Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
HIGHLAND HEALTH AND REHABILITATION OF CASCADIA
BELLINGHAM, WA · 44 certified beds · Last Life Safety survey August 7, 2025
CMS Certification Number 505140 · first certified May 1972
Ownership
Operated by CASCADIA HEALTHCARE · For profit - Corporation
- Ownership changed August 1, 2022 (change of ownership)from EMPRES HIGHLAND CARE LLC
Position within WA
35 citations — more than 59% 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
The latest survey found 9 citations; the earlier surveys in the window averaged 13. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window is open now: July 2026 to October 2026. This facility’s last Life Safety survey was August 2025. 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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2 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
22 of the 35 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)
6 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 35 Life Safety citations above. The Physical Environment Index
- 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.
- F-0880 Provide and implement an infection prevention and control program.
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
How that compares
Compared with the median facility in WA, and nationally. Surveyors differ markedly between states, so the WA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 35 |
| Median facility in WA | 31 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| July 28, 2023 | 13 |
| July 30, 2024 | 13 |
| August 7, 2025 | 9 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0036 | Establish emergency prep training and testing. | 3 | 2025-08-07 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 2 | 2025-08-07 |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | 2 | 2025-08-07 |
| K-0511 | Have properly installed electrical wiring and gas equipment. | 2 | 2025-08-07 |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | 2 | 2024-07-30 |
| E-0007 | Address patient/client population and determine types of services needed. | 2 | 2024-07-30 |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | 2 | 2025-08-07 |
| E-0015 | Address subsistence needs for staff and patients. | 2 | 2024-07-30 |
What the citations cover
- Emergency Preparedness Deficiencies 22
- Gas, Vacuum, and Electrical Systems Deficiencies 6
- Services Deficiencies 2
- Egress Deficiencies 2
- Other 3
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 22 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 6 |
| Services Deficiencies | 2 |
| Egress Deficiencies | 2 |
| Smoke Deficiencies | 2 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
August 7, 2025 — 9 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (September 10, 2025) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (September 10, 2025) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (November 7, 2025) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (September 10, 2025) |
| K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Deficient, Provider has date of correction (September 10, 2025) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (September 10, 2025) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (September 10, 2025) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (November 7, 2025) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (September 10, 2025) |
July 30, 2024 — 13 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (August 27, 2024) |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (August 27, 2024) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (August 27, 2024) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (August 27, 2024) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (August 27, 2024) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (August 27, 2024) |
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (August 27, 2024) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (August 27, 2024) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (August 27, 2024) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (August 27, 2024) |
| K-0753 | Have restrictions on the use of highly flammable decorations. | Deficient, Provider has date of correction (August 27, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (August 27, 2024) |
| K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Deficient, Provider has date of correction (August 27, 2024) |
July 28, 2023 — 13 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (August 16, 2023) |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (August 16, 2023) |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (August 16, 2023) |
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has date of correction (August 16, 2023) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (August 16, 2023) |
| E-0029 | Develop a communication plan. | Deficient, Provider has date of correction (August 16, 2023) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (August 30, 2023) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (August 30, 2023) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (August 30, 2023) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (August 16, 2023) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (August 16, 2023) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (August 16, 2023) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (August 30, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.