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Stafholt Health and Rehabilitation of Cascadia

456 C Street, Blaine, WA 98230 · Whatcom County · (360) 332-8733

57 certified beds, about 54 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 505395 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 17, 2026, inspectors cited 7 health deficiencies (the Washington average is 15.8, the national average 9.2).

Of 41 health citations since September 2023, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $47,182 in the last three years; the largest was $32,890, and the latest is dated February 10, 2025.

Nurses and nurse aides worked 3.79 hours per resident per day, against 4.36 across Washington and 3.86 nationally. Registered nurses accounted for 1.29 of those hours.

52.3% 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 41 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
25D
13E
1F
Potential for minimal harm
0A
0B
0C
May 6, 2026Complaint inspection · 1 citation
  1. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · 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) May 29, 2026
    Inspectors wroteBased on interview and record review the facility failed to provide 1 of 3 residents (Resident 1) timely services and treatment for symptoms of a urinary tract infection (UTI) which met the criteria of current standards of practice and the facility's policy. This failed practice caused Resident 1 to experience a delay in treatment of a UTI and placed the resident at risk for diminished quality of life.
April 2, 2026Complaint inspection · 2 citations
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure pharmaceutical services included processes for the provision, monitoring and/or use of medication related to devices involving 1 of 1 resident (Resident 2) reviewed for anticoagulant (blood thinning) medications. Failure to perform quality control testing on test meters had the potential to result in inaccurate measurement of therapeutic drug levels.
  2. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · 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) April 30, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure adequate pain management was provided for 1 of 3 residents (Resident 1) reviewed for dental care. This failure had the potential to result in a decreased quality of life for Resident 1, who was experiencing dental pain.
February 17, 2026Standard inspection · 7 citations
  1. E
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 1, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents with personal funds/resident trust accounts had ready access to their accounts during weekends for 14 of 15 residents (Residents 3, 31, 34, 10, 39, 42, 43, 44, 48, 49, 50, 52, 61, 62) reviewed for trust fund accounts and failed to manage and account for the personal funds in an interest bearing account of 1 of 1 residents (Resident 3). These failures placed residents at risk of not having access to their accounts during non-banking hours, a decreased sense of autonomy and a diminished quality of life.<READY ACCESS TO FUNDS>Review of trust fund list provided by facility on 02/09/2026 at 11:22 AM, documented 15 residents had trust accounts and of those, 13 had funds available. [...]
  2. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 1, 2026
    Inspectors wroteBased on interviews, observations and record review the facility failed to identify a fall hazard for 1 of 2 residents (Resident 3) reviewed for accidents and failed to secure the doors of the soiled utility room and janitor room on 1 of 2 halls (East Hall). These failures placed the residents at risk for accidents, access to hazardous items, and diminished quality of life.
  3. E
    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, pattern · Corrected (the home has a date of correction) April 1, 2026
    Inspectors wroteBased on observations and interviews, the facility failed to ensure treatment carts and medication carts were locked for 2 of 3 medication carts (West and East medication carts) and 2 of 2 treatment carts (West and East treatment carts). These failures placed residents at risk for having access to treatment supplies and medication not prescribed to them, missing medication, and access to medication by unauthorized individuals.
  4. E
    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, pattern · Corrected (the home has a date of correction) April 1, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure the dietary/culinary manager (Staff J) 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.
  5. 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 · Corrected (the home has a date of correction) April 1, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure staff recognized and reported timely potential abuse allegations to the State Agency within 24 hours for 1 of 3 sampled residents (Resident 34) reviewed for abuse. This failure placed residents at risk for unidentified patterns of alleged violations and at risk for potential abuse.
  6. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 1, 2026
    Inspectors wroteBased on interview and record review, the facility failed to conduct a thorough investigation of potential abuse allegations for 1 of 3 residents (Resident 34) reviewed for abuse. This failure to initiate, conduct a thorough investigation, and correct actual or potential alleged violations left residents at risk for unidentified and/or repeated incidents of abuse and a decreased quality of life.
