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Alderwood Park Health and Rehab of Cascadia

2726 Alderwood Avenue, Bellingham, WA 98225 · Whatcom County · (360) 733-2322

102 certified beds, about 69 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1967

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 505092 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 16, 2026, inspectors cited 7 health deficiencies (the Washington average is 15.8, the national average 9.2).

None of its 40 health citations since February 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.98 hours per resident per day, against 4.36 across Washington and 3.86 nationally. Registered nurses accounted for 1.03 of those hours.

48.0% of nursing staff left within the year CMS measured (Washington average 45.1%).

CMS links it to Cascadia Healthcare, an affiliated group of 47 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 40 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
27D
12E
1F
Potential for minimal harm
0A
0B
0C
January 16, 2026Standard inspection · 7 citations
  1. E
    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.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 16, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure thorough investigation and resolution of grievances for one of one resident facility groups. This failure resulted in continued dissatisfaction among residents regarding how their grievances are being addressed and had the potential to impact residents quality of life.
  2. E
    Provide 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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 16, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that 5 of 5 residents (3, 4, 9, 16, and 26) reviewed for limited Range of Motion (ROM) received necessary care and services. The facility failed to ensure residents received appropriate restorative nursing services programs as ordered. This failure placed residents at risk for decline in mobility and function, increased dependence on staff, and a decreased quality of life.
  3. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 16, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure that 1 of 6 residents (Resident 3) reviewed for the Preadmission Screening and Resident Review (PASRR - a federally required screening of all individuals for Intellectual Disability (ID) or Related Condition and a Serious Mental Illness (SMI) prior to admission) process. The facility failed to ensure a resident with a positive Level 1 PASRR had a Level 2 evaluation completed for a resident that qualified with ID for services. This failure placed residents at risk for unidentified health care needs, lack of services and diminished quality of life.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 16, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure comprehensive care planning and implementation for 1 of 4 residents (Resident 66) reviewed for impaired range of motion. This failure placed residents at risk for impaired skin integrity and decreased quality of care.
  5. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 16, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to consistently provide supervision, verbal cues or assistance with meals per the individualized assessments and plan of care and did not develop a process to document if supplements, alternative meals, or snacks were offered for 1 of 3 residents (Resident 58) reviewed for nutrition. Resident 58 experienced a severe weight loss of 18 pounds (lbs.), a 8.73 percent (%) of body weight in less than a month. This failure placed residents at risk of further weight loss, decline in nutritional status and decreased quality of life.
  6. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 16, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that 3 of 3 residents (Residents 9,16 and 26) reviewed for respiratory care, were provided care consistent with professional standards of practice. Failure of the facility to ensure oxygen (O2) delivery per physician's order, monitor, assess and address resident responses to O2 therapy (Resident 9), and ensure ordered Continuous Positive Airway Pressure (CPAP, non-invasive ventilation machine that involves the administration of air usually through the nose by an external device at a predetermined level of pressure) equipment was in place when ordered, and to ensure CPAPs were cleaned and parts replaced per manufacturers recommendations. These failures placed residents at risk of respiratory infection, respiratory distress, lack of restful sleep and diminished lung condition.
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 16, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure infection prevention practices were followed for 1 of 2 residents (Resident 7) reviewed for wounds, and for 1 of 4 residents (Resident 68) reviewed for transmission-based precautions. These failures placed residents at risk for infection due to cross contamination.
February 28, 2025Standard inspection · 12 citations
  1. E
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure resident choices/preferences regarding their bathing schedule were honored for 4 of 6 sampled residents (Residents 31, 50, 69, and 276) and failed to honor Resident 7's preference to lay down after a meal. The facility's failure to accommodate resident choices/preferences related to bathing and daily schedules placed residents at risk for feelings of un-cleanliness, powerlessness, diminished self-worth, and a decreased quality of life.
