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Data / Nursing homes / Washington / North Cascades Health and Rehabilitation

North Cascades Health and Rehabilitation, Bellingham, WA: 2 star rating, fined $249,520 across 5 fines

North Cascades Health and Rehabilitation in Bellingham, WA is owned by Pacific Northwest SNF Operations Holdings (Wa) LLC, is rated 2 of 5 stars by Medicare, and was fined $249,520 across 5 fines in the three years to October 1, 2026. CMS lists 96 health citations from inspections in that time, the latest survey on August 6, 2026, and 9 of them found actual harm or immediate jeopardy.

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Address
4680 Cordata Parkway, Bellingham, WA 98226
Overall rating
2 of 5 stars
Health inspection rating
1 of 5
Staffing rating
5 of 5
Quality measure rating
4 of 5
Certified beds
122
Residents per day
104 on average
Ownership type
For profit, limited liability company
Legal business name
North Cascades SNF Operations LLC
Chain
Evergreen Healthcare Group, 43 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$249,520 across 5 fines, three years to October 1, 2026
Payment denials
0
Health citations
96, of which 9 with actual harm or immediate jeopardy
Latest survey
August 6, 2026
CMS Certification Number
505393
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
March 4, 2026Fine$32,786Not listeddata.cms.gov
January 28, 2026Fine$46,040Not listeddata.cms.gov
December 30, 2024Fine$15,584Not listeddata.cms.gov
June 20, 2024Fine$50,278Not listeddata.cms.gov
March 8, 2024Fine$104,832Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 6, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 26, 2026data.cms.gov
June 23, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 22, 2026data.cms.gov
June 23, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 22, 2026data.cms.gov
April 13, 2026F926Have policies on smoking.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F732Post nurse staffing information every day.B: pattern, minimal harm potentialCorrectedMay 22, 2026data.cms.gov
April 13, 2026F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F645PASARR screening for Mental disorders or Intellectual DisabilitiesE: pattern, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F585Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
April 13, 2026F565Honor the resident's right to organize and participate in resident/family groups in the facility.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2026data.cms.gov
March 4, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedMarch 23, 2026data.cms.gov
March 4, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 23, 2026data.cms.gov
March 4, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 23, 2026data.cms.gov
March 4, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 23, 2026data.cms.gov
February 6, 2026F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J: isolated, immediate jeopardyCorrectedFebruary 19, 2026data.cms.gov
February 6, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 19, 2026data.cms.gov
January 28, 2026F760Ensure that residents are free from significant medication errors.G: isolated, actual harmCorrectedFebruary 9, 2026data.cms.gov
January 28, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedFebruary 9, 2026data.cms.gov
January 28, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 9, 2026data.cms.gov
January 28, 2026F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 9, 2026data.cms.gov
January 28, 2026F551Give the resident's representative the ability to exercise the resident's rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 9, 2026data.cms.gov
December 17, 2025F850Hire a qualified full-time social worker in a facility with more than 120 beds.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 16, 2026data.cms.gov
December 17, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 16, 2026data.cms.gov
December 17, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 16, 2026data.cms.gov
December 17, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 16, 2026data.cms.gov
December 17, 2025F585Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 16, 2026data.cms.gov
March 28, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 14, 2025data.cms.gov
March 28, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedApril 14, 2025data.cms.gov
March 28, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 14, 2025data.cms.gov
January 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedFebruary 21, 2025data.cms.gov
January 24, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
January 24, 2025F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
January 24, 2025F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
January 24, 2025F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
January 24, 2025F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
January 24, 2025F730Observe each nurse aide's job performance and give regular training.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
January 24, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
January 24, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
January 24, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
January 24, 2025F625Notify 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
January 24, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
December 30, 2024F791Provide or obtain dental services for each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 13, 2025data.cms.gov
September 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 4, 2024data.cms.gov
September 5, 2024F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 4, 2024data.cms.gov
August 12, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 3, 2024data.cms.gov
June 20, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedJuly 25, 2024data.cms.gov
June 20, 2024F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 15, 2024data.cms.gov
June 20, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 15, 2024data.cms.gov
April 17, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 6, 2024data.cms.gov
April 17, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 6, 2024data.cms.gov
March 8, 2024F692Provide enough food/fluids to maintain a resident's health.G: isolated, actual harmCorrectedApril 18, 2024data.cms.gov
March 8, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 18, 2024data.cms.gov
March 8, 2024F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 18, 2024data.cms.gov
March 8, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2024data.cms.gov
March 8, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 18, 2024data.cms.gov
March 8, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2024data.cms.gov
March 8, 2024F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 18, 2024data.cms.gov
March 8, 2024F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2024data.cms.gov
March 8, 2024F730Observe each nurse aide's job performance and give regular training.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 18, 2024data.cms.gov
March 8, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2024data.cms.gov
March 8, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 18, 2024data.cms.gov
March 8, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2024data.cms.gov
March 8, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2024data.cms.gov
March 8, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2024data.cms.gov
March 8, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2024data.cms.gov
March 8, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2024data.cms.gov
March 8, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 18, 2024data.cms.gov
December 21, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedJanuary 19, 2024data.cms.gov
December 21, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedJanuary 19, 2024data.cms.gov
December 21, 2023F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2024data.cms.gov
December 21, 2023F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2024data.cms.gov
December 21, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2024data.cms.gov
December 21, 2023F761Ensure 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2024data.cms.gov
December 21, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2024data.cms.gov
December 21, 2023F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2024data.cms.gov
December 21, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2024data.cms.gov
November 13, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 21, 2023data.cms.gov
November 13, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 21, 2023data.cms.gov
October 30, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 7, 2023data.cms.gov
October 30, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 7, 2023data.cms.gov
October 30, 2023F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 7, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 19 individual or personal trusts (2 owners, 9 managers, 8 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Pacific Northwest SNF Operations Holdings (Wa) LLCDirect ownerNot listedAugust 31, 2023data.cms.gov
CH Pacific Northwest Holdings LLCIndirect ownerNot listedAugust 31, 2023data.cms.gov
Pacific Northwest SNF Operations Holdings LLCIndirect ownerNot listedAugust 31, 2023data.cms.gov
Witzcorp Global LLCIndirect ownerNot listedAugust 31, 2023data.cms.gov
Couve Financial Services LLCOperational or managerial controlNot listedAugust 31, 2023data.cms.gov
Couve Healthcare Consulting LLCOperational or managerial controlNot listedAugust 31, 2023data.cms.gov
Pacific Northwest OPCO Management LLCOperational or managerial controlNot listedAugust 31, 2023data.cms.gov
Washington SNF Consulting LLCOperational or managerial controlNot listedAugust 31, 2023data.cms.gov
CH Pacific Northwest Holdings LLCAdditional disclosable partyNot listedAugust 31, 2023data.cms.gov
Couve Financial Services LLCAdditional disclosable partyNot listedApril 30, 2025data.cms.gov
Couve Healthcare Consulting LLCAdditional disclosable partyNot listedApril 30, 2025data.cms.gov
Pacific Northwest OPCO Management LLCAdditional disclosable partyNot listedApril 30, 2025data.cms.gov
Washington SNF Consulting LLCAdditional disclosable partyNot listedApril 30, 2025data.cms.gov
Witzcorp Global LLCAdditional disclosable partyNot listedAugust 31, 2023data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.