  7. 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) April 1, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure 2 of 3 residents (Residents 1 and 49) reviewed for quality of care received the necessary care and services in accordance with professional standards of practice to meet each resident's physical, mental and psychosocial needs. The facility failed to ensure that Resident 1 was appropriately assessed, monitored, and documented after returning from dialysis treatments and failed to set up and appropriately monitor Resident 49's side effects of an anticoagulant (blood thinner) medication. These failures placed the residents at risk for unrecognized or undetected medical complications and a decreased quality of life related to unmet care needs.
September 4, 2025Complaint inspection · 1 citation
  1. D
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    F745 · 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) October 3, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure 1 of 1 resident (Resident 1) received medically related social services assistance to understand their financial matters. This failed practice placed Resident 1 and other residents at risk of financial exploitation.
March 25, 2025Standard inspection · 4 citations
  1. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure that 1 of 5 residents (Resident 155) reviewed for informed consent had received the information of risks and benefits of their proposed care related to psychoactive medications (substances that affect a person's mental processes, behavior and mood). This failure placed the resident at risk for potentially unknown or unwanted side effects, and decreased quality of life.
  2. 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 2, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure resident care plans were reviewed and revised for 1 of 2 residents (Resident 51) reviewed for activities of daily living. This failure placed residents at risk for lack of appropriate care and services by the staff.
  3. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide services that ensured a resident's abilities in activities of daily living (ADLs) did not diminish for 1 of 2 sampled residents (Resident 206) reviewed for activities of daily living. This failure put residents at risk for physical decline and decreased quality of life. Findings Included . Resident 206 admitted to the facility on [DATE] with diagnoses to include chronic ulcer of the foot, high blood pressure and altered mental status. Review of Resident 206's Brief Interview for Mental Status (BIMS-an assessment tool used to screen for cognitive impairment) dated 03/12/2025 showed a score of 12 out of 15, indicating the resident had moderate impairment. [...]
  4. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 2, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to assess and implement resident centered pain intervention for one of four sampled residents (Resident 51) reviewed for pain. This failure placed residents at risk for unrelieved pain, lack of participation in therapy and a decreased quality of life.
February 10, 2025Complaint inspection · 1 citation
  1. G
    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 · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 7, 2025
    Inspectors wroteBased on interview and record review the facility failed to prevent psychosocial and physical abuse of 1 of 3 residents (Resident 1) reviewed for abuse and neglect. Resident 1, who had a well-known history of sexual trauma, experienced psychosocial and physical harm when during an episode of constipation, a Nursing Assistant Certified (NAC) proceeded to break up and remove the resident's impacted feces without their consent and outside their scope of practice even after the resident told the NAC to stop.
October 2, 2024Complaint inspection · 2 citations
  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) November 1, 2024
    Inspectors wroteBased on interview and record review the facility failed to provide notification to the resident's representative of a change in treatment for 1 of 1 resident (Resident 4) reviewed for medication changes. This failed practice prevented the resident's representative from being informed and participating in care decisions.
  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) November 1, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure 3 of 3 residents (Residents 1, 2 and 3) who had orders for daily weights were weighed daily. This failed practice placed residents at risk of diminished quality of life.
August 13, 2024Complaint inspection · 3 citations
  1. E
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    F678 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 12, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure 3 of 6 facility nursing staff responsible for providing cardiopulmonary resuscitation (CPR) were current in their CPR training. This failure had the potential risk of the facility having a lack of staff who were properly trained in CPR readily available to respond in an emergency.
  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) September 12, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to ensure 1 of 3 residents (Resident 2), reviewed for non-pressure related skin ulcer/wound, received treatment and care in accordance with professional standards of practice. This failed practice placed Resident 2 at risk when they developed myiasis (a parasitic infection of fly larva in human tissue) to their non-pressure wounds and placed all residents at risk of further decline in their conditions, discomfort, and a diminished quality of life/quality of care.
  3. D
    Provide or obtain dental services for each resident.
    F791 · 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) September 12, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to ensure dental services was coordinated for 1 of 3 sampled residents (Resident 1) reviewed for dental services. Failure to follow up on dental referrals and ensure the coordination of dental services for residents who were edentulous (having no teeth) placed the residents at increased risk for difficulty chewing, associated health complications, and diminished quality of life.