  2. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wrote<FLOORING> In an observation on 02/25/2025 at 8:31 AM, the hall floor outside room [ROOM NUMBER] had and L shaped approximately 5-inch by 6-inch gouge down to the sub floor. In an interview on 02/28/2025 at 8:47 AM, Staff Y, Maintenance Director stated they were aware of the gouges in the flooring throughout the halls and rooms and were trying to develop a plan to repair them. Staff Y stated they did have some extra flooring in the attic to use as replacements, but they were unsure if they had enough to replace all the spots. Based on observation, interview, and record review, the facility failed to maintain a safe, clean, comfortable and homelike environment. [...]
  3. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to review and revise the care plans to accurately reflect resident conditions and needs for 3 of 16 residents (Residents 34, 50 and 56) reviewed for care planning. These failures placed residents at risk for unmet care needs and diminished quality of life.
  4. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on interview and record review, the facility failed to have sufficient staff to provide and supervise care as evidenced by information provided by 7 resident interviews (Residents 3, 9, 22, 50, 57, 59 and 63) and one family interview (Resident 5) in three of three hallways and Resident Council minutes. The facility had insufficient staff to ensure residents received prompt call light response and assistance to meet the needs of the residents in accordance with resident preferences. These failures placed residents at risk for unmet care needs and negative outcomes.
  5. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on interview, and record review, the facility failed to ensure a system in which resident's records were complete, accurate, and accessible, for 4 of 4 residents (Residents 1, 5, 34, and 276) reviewed for accurate and complete medical records. The facility failed to ensure the residents medical records contained hospice provider notes and orders, lab monitoring results, and complete blood sugar monitoring for residents. Failure tomaintain complete and accurate medical records placed residents at risk for medical complications, unmet care needs, and for diminished quality of life.
  6. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff were com-pliant with Infection Prevention and Control Guidelines and standards of practice for 1 of 5 nurses (Staff C) during medication administration, 1 of 1 resident (Resident 50) during catheter care, and for 1 of 1 resident (Resident 14) reviewed for transmission-based precautions (TBP) of a resident who had tested positive for Respiratory syncytial virus (RSV). The facility failed to ensure staff followed appropriate infection control practices during medication administration and performed appropriate hand hygiene during urinary catheter care. The facility failed to ensure the staff were wearing appropriate personal protective equipment (PPE) in accordance with recommended national standards. This failure placed all residents and staff at risk for potential infection.
  7. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide the necessary assistance for oral care, and bathing for 3 of 5 residents (Residents 20, 69 and 276) dependent on staff to ensure their needs were met. This failed practice placed residents at increased risk for increased risk for embarrassment, diminished dignity, negative outcomes including poor quality of life and psychosocial harm.
  8. D
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the daily nurse staffing information was being posted in a place readily accessible to residents/visitors and included the required information on 2 of 6 days (02/22/2025 and 02/23/2025) of the recertification survey. This failure placed residents, family members and visitors at risk of not being fully informed of current staffing levels and resident census information.
  9. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on observation and interview, the facility failed to ensure a system was in place to accurately reconcile controlled medications in 1 of 5 medication carts reviewed for narcotic storage/reconciliation. This failure placed the facility at risk for potential loss and/or drug diversion of the controlled medication.
  10. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure 2 of 5 sampled residents (5 and 34) were free from unnecessary psychotropic medications (drugs that affect brain activities associated with mental processes and behavior) as required. The facility failed to ensure a medical provider assessed and documented a rationale for extended use of an as necessary (PRN) psychotropic medication for use over 14 days and failed to monitor for appropriate symptoms. These failures placed the residents at risk for medication-related complications and for receiving unnecessary psychotropic medication.
  11. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on observation and interview, the facility failed to ensure that drugs and biologicals were removed when expired in 2 of 5 medication carts, and 1 of 2 medication refrigerators. The facility failed to ensure Schedule II-V (Substances with a high potential for abuse which may lead to severe physical or psychological dependence) controlled medications were in a separate locked permanently affixed compartment not accessible to others. Additionally, 2 medication carts were found unlocked without a nurse close by. These failures placed residents at risk for receiving expired medication and vaccines, and risk of having unintended access to drugs that should have been securely stored.
  12. D
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide timely laboratory results to meet the needs of two of five residents (1, 5 and 279) reviewed for medication usage. These failed practices had the potential for negative complications related to delay of obtaining and follow up of laboratory results along with a risk for medical complications, related to a lack of monitoring chronic medical conditions and delayed identification and treatment of underlying health conditions.
