Public Record
Alderwood Park Health and Rehab of Cascadia
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 102
- Avg. residents per day
- 73.6
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 106
- Inspections on file
- 16
- Last inspection
- 2026-01-16
*CMS
*CMS
*CMS
Citations
106 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0921Generalpotential for harm
Ensure that testing and maintenance of electrical equipment is performed.
- 0585Generalpotential for harm
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.
- 0644Generalpotential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- 0015Generalpotential for harm
Address subsistence needs for staff and patients.
- 0781Generalpotential for harm
Have restrictions on the use of portable space heaters.
- 0761Generalpotential for harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 0355Generalpotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0025Generalpotential for harm
Create arrangements with other facilities to receive patients.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0688Generalpotential for harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- 0692Generalpotential for harm
Provide enough food/fluids to maintain a resident's health.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0015Generalpotential for harm
Address subsistence needs for staff and patients.
- 0036Generalpotential for harm
Establish emergency prep training and testing.
- 0037Generalpotential for harm
Establish staff and initial training requirements.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0561Generalpotential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0725Generalpotential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 0732Generalpotential for harm
Post nurse staffing information every day.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0758Generalpotential for harm
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.
- 0761Generalpotential for harm
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.
- 0770Generalpotential for harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0039Generalpotential for harm
Conduct testing and exercise requirements.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0584Generalpotential for harm
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.
- 0018Generalpotential for harm
Establish procedures for tracking staff and patients during an emergency.
- 0781Generalpotential for harm
Have restrictions on the use of portable space heaters.
- 0741Generalpotential for harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- 0374Generalpotential for harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0355Generalpotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0645Generalpotential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0006Generalpotential for harm
Conduct risk assessment and an All-Hazards approach.
- 0013Generalpotential for harm
Develop Emergency Preparedness policies and procedures.
- 0018Generalpotential for harm
Establish procedures for tracking staff and patients during an emergency.
- 0029Generalpotential for harm
Develop a communication plan.
- 0030Generalpotential for harm
List the names and contact information of those in the facility.
- 0031Generalpotential for harm
Provide emergency officials' contact information.
- 0037Generalpotential for harm
Establish staff and initial training requirements.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0761Generalpotential for harm
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.
- 0565Generalpotential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
- 0578Generalpotential for harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- 0623Generalpotential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 0625Generalpotential for harm
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0699Generalpotential for harm
Provide care or services that was trauma informed and/or culturally competent.
- 0801Generalpotential for harm
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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0600Generalpotential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0607Generalpotential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0944Generalpotential for harm
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- 0941Generalpotential for harm
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- 0868Generalpotential for harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0609Seriousimmediate jeopardy
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0949Generalpotential for harm
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- 0947Generalpotential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- 0732Generalno actual harm
Post nurse staffing information every day.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0013Generalpotential for harm
Develop Emergency Preparedness policies and procedures.
- 0029Generalpotential for harm
Develop a communication plan.
- 0030Generalpotential for harm
List the names and contact information of those in the facility.
- 0031Generalpotential for harm
Provide emergency officials' contact information.
- 0770Generalpotential for harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
- 0791Generalpotential for harm
Provide or obtain dental services for each resident.
- 0914Generalpotential for harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 0578Generalpotential for harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- 0584Generalpotential for harm
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.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0688Generalpotential for harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0838Generalpotential for harm
Conduct 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.
- 0521Generalpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0511Generalpotential for harm
Have properly installed electrical wiring and gas equipment.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0039Generalpotential for harm
Conduct testing and exercise requirements.
- 0926Generalpotential for harm
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- 0921Generalpotential for harm
Ensure that testing and maintenance of electrical equipment is performed.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection14 deficiencies
- View inspection reportInspection14 deficiencies
- View inspection reportInspection25 deficiencies
- View inspection reportInspection25 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection1 deficiency
- View inspection reportInspection2 deficiencies
- View inspection reportInspection25 deficiencies
- View inspection reportInspection25 deficiencies
- View inspection reportInspection1 deficiency
Showing the 10 most recent inspections. 6 earlier inspections are also on record.
FAQ
Questions and answers
- What is Alderwood Park Health and Rehab of Cascadia?
- Alderwood Park Health and Rehab of Cascadia is a Medicare- and Medicaid-certified nursing home in Bellingham, WA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 505092.
- What is the CMS rating for Alderwood Park Health and Rehab of Cascadia?
- Alderwood Park Health and Rehab of Cascadia has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Alderwood Park Health and Rehab of Cascadia have?
- Alderwood Park Health and Rehab of Cascadia is certified for 102 beds. It serves an average of 73.6 residents per day.
- How many citations does Alderwood Park Health and Rehab of Cascadia have?
- Alderwood Park Health and Rehab of Cascadia has 106 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Alderwood Park Health and Rehab of Cascadia last inspected?
- Alderwood Park Health and Rehab of Cascadia was last inspected on January 16, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/505092-alderwood-park-health-and-rehab-of-cascadia