July 23, 2024Complaint inspection · 1 citation
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 31, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure residents had the right to voice grievances related to call light response time, missing personal items, and excessive wait times without fear of retaliation. The failure to allow the Resident Council Committee (RCC) to file grievances on complaints/concerns without the fear of retaliation placed residents at risk for ongoing unmet care needs, unresolved missing property and diminished quality of life.
April 4, 2024Complaint inspection · 4 citations
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 7, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure 2 of 3 resident's (Resident 3 and 4) choice of bathing frequency was honored. The facility failed to provide and honor the resident's care planned bathing preference. This failed practice placed residents at risk for a diminish quality of life.
  2. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · 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) May 7, 2024
    Inspectors wroteBased on interview and record review the facility failed to provide the required refund for 1 of 4 sampled residents and/or their resident representative (Resident 1) within the required 30 days after the resident's discharge. This failed practice placed the resident and/or resident representative at risk of financial hardship.
  3. D
    Respond appropriately to all alleged violations.
    F610 · 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 7, 2024
    Inspectors wroteBased on interview and record review the facility failed to thoroughly investigate an allegation of potential abuse and neglect for 1 of 1 incident sampled resident (Resident 3) reviewed for abuse and neglect. This failed practice prevented the facility from identifying the potential extent and nature of the allegation of abuse and neglect and placed residents at risk of diminished quality of life.
  4. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 7, 2024
    Inspectors wroteBased on interview and record review, the facility failed to arrange hospice services for 1 of 1 resident (Resident 2) reviewed for hospice care. Failure to ensure hospice services were arranged or Resident 2 was transferred to a facility that offered Resident 2's preferred hospice agency denied the resident of their hospice benefit.
February 22, 2024Complaint inspection · 1 citation
  1. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · 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) May 7, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure 1 of 3 residents (Resident 1) was provided pain management consistent with the resident's choices and goals for comfort and dignity. This failed practice placed the resident at risk of unmet care needs and diminished quality of life.
February 9, 2024Standard inspection, Complaint inspection · 12 citations
  1. G
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) May 7, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to offer assistance and supervision with meals, consistently offer an alternative meal when residents at less than 50% of their meal and evaluate the effectiveness of weight loss interventions to determine if additional interventions were needed for 2 of 3 residents (Resident 46 and 31) reviewed for nutritional needs. These failures caused harm to Resident 46 when they experienced a severe weight loss of 9.1% in less than three months and placed other residents at risk for additional weight loss and a decline in their nutritional status.
  2. F
    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, widespread · Corrected (the home has a date of correction) May 7, 2024
    Inspectors wroteBased on observations, interview, and record review the facility failed to ensure drugs and biologicals were stored in accordance with state and federal laws for 2 of 2 medication refrigerators (East Hall and [NAME] Hall) in the Medication Storage Rooms. These failures placed residents at risk to receive inactivated medications and/or vaccines and may experience adverse side effects and other potential negative health outcomes.
  3. 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) May 7, 2024
    Inspectors wroteBased on observation, and interview, the facility failed to provide a homelike environment for 1 of 2 dining rooms (East Dining Room), and 1 of 2 halls (East Hall), and 8 out of 20 resident rooms (Rooms 7, 12, 16, 17, 20, 21, 27, and 29) reviewed for environment. The facility failed to ensure that residents were served their meals in a home like environment, failed to ensure lightening fixtures were cleaned and repaired, and failed to ensure resident's rooms flooring and doors were clean and in good repair. The facility failure to provide maintenance services and homelike dining experience placed residents at risk for diminished quality of life.
  4. E
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 7, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the Resident Assessment Instrument (RAI), an assessment of a resident's needs, strengths, goals, and preferences, included thorough summaries of the Care Area Assessments (CAA - a systematic process to interpret the triggered information from the Minimum Data Set assessment to assess the potential problem and determine if the area should be care planned), to holistically analyze the plan of care for 6 of 9 sampled residents (Residents 15, 28, 8, 18, 31, and 40) reviewed for comprehensive assessments. This failure placed the residents at risk of not having appropriate services provided based on the resident's individualized needs.