January 7, 2025Complaint inspection · 1 citation
  1. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 22, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure a physician order was obtained and routine cleaning was provided for a CPAP machine (non-invasive ventilation machine that involves the administration of air usually through the nose by an external device at a predetermined level of pressure) for 1 of 4 residents (Resident 1) reviewed for respiratory care. This failed practice placed the resident at risk of respiratory infection, respiratory distress, lack of restful sleep and diminished quality of life
October 28, 2024Complaint inspection · 1 citation
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 25, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide the assistance with activities of daily living (ADL's) for 1of 5 sampled residents (Residents 1) reviewed for activities of daily living. The facility failed to provide residents, who were dependent on staff for assistance with hygiene including oral care, meal assistance, and consistent monitoring for incontinence placed residents at risk for diminished quality of life.
May 29, 2024Complaint inspection · 2 citations
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 5, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide assistance with activities of daily living to include personal hygiene and bathing for 2 of 3 sampled dependent (Residents 1 and 3) residents reviewed for activities of daily living (ADL's). The facility's failure to provide the residents, who were dependent on staff for assistance with grooming and bathing placed residents at risk for embarrassment, poor hygiene, unmet care needs and a diminished quality of life.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 5, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to ensure the facility identified and provided the needed care and services for 1 of 3 sampled residents (Resident 2) reviewed for the medication management of constipation. This failed practice placed residents at risk for bowel constipation, fecal impactions, and a decreased quality of life.
March 26, 2024Standard inspection, Complaint inspection · 15 citations
  1. F
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to ensure the Dietary Manager (Staff Q) had proper qualifications. This failure placed residents at risk of receiving dietary services from staff without the required competencies and skills to carry out food and nutrition services.
  2. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide for a resident council group to meet privately, to voice concerns with the group's invited guests without facility disruption and interference on 1 of 1 resident council meetings, as the resident group had expressed concern about for years. This failure placed the residents at risk for unmet care needs and prevented the residents' rights to have privacy to meet to express concerns and enhance the residents' quality of life at the facility.
  3. E
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to ensure written notification of facility-initiated transfer and/or discharge was completed for 3 of 5 sampled residents (Residents 16, 18, and 77) reviewed for hospitalizations. The facility failed to ensure the transfer/discharge notice with all the required information was provided in a timely, practical manner upon an emergent transfer to the hospital. This failure placed residents and their representatives at risk of not receiving accurate information related to resident's discharge, and potential for diminished quality of life.
  4. E
    Notify 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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on interview, and record review the facility failed to ensure the required notice of a bed hold was provided for 3 of 5 sampled residents (Residents 16, 18, and 77) reviewed for hospitalizations. This failure placed residents at risk of being uninformed of their rights regarding bed holds.
  5. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide assistance with activities of daily living to include personal hygiene and bathing for 4 of 4 sampled dependent residents (Residents 1, 8, 2, and 278), reviewed for activities of daily living (ADL's). Facility failure to provide the resident's, who were dependent on staff for assistance with grooming and showers placed residents at risk for embarrassment, poor hygiene, unmet care needs and a diminished quality of life.
  6. D
    Honor 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on interview and record review, the facility failed to address required documentation and communication for Advance Directives (AD) to reflect resident desires for 2 of 2 resident's (Resident 46 and 55) reviewed for AD. This failed practice placed residents at risk of losing their right to have their desired wishes and intervention followed in the event of a healthcare emergency.
  7. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to ensure the resident's Power of Attorney (POA) was notified timely for 1 of 2 residents (Resident 38) reviewed for notification of change of condition. The facility failed to notify the POA there was a change in condition that resulted in a speech therapy (ST) evaluation, a down grade in texture to the resident's diet, and there was a medication error in which the resident was administered unprescribed medications. This failure placed residents POA at risk of not being informed of resident status and potential for receiving less than optimal care.
