrected 2023-07-26

    Potential for more than minimal harm

72. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-06-09 · Health · corrected 2023-07-26

    Potential for more than minimal harm

73. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-06-09 · Health · corrected 2023-07-26

    Potential for more than minimal harm

74. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-06-09 · Health · corrected 2023-07-26

    Potential for more than minimal harm

75. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-09 · Health · corrected 2023-07-26

    Potential for more than minimal harm

76. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-09 · Health · corrected 2023-07-26

    Potential for more than minimal harm

77. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-09 · Health · corrected 2023-07-26

    Potential for more than minimal harm

78. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-09 · Health · corrected 2023-07-26

    Actual harm

79. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-06-09 · Health · corrected 2023-07-26

    Potential for more than minimal harm

80. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-09 · Health · corrected 2023-07-26

    Potential for more than minimal harm

81. GF0692Provide enough food/fluids to maintain a resident's health.2023-06-09 · Health · corrected 2023-07-26

    Actual harm

82. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-09 · Health · corrected 2023-07-26

    Potential for more than minimal harm

83. BF0732Post nurse staffing information every day.2023-06-09 · Health · corrected 2023-07-26

    Potential for minimal harm

84. DF0761Ensure 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.2023-06-09 · Health · corrected 2023-07-26

    Potential for more than minimal harm

85. DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-06-09 · Health · corrected 2023-07-26

    Potential for more than minimal harm

86. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2023-06-09 · Health · corrected 2023-07-26

    Potential for more than minimal harm

87. FF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2023-06-09 · Health · corrected 2023-07-26

    Potential for more than minimal harm

88. DF0880Provide and implement an infection prevention and control program.2023-06-09 · Health · corrected 2023-07-26

    Potential for more than minimal harm

89. DF0610Respond appropriately to all alleged violations.2023-04-04 · Health · corrected 2023-05-09

    Potential for more than minimal harm

90. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-03-22 · Health · corrected 2023-05-02

    Potential for more than minimal harm

91. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-03-22 · Health · corrected 2023-05-02

    Potential for more than minimal harm

92. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-22 · Health · corrected 2023-05-02

    Actual harm

93. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-22 · Health · corrected 2023-05-02

    Potential for more than minimal harm

Ownership

Other facilities in BELLINGHAM

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.