  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 · found on a complaint visit · Corrected (the home has a date of correction) May 7, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide residents assistance with Activities of Daily Living (ADL) to include personal hygiene and bathing for 5 of 5 sampled dependent residents (Residents 5, 15, 28, 41 and 46), reviewed for ADL. The failure to provide the resident's, who were dependent on staff for assistance with grooming and showers placed residents and others at risk for embarrassment, poor hygiene, unmet care needs and a diminished quality of life.
  6. E
    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, pattern · Corrected (the home has a date of correction) May 7, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure 4 of 5 sampled residents (Residents 16, 35, 8, and 28) reviewed for unnecessary medications, were free of unnecessary psychotropic medications. The facility failed to ensure there were valid diagnoses for use of psychotropic medications, monitoring, valid consents for use, and attempted gradual dose reductions (GDR - is the stepwise tapering of a dose to determine if symptoms, conditions, or risks can be managed by a lower dose or if the dose or medication can be discontinued). These failures placed residents at risk for receiving unnecessary psychotropic medications, for adverse events, and diminished quality of care.
  7. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 7, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to serve meals that were at a safe temperature and appetizing for 2 of 2 sampled residents (Residents 8 and 31) and 2 of 2 halls reviewed for food quality. This failed practice placed residents at risk for decreased nutritional intake and food borne illness.
  8. 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) May 7, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure staff were compliant with Infection Prevention and Control Guidelines and standard of practice for 1 of 2 hallways (East Hall), for 1 of 1 resident during catheter care (Resident 8) and failed to implement their respiratory protection plan (RPP) for 32 of 79 employed staff. The facility failed to ensure the staff used appropriate hand hygiene practices, staff were wearing personal protective equipment (PPE) in accordance with national standards, clean and disinfect universal resident medical equipment, and staff following appropriate infection control practices on and around medication administration carts. This failed place all residents and staff at risk for potential infection.
  9. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 7, 2024
    Inspectors wroteBased on interview, and record review the facility failed to ensure pneumococcal vaccines (a vaccine that protects against pneumococcal infections that can lead to serious infections such as pneumonia and blood infections) were screened, educated on risk and benefits, and/or offered the vaccine for 4 of 5 sampled residents (Residents 15, 16, 28, and 35) reviewed for immunizations and infection control. This failed practice placed the residents at risk for illness, spread of a communicable disease and a diminished quality of life.
  10. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 7, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure criminal background checks were completed for 2 of 5 sampled facility staff (Staff U and V) and failed to ensure the Omnibus Reconciliation Act (OBRA) Nurse Aide Registry (a database to ensure nurse aides meet federal requirements and are eligible to work in a skilled nursing facility) checks were completed for 3 of 3 sampled Nursing Assistants (Staff O, T, and V) reviewed for staff qualifications and background review. These failures placed all residents at risk for abuse/neglect.
  11. 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) May 7, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure 1 of 1 resident (Resident 28) reviewed for respiratory care and services was provided care consistent with professional standards of practice. The facility failed to ensure the concentrator (a medical device that provides pure oxygen) was set to the ordered flow rate. This failure placed residents at risk for receiving care and services that were not physician ordered, unmet care needs, diminished quality of life and negative outcomes.
  12. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 7, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that routine dental services were coordinated for 1 of 1 sampled resident (Resident 40) reviewed for dental services. Failure to ensure dental services were coordinated placed residents at increased risk for health complications associated with caries and poor dentition.
December 26, 2023Complaint inspection · 1 citation
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · 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 7, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure 1 of 1 resident (Resident 1) had their rights respected and honored when their choice to have a personal phone to communicate with whom they chose was taken away. This failed practice placed the resident and all other residents at risk of diminished quality of life and at risk of losing their resident rights to have access to their personal phone.
September 6, 2023Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · 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) October 10, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents were free from accidents for 1 of 3 residents (Resident 1) reviewed. Failure to properly position and secure Resident 1 in their wheelchair (w/c) caused the resident to experience a fall out of their w/c during transportation in the facility van, placing them at risk for injury.