  8. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to implement policies and procedures for ensuring the reporting of allegations of potential abuse or neglect for 2 of 3 sampled residents (Resident 25 and 40) reviewed for allegations of abuse and/or neglect. The failure of staff to identify, report, and initiate an investigation for allegations placed residents at risk of being victims of unidentified and uninvestigated abuse and/or neglect and limited the thoroughness of investigations.
  9. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to ensure 1 of 5 sampled resident (Resident 21) reviewed for the Preadmission Screening and Resident Review (PASRR - a federally required screening of all individuals who has both an Intellectual Disability or Related Condition and a serious mental illness prior to admission to a Medicaid-certified nursing facility or a significant change of condition) process when Resident 21 had a positive Level I PASRR (a screening to determine if a resident may have a SMI/ID related condition and if positive a Level II PASRR is required) and a Level II PASRR (an in-depth evaluation to determine whether the resident requires specialized rehabilitation services) was not completed or followed up on after referral. This failure placed the resident at risk for unmet care needs, unmet mental health needs, and a decreased quality of life.
  10. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to review and revise care plans for 2 of 3 sampled residents (Resident 2 and 8) reviewed for nutrition, and 1 of 5 sampled residents (Resident 58) reviewed for unnecessary medications. These failures placed the residents at risk for lack of consistent interventions, unmet care needs, adverse health effects, and a diminished quality of life.
  11. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the facility identified and provided needed care and services for 2 of 2 sampled residents (Residents 10 and 58) reviewed for medication management parameters and 1 of 1 sampled resident (Resident 1) reviewed for skin management. The facility failed to ensure appropriate lab test and weight monitoring were completed for medication management and failed to identify and treat a skin rash. These failures placed residents at risk for receiving medications outside of suggested parameters for their heart rate, weight gain, and for untreated skin conditions or infection and a decreased quality of life.
  12. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to ensure residents who were trauma survivors received culturally competent, trauma-informed care in accordance with professional standards of practice for 1 of 1 sampled resident (Resident 1) reviewed for trauma informed care. The facility failed to educate 4 of 5 staff (Staff N, P, W and Y), assess, monitor, and care plan residents' experiences and preferences regarding potential triggers (a stimulus that could prompt a recall of a previous traumatic event even if the stimulus itself is not traumatic or frightening) that may cause re-traumatization (a reliving of the traumatic experience). This failure placed the resident at risk for unidentified triggers and re-traumatization.
  13. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a medication error rate of less than 5 percent. Failure of 1 of 3 Licensed Nurses (Staff H) to properly administer 2 of 29 medications for 1 of 3 residents (Resident 25) observed during medication pass resulted in a medication error rate of 6.9%. These failures placed the residents at risk for not receiving medications as prescribed.
  14. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on observation, and interview, the facility failed to ensure medications were secured and not accessible to residents and consumption of medications during observations of 2 of 3 nurses (Staff H and X). These failures placed the residents at risk of adverse side effects from receiving pain medications too close to the next dose that potentially could cause undesirable side effects and potential drug misuse.
  15. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wrote<MEDICATION ADMINISTRATION> In an observation on 03/25/2024 at 8:53 AM, Staff C was observed to administered medications to Resident 26 at the bedside. Staff C placed two medication cups with medication pills in each on the over the bed table in front of the resident. Staff C then asked the resident if they could reposition the resident to safely take their medications, Staff C then placed their bare hands on the resident's pillow behind their head and placed it on the side of the mattress. Staff C then placed their bare hands on the shoulders of the resident and pulled the resident over to the side to sit up straight. The resident was observed to pick up the medication cup and place it to their mouth, they then tapped cup with their finger so the pills would fall out of cup and into their mouth. [...]
March 11, 2024Complaint inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased on interview and record review, the facility failed to prevent verbal and physical abuse for 1 of 4 sample residents (Resident 1), reviewed for abuse. Resident 2, who had known verbal and physical aggressive behaviors toward residents related to their dementia was verbally and physically abusive to Resident 1. This failed practice placed Resident 1 and all other residents at potential risk for verbal and physical abuse and diminished quality of life.
February 2, 2024Complaint inspection · 1 citation
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 23, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to notify 1 of 1 resident's (Resident 1) wound care provider of the resident's refusal of the ordered wound care treatment. This failed practiced placed residents at risk for health complications and diminished quality of life.

