Alderwood Park Health and Rehab of Cascadia
2726 Alderwood Avenue, Bellingham, WA 98225 · Whatcom County · 102 certified beds · avg 69 residents/day · certified since Jan 1, 1967
Part of chain: CASCADIA HEALTHCARE (46 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (42)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 16, 2026 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Jan 16, 2026 | E · Potential for harm, repeated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jan 16, 2026 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jan 16, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jan 16, 2026 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jan 16, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 16, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 28, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Feb 28, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Feb 28, 2025 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Feb 28, 2025 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Feb 28, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Feb 28, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Jan 7, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Oct 28, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| May 29, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| May 29, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Mar 26, 2024 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Mar 26, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Mar 26, 2024 | E · Potential for harm, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Mar 26, 2024 | E · Potential for harm, repeated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Mar 26, 2024 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Mar 26, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Mar 26, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Mar 26, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Mar 26, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Mar 26, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 26, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Mar 26, 2024 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Mar 26, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Mar 26, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 26, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 11, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Feb 2, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Aug 21, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Aug 21, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (12 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 20 | 0 | F |
| 2025 | 13 | 0 | E |
| 2026 | 7 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Washington avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.69 | 4.24 | 3.95 | bottom 24% in Washington; bottom 46% in the U.S. |
| Registered Nurse hours | 0.95 | 0.91 | 0.69 | top 35% in Washington; top 18% in the U.S. |
| Weekend total nurse staffing | 3.31 | 3.69 | 3.50 | bottom 36% in Washington; bottom 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.74 | 0.67 | 0.48 | top 35% in Washington; top 14% in the U.S. |
| Total nursing staff turnover (%) | 48.0 | 45.1 | 45.8 | bottom 39% in Washington; bottom 42% in the U.S. |
| RN turnover (%) | 44.4 | 45.4 | 42.9 | bottom 49% in Washington; bottom 45% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.98, RN 1.03, weekend 3.58. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cascadia HC Group LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/05/2025 |
| Cascadia Healthcare LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2022 |
| Cascadia Holdco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/05/2025 |
| Cascadia Washington Operations LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 05/01/2022 |
| Hammond, Owen | Individual | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2022 |
| Laforte, Stephen | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/05/2025 |
| Nelson, Timothy | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/05/2025 |
| Bellingham 2726 Realty, LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 06/05/2025 |
| Bellingham 2726 Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/05/2025 |
| Cascadia Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/08/2025 |
| Cascadia Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/08/2025 |
| Dhaliwal, Navdeep | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/09/2023 |
| Dhaliwal, Navdeep | Individual | ADP of the SNF | NOT APPLICABLE | 02/14/2025 |
| Hammond, Owen | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2022 |
| Laforte, Stephen | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Nelson, Timothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/05/2025 |
| Rudd, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Rudd, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 02/14/2025 |
| White Oak Healthcare Finance LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 08/11/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Avalon Healthcare Bellingham | 1.5 mi | Bellingham, WA | ★★★★★ | 4/5 | |
| North Cascades Health and Rehabilitation | 2.2 mi | Bellingham, WA | ★★☆☆☆ | 1/5 | abuse |
| Rock Hill Health & Rehabilitation | 2.5 mi | Bellingham, WA | ★★☆☆☆ | 1/5 | |
| Mt Baker Care Center | 4.7 mi | Bellingham, WA | ★★★★★ | 5/5 | |
| Highland Health and Rehabilitation of Cascadia | 5.2 mi | Bellingham, WA | ★★★☆☆ | 3/5 | |
| Christian Health Care Center | 12.9 mi | Lynden, WA | ★★★★★ | 5/5 | |
| Stafholt Health and Rehabilitation of Cascadia | 18.9 mi | Blaine, WA | ★★★★☆ | 3/5 | |
| Soundview Rehabilitation and Health Care INC | 19.9 mi | Anacortes, WA | ★★☆☆☆ | 2/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 505092.