Fire safety inspections

60 fire safety citations on file: 9 on February 17, 2026, 25 on March 25, 2025, 26 on February 9, 2024.

Every fire safety citation60 citations
  1. F
    Establish procedures for tracking staff and patients during an emergency.
    E 18 · February 17, 2026 · Corrected (the home has a date of correction)
  2. F
    Establish emergency prep training and testing.
    E 36 · February 17, 2026 · Corrected (the home has a date of correction)
  3. F
    Establish staff and initial training requirements.
    E 37 · February 17, 2026 · Corrected (the home has a date of correction)
  4. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 17, 2026 · Corrected (the home has a date of correction)
  5. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 17, 2026 · Corrected (the home has a date of correction)
  6. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · February 17, 2026 · Corrected (the home has a date of correction)
  7. E
    Have simulated fire drills held at unexpected times.
    K 712 · February 17, 2026 · Corrected (the home has a date of correction)
  8. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · February 17, 2026 · Corrected (the home has a date of correction)
  9. D
    Have restrictions on the use of portable space heaters.
    K 781 · February 17, 2026 · Corrected (the home has a date of correction)
  10. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · March 25, 2025 · Corrected (the home has a date of correction)
  11. F
    Address patient/client population and determine types of services needed.
    E 7 · March 25, 2025 · Corrected (the home has a date of correction)
  12. F
    Develop Emergency Preparedness policies and procedures.
    E 13 · March 25, 2025 · Corrected (the home has a date of correction)
  13. F
    Address subsistence needs for staff and patients.
    E 15 · March 25, 2025 · Corrected (the home has a date of correction)
  14. F
    Establish procedures for tracking staff and patients during an emergency.
    E 18 · March 25, 2025 · Corrected (the home has a date of correction)
  15. F
    Create arrangements with other facilities to receive patients.
    E 25 · March 25, 2025 · Corrected (the home has a date of correction)
  16. F
    Develop a communication plan.
    E 29 · March 25, 2025 · Corrected (the home has a date of correction)
  17. F
    List the names and contact information of those in the facility.
    E 30 · March 25, 2025 · Corrected (the home has a date of correction)
  18. F
    Provide emergency officials' contact information.
    E 31 · March 25, 2025 · Corrected (the home has a date of correction)
  19. F
    Establish emergency prep training and testing.
    E 36 · March 25, 2025 · Corrected (the home has a date of correction)
  20. F
    Establish staff and initial training requirements.
    E 37 · March 25, 2025 · Corrected (the home has a date of correction)
  21. F
    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.
    K 222 · March 25, 2025 · Corrected (the home has a date of correction)
  22. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 25, 2025 · Corrected (the home has a date of correction)
  23. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 25, 2025 · Corrected (the home has a date of correction)
  24. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · March 25, 2025 · Corrected (the home has a date of correction)
  25. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · March 25, 2025 · Corrected (the home has a date of correction)
  26. F
    Have simulated fire drills held at unexpected times.
    K 712 · March 25, 2025 · Corrected (the home has a date of correction)
  27. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · March 25, 2025 · Corrected (the home has a date of correction)
  28. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · March 25, 2025 · Corrected (the home has a date of correction)
  29. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 25, 2025 · Corrected (the home has a date of correction)
  30. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · March 25, 2025 · Corrected (the home has a date of correction)
  31. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · March 25, 2025 · Corrected (the home has a date of correction)
  32. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · March 25, 2025 · Corrected (the home has a date of correction)
  33. D
    Have an externally vented heating system.
    K 522 · March 25, 2025 · Corrected (the home has a date of correction)
  34. D
    Ensure proper usage of power strips and extension cords.
    K 920 · March 25, 2025 · Corrected (the home has a date of correction)
  35. F
    Develop Emergency Preparedness policies and procedures.
    E 13 · February 9, 2024 · Corrected (the home has a date of correction)
  36. F
    Establish procedures for tracking staff and patients during an emergency.
    E 18 · February 9, 2024 · Corrected (the home has a date of correction)
  37. F
    Develop a communication plan.
    E 29 · February 9, 2024 · Corrected (the home has a date of correction)
  38. F
    Provide family notifications of emergency plan.
    E 35 · February 9, 2024 · Corrected (the home has a date of correction)
  39. F
    Establish staff and initial training requirements.
    E 37 · February 9, 2024 · Corrected (the home has a date of correction)
  40. F
    Provide properly protected cooking facilities.
    K 324 · February 9, 2024 · Corrected (the home has a date of correction)
  41. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 9, 2024 · Corrected (the home has a date of correction)
  42. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · February 9, 2024 · Corrected (the home has a date of correction)
  43. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 9, 2024 · Corrected (the home has a date of correction)
  44. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · February 9, 2024 · Corrected (the home has a date of correction)
  45. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · February 9, 2024 · Corrected (the home has a date of correction)
  46. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · February 9, 2024 · Corrected (the home has a date of correction)
  47. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · February 9, 2024 · Corrected (the home has a date of correction)
  48. F
    Have simulated fire drills held at unexpected times.
    K 712 · February 9, 2024 · Corrected (the home has a date of correction)
  49. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · February 9, 2024 · Corrected (the home has a date of correction)
  50. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · February 9, 2024 · Corrected (the home has a date of correction)
  51. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 9, 2024 · Corrected (the home has a date of correction)
  52. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · February 9, 2024 · Corrected (the home has a date of correction)
  53. F
    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
    K 926 · February 9, 2024 · Corrected (the home has a date of correction)
  54. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · February 9, 2024 · Corrected (the home has a date of correction)
  55. E
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · February 9, 2024 · Corrected (the home has a date of correction)
  56. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · February 9, 2024 · Corrected (the home has a date of correction)
  57. E
    Ensure proper usage of power strips and extension cords.
    K 920 · February 9, 2024 · Corrected (the home has a date of correction)
  58. D
    Provide emergency officials' contact information.
    E 31 · February 9, 2024 · Corrected (the home has a date of correction)
  59. D
    Install corridor and hallway doors that block smoke.
    K 363 · February 9, 2024 · Corrected (the home has a date of correction)
  60. D
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · February 9, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 10, 2025Fine $32,890
December 26, 2023Fine $14,292
December 26, 2023Payment Denial 42 days from March 26, 2024