Fire safety inspections

31 fire safety citations on file: 7 on January 16, 2026, 13 on February 28, 2025, 11 on March 26, 2024.

Every fire safety citation31 citations
  1. F
    Address subsistence needs for staff and patients.
    E 15 · January 16, 2026 · Corrected (the home has a date of correction)
  2. F
    Create arrangements with other facilities to receive patients.
    E 25 · January 16, 2026 · Corrected (the home has a date of correction)
  3. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 16, 2026 · Corrected (the home has a date of correction)
  4. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · January 16, 2026 · Corrected (the home has a date of correction)
  5. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · January 16, 2026 · Corrected (the home has a date of correction)
  6. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · January 16, 2026 · Corrected (the home has a date of correction)
  7. D
    Have restrictions on the use of portable space heaters.
    K 781 · January 16, 2026 · Corrected (the home has a date of correction)
  8. F
    Address subsistence needs for staff and patients.
    E 15 · February 28, 2025 · Corrected (the home has a date of correction)
  9. F
    Establish procedures for tracking staff and patients during an emergency.
    E 18 · February 28, 2025 · Corrected (the home has a date of correction)
  10. F
    Establish emergency prep training and testing.
    E 36 · February 28, 2025 · Corrected (the home has a date of correction)
  11. F
    Establish staff and initial training requirements.
    E 37 · February 28, 2025 · Corrected (the home has a date of correction)
  12. F
    Conduct testing and exercise requirements.
    E 39 · February 28, 2025 · Corrected (the home has a date of correction)
  13. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · February 28, 2025 · Corrected (the home has a date of correction)
  14. D
    Provide properly protected cooking facilities.
    K 324 · February 28, 2025 · Corrected (the home has a date of correction)
  15. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 28, 2025 · Corrected (the home has a date of correction)
  16. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · February 28, 2025 · Corrected (the home has a date of correction)
  17. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · February 28, 2025 · Corrected (the home has a date of correction)
  18. D
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · February 28, 2025 · Corrected (the home has a date of correction)
  19. D
    Have restrictions on the use of portable space heaters.
    K 781 · February 28, 2025 · Corrected (the home has a date of correction)
  20. D
    Ensure proper usage of power strips and extension cords.
    K 920 · February 28, 2025 · Corrected (the home has a date of correction)
  21. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · March 26, 2024 · Corrected (the home has a date of correction)
  22. F
    Develop Emergency Preparedness policies and procedures.
    E 13 · March 26, 2024 · Corrected (the home has a date of correction)
  23. F
    Establish procedures for tracking staff and patients during an emergency.
    E 18 · March 26, 2024 · Corrected (the home has a date of correction)
  24. F
    Develop a communication plan.
    E 29 · March 26, 2024 · Corrected (the home has a date of correction)
  25. F
    List the names and contact information of those in the facility.
    E 30 · March 26, 2024 · Corrected (the home has a date of correction)
  26. F
    Provide emergency officials' contact information.
    E 31 · March 26, 2024 · Corrected (the home has a date of correction)
  27. F
    Establish staff and initial training requirements.
    E 37 · March 26, 2024 · Corrected (the home has a date of correction)
  28. F
    Provide properly protected cooking facilities.
    K 324 · March 26, 2024 · Corrected (the home has a date of correction)
  29. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 26, 2024 · Corrected (the home has a date of correction)
  30. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · March 26, 2024 · Corrected (the home has a date of correction)
  31. E
    Have simulated fire drills held at unexpected times.
    K 712 · March 26, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeWashingtonUnited States
All nursing staff (RN, LPN and aides)3.984.363.86
Registered nurses1.030.940.69
All nursing staff on weekends3.583.803.42
Nurse aides2.26
Licensed practical nurses0.70
Nursing staff turnover (share who left in a year)48.0%45.1%45.8%
Registered nurse turnover44.4%45.4%42.9%
Administrators who left0

