Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ALDERWOOD PARK HEALTH AND REHAB OF CASCADIA

BELLINGHAM, WA · 102 certified beds · Last Life Safety survey January 16, 2026

CMS Certification Number 505092 · first certified January 1967

Ownership

Operated by CASCADIA HEALTHCARE · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within WA

31 citations — more than 50% of the 193 certified nursing homes in WA. Compared within WA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 12. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 3 months from now. This facility’s last Life Safety survey was January 2026. Facilities in WA are typically surveyed 12–15 months after the last one (median 13), measured over 320 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

14 of the 31 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 31 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0584 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.

How that compares

Citations on file over three years

Compared with the median facility in WA, and nationally. Surveyors differ markedly between states, so the WA figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	31
Median facility in WA	31
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
March 26, 2024	11
February 28, 2025	13
January 16, 2026	7

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
E-0015	Address subsistence needs for staff and patients.	2	2026-01-16
K-0324	Provide properly protected cooking facilities.	2	2025-02-28
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	2	2026-01-16
E-0018	Establish procedures for tracking staff and patients during an emergency.	2	2025-02-28
E-0037	Establish staff and initial training requirements.	2	2025-02-28
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2025-02-28
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	2	2026-01-16
K-0781	Have restrictions on the use of portable space heaters.	2	2026-01-16

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 14
Smoke Deficiencies 9
Miscellaneous Deficiencies 6
Gas, Vacuum, and Electrical Systems Deficiencies 2

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	14
Smoke Deficiencies	9
Miscellaneous Deficiencies	6
Gas, Vacuum, and Electrical Systems Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 16, 2026 — 7 citations

Citations issued on January 16, 2026
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (February 16, 2026)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (February 16, 2026)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (February 16, 2026)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (February 16, 2026)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (February 16, 2026)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (February 16, 2026)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (February 16, 2026)

February 28, 2025 — 13 citations

Citations issued on February 28, 2025
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (March 30, 2025)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (March 30, 2025)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (March 30, 2025)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (March 30, 2025)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (March 30, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (March 30, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 30, 2025)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (March 30, 2025)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (March 30, 2025)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (March 30, 2025)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (March 30, 2025)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (March 30, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (March 30, 2025)

March 26, 2024 — 11 citations

Citations issued on March 26, 2024
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (May 9, 2024)
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (April 15, 2024)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (May 9, 2024)
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (April 15, 2024)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (April 15, 2024)
E-0031	Provide emergency officials' contact information.	Deficient, Provider has date of correction (May 9, 2024)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (April 15, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (April 15, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (May 1, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (April 15, 2024)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (April 15, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.