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)3.794.363.86
Registered nurses1.290.940.69
All nursing staff on weekends3.353.803.42
Nurse aides1.94
Licensed practical nurses0.56
Nursing staff turnover (share who left in a year)52.3%45.1%45.8%
Registered nurse turnover52.0%45.4%42.9%
Administrators who left0

CMS expects 3.66 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 3.97 on weekdays and 3.35 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.02 in April to June 2025 to 3.79 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.791.293.973.35 0.1%0 of 9054
Oct to Dec 20253.721.303.893.28 1.3%0 of 9254
Jul to Sep 20253.881.524.013.54 8.7%0 of 9251
Apr to Jun 20254.021.474.223.53 12.4%0 of 9151
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. If you work here, your report helps start one.

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.

Work here? Share your pay anonymously

For Stafholt Health and Rehabilitation of Cascadia. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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
5.414.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.61.00.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.61.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.02.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.51.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.217.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.34.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.115.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.619.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
6.913.412.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.21.31.9
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 Stafholt Health and Rehabilitation of Cascadia's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (54.3% 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

54.3% 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. 47 eligible stays.

Potentially preventable readmissions

9.5% 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. 51 eligible stays.

Infections that led to a hospital stay

6.0% 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. 34 eligible stays.

Self-care and mobility at discharge

50.8% 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. 65 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. 81 residents counted.

New or worsened pressure ulcers

0.0% 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. 81 residents counted.

Medication list given at discharge

Not reported

CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this 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.

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: BLAINE 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 interestOrganization07/01/2023
Cascadia Hc Group LLCIndirect ownership interestOrganization06/05/2025
Cascadia Healthcare LLCIndirect ownership interestOrganization07/01/2023
Cascadia Holdco LLCIndirect ownership interestOrganization06/05/2025
Hammond, OwenIndirect ownership interestIndividual07/01/2023
Laforte, StephenIndirect ownership interestIndividual06/05/2025
Nelson, TimothyIndirect ownership interestIndividual06/05/2025
Blaine 456 Realty, LLC5% or greater security interestOrganization06/05/2025
White Oak Healthcare Finance LLC5% or greater security interestOrganization08/11/2022
Cascadia Services LLCOperational/managerial controlOrganization11/30/2022
Bristow, BenjaminOperational/managerial controlIndividual08/01/2024
Hammond, OwenOperational/managerial controlIndividual07/01/2023
Laforte, StephenOperational/managerial controlIndividual06/05/2025
Nelson, TimothyOperational/managerial controlIndividual06/05/2025
St. Germaine, DanielleOperational/managerial controlIndividual08/26/2024
Blaine 456 Realty, LLCAdp of the SNFOrganization06/05/2025
Cascadia Services LLCAdp of the SNFOrganization01/08/2025
Bristow, BenjaminAdp of the SNFIndividual02/14/2025
St. Germaine, DanielleAdp 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 17 problems in this area, most recently on May 6, 2026: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on February 17, 2026: "Honor the resident's right to manage his or her financial affairs."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on February 17, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on April 2, 2026: "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 3.35 hours per resident per day, below the Washington average of 3.80.

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Common questions

What is Stafholt Health and Rehabilitation of Cascadia's Medicare star rating?
CMS rates Stafholt Health and Rehabilitation of Cascadia 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Stafholt Health and Rehabilitation of Cascadia get at its last inspection?
7 health deficiencies at the standard inspection on February 17, 2026. The Washington average is 15.8.
Has Stafholt Health and Rehabilitation of Cascadia been fined?
Yes. CMS lists 2 fines totaling $47,182 in the last three years.
Does Stafholt Health and Rehabilitation 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 Stafholt Health and Rehabilitation of Cascadia?
CMS lists 19 owners and managers, and links the home to Cascadia Healthcare. Legal business name: BLAINE OF CASCADIA LLC.

Sources

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