CMS expects 4.14 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.15 on weekdays and 3.58 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.88 in April to June 2025 to 3.98 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.981.034.153.58 4.7%0 of 9069
Oct to Dec 20253.820.953.983.39 5.0%0 of 9274
Jul to Sep 20253.800.934.043.21 0.1%0 of 9274
Apr to Jun 20253.881.024.053.44 1.9%0 of 9171
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Washington, Jan to Mar 20264.210.904.443.663.7%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Washington

JobMedianMiddle halfEmployed
Washington, all employers
CNAs (nursing assistants)$23.65$22.59 to $27.8530,270
LPNs and LVNs$39.98$36.98 to $45.186,780
Registered nurses$59.71$49.57 to $64.5469,260
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeWashingtonUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
20.014.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.71.00.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.41.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.72.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
19.417.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.44.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
6.015.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
16.119.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
14.713.412.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.61.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Alderwood Park Health and Rehab of Cascadia's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (51.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

51.4% this home

No different from the national rate

US median of homes 51.5% · Washington: 71 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 171 eligible stays.

Potentially preventable readmissions

8.4% this home

No different from the national rate

US median of homes 10.7% · Washington: 7 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 169 eligible stays.

Infections that led to a hospital stay

6.1% this home

No different from the national rate

US median of homes 7.1% · Washington: 4 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 140 eligible stays.

Self-care and mobility at discharge

36.5% this home

Median of homes: Washington61.4% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 107 residents counted.

Falls with major injury

0.0% this home

Median of homes: Washington0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 136 residents counted.

New or worsened pressure ulcers

0.8% this home

Median of homes: Washington1.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 136 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Washington98.3% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 11 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: BELLINGHAM NORTH OF CASCADIA LLC. CMS links this home to Cascadia Healthcare, a group of 47 nursing homes averaging 3.1 stars overall.

NameRoleTypeShareSince
Cascadia Washington Operations LLCDirect ownership interestOrganization05/01/2022
Cascadia Hc Group LLCIndirect ownership interestOrganization06/05/2025
Cascadia Healthcare LLCIndirect ownership interestOrganization05/01/2022
Cascadia Holdco LLCIndirect ownership interestOrganization06/05/2025
Hammond, OwenIndirect ownership interestIndividual05/01/2022
Laforte, StephenIndirect ownership interestIndividual06/05/2025
Nelson, TimothyIndirect ownership interestIndividual06/05/2025
Bellingham 2726 Realty, LLC5% or greater security interestOrganization06/05/2025
White Oak Healthcare Finance LLC5% or greater security interestOrganization08/11/2022
Cascadia Services LLCOperational/managerial controlOrganization01/08/2025
Dhaliwal, NavdeepOperational/managerial controlIndividual01/09/2023
Hammond, OwenOperational/managerial controlIndividual05/01/2022
Laforte, StephenOperational/managerial controlIndividual06/05/2025
Nelson, TimothyOperational/managerial controlIndividual06/05/2025
Rudd, JosephOperational/managerial controlIndividual05/01/2023
Bellingham 2726 Realty, LLCAdp of the SNFOrganization06/05/2025
Cascadia Services LLCAdp of the SNFOrganization01/08/2025
Dhaliwal, NavdeepAdp of the SNFIndividual02/14/2025
Rudd, JosephAdp of the SNFIndividual02/14/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on January 16, 2026: "Provide 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."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on January 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."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on January 16, 2026: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on February 28, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.58 hours per resident per day, below the Washington average of 3.80.

Other nursing homes nearby

Washington contacts for a concern about a nursing home

These are the official offices in Washington. NursingHomeClear cannot take or act on complaints.

Common questions

What is Alderwood Park Health and Rehab of Cascadia's Medicare star rating?
CMS rates Alderwood Park Health and Rehab of Cascadia 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Alderwood Park Health and Rehab of Cascadia get at its last inspection?
7 health deficiencies at the standard inspection on January 16, 2026. The Washington average is 15.8.
Has Alderwood Park Health and Rehab of Cascadia been fined?
CMS lists no fines in the last three years.
Does Alderwood Park Health and Rehab of Cascadia accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Alderwood Park Health and Rehab of Cascadia?
CMS lists 19 owners and managers, and links the home to Cascadia Healthcare. Legal business name: BELLINGHAM NORTH OF CASCADIA LLC.

Sources

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