Starfile / Washington

SHUKSAN REHABILITATION AND HEALTH CARE

1530 JAMES STREET, BELLINGHAM, WA 98225 · CCN 505098

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

$73,622

Number of fines

1

Number of penalties

2

Payment denials

1

Chain

Chain

HYATT FAMILY FACILITIES

Facilities in chain

5

Chain avg overall

2.60 / 5

Inspection citations (57)2 immediate jeopardy3 actual harm

1. DF0610Respond appropriately to all alleged violations.2025-09-04 · Health · corrected 2025-11-03

   Potential for more than minimal harm

2. DF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2025-07-11 · Health · corrected 2025-08-29

   Potential for more than minimal harm

3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-01 · Health · corrected 2025-06-04

   Potential for more than minimal harm

4. EF0610Respond appropriately to all alleged violations.2025-05-01 · Health · corrected 2025-06-04

   Potential for more than minimal harm

5. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-05-01 · Health · corrected 2025-06-04

   Potential for more than minimal harm

6. 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.2025-05-01 · Health · corrected 2025-06-04

   Potential for more than minimal harm

7. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-05-01 · Health · corrected 2025-06-04

   Potential for more than minimal harm

8. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-05-01 · Health · corrected 2025-06-04

   Potential for more than minimal harm

9. DF0659Provide care by qualified persons according to each resident's written plan of care.2025-05-01 · Health · corrected 2025-06-04

   Potential for more than minimal harm

10. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-01 · Health · corrected 2025-06-04

    Potential for more than minimal harm

11. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-01 · Health · corrected 2025-06-04

    Actual harm

12. DF0692Provide enough food/fluids to maintain a resident's health.2025-05-01 · Health · corrected 2025-06-04

    Potential for more than minimal harm

13. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-05-01 · Health · corrected 2025-06-04

    Potential for more than minimal harm

14. EF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.2025-05-01 · Health · corrected 2025-06-04

    Potential for more than minimal harm

15. DF0730Observe each nurse aide's job performance and give regular training.2025-05-01 · Health · corrected 2025-06-04

    Potential for more than minimal harm

16. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-01 · Health · corrected 2025-06-04

    Potential for more than minimal harm

17. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-05-01 · Health · corrected 2025-06-04

    Potential for more than minimal harm

18. EF0758Implement 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.2025-05-01 · Health · corrected 2025-06-04

    Potential for more than minimal harm

19. KF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-05-01 · Health · corrected 2025-06-04

    Immediate jeopardy

20. LF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-05-01 · Health · corrected 2025-06-04

    Immediate jeopardy

21. 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.2025-05-01 · Health · corrected 2025-06-04

    Potential for more than minimal harm

22. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-01 · Health · corrected 2025-06-04

    Potential for more than minimal harm

23. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-05-01 · Health · corrected 2025-06-04

    Potential for more than minimal harm

24. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-11 · Health · corrected 2025-04-20

    Potential for more than minimal harm

25. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-05-16 · Health · corrected 2024-07-22

    Potential for more than minimal harm

26. 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.2024-05-16 · Health · corrected 2024-07-22

    Potential for more than minimal harm

27. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-05-16 · Health · corrected 2024-07-22

    Potential for more than minimal harm

28. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-05-16 · Health · corrected 2024-07-22

    Potential for more than minimal harm

29. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-16 · Health · corrected 2024-07-22

    Potential for more than minimal harm

30. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-16 · Health · corrected 2024-07-22

    Potential for more than minimal harm

31. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-05-16 · Health · corrected 2024-07-22

    Potential for more than minimal harm

32. EF0730Observe each nurse aide's job performance and give regular training.2024-05-16 · Health · corrected 2024-07-22

    Potential for more than minimal harm

33. 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.2024-05-16 · Health · corrected 2024-07-22

    Potential for more than minimal harm

34. 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.2024-05-16 · Health · corrected 2024-07-22

    Potential for more than minimal harm

35. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-16 · Health · corrected 2024-07-22

    Potential for more than minimal harm

36. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-05-16 · Health · corrected 2024-07-22

    Potential for more than minimal harm

37. DF0880Provide and implement an infection prevention and control program.2024-05-16 · Health · corrected 2024-07-22

    Potential for more than minimal harm

38. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-05-16 · Health · corrected 2024-07-22

    Potential for more than minimal harm

39. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-14 · Health · corrected 2024-04-17

    Actual harm

40. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-14 · Health · corrected 2024-04-17

    Actual harm

41. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-03-06 · Health · corrected 2024-04-17

    Potential for more than minimal harm

42. 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.2024-03-06 · Health · corrected 2024-04-17

    Potential for more than minimal harm

43. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-13 · Health · corrected 2024-01-13

    Potential for more than minimal harm

44. EF0880Provide and implement an infection prevention and control program.2023-12-13 · Health · corrected 2024-01-13

    Potential for more than minimal harm

45. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-07-13 · Health · corrected 2023-08-25

    Potential for more than minimal harm

46. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-07-13 · Health · corrected 2023-08-25

    Potential for more than minimal harm

47. DF0610Respond appropriately to all alleged violations.2023-06-21 · Health · corrected 2023-07-28

    Potential for more than minimal harm

48. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-21 · Health · corrected 2023-07-28

    Potential for more than minimal harm

49. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-02-17 · Health · corrected 2023-03-28

    Potential for more than minimal harm

50. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-02-17 · Health · corrected 2023-03-28

    Potential for more than minimal harm

51. 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.2023-02-17 · Health · corrected 2023-03-28

    Potential for more than minimal harm

52. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-17 · Health · corrected 2023-03-28

    Potential for more than minimal harm

53. 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.2023-02-17 · Health · corrected 2023-03-28

    Potential for more than minimal harm

54. 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.2023-02-17 · Health · corrected 2023-03-28

    Potential for more than minimal harm

55. DF0759Ensure medication error rates are not 5 percent or greater.2023-02-17 · Health · corrected 2023-03-28

    Potential for more than minimal harm

56. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-17 · Health · corrected 2023-03-28

    Potential for more than minimal harm

57. DF0880Provide and implement an infection prevention and control program.2023-02-17 · Health · corrected 2023-03-28

    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.