North Cascades Health and Rehabilitation Center

4680 Cordata Parkway
Bellingham, WA 98226
(360) 398-1966

Data accessed April 27, 2022.

North Cascades Health and Rehabilitation Center is a for-profit corporation owned by Empres Washington Healthcare. A Medicare and Medicaid participant, this facility has 122 certified beds and is not located within a hospital or Continuing Care Retirement Community.

As a result of the facility’s most recent health inspection on June 23, 2021, the facility received 24 citations for various failures, including to:

• Prevent the development of pressure ulcers in the case of two residents. For one, the nursing home "failed to implement a turning/repositioning program," whose Stage II pressure ulcer deteriorated to a stage III pressure ulcer. In the case of the other resident, the nursing home did not provide them "a thorough and ongoing skin assessment that included observing for change in risk factors, pressure points, and evaluating effectiveness of interventions," according to the citation.
• Provide appropriate treatment and care according to professional standards of practice, in an instance in which the nursing home failed to assess and alert a resident's physician of the resident's respiratory symptoms, placing residents "at increased risk for decline in condition."

This facility has automatic sprinkler systems in all required areas. Its most recent fire and safety inspection was on June 10, 2021, and two fire safety citations were issued. The average number of safety citations in Washington is 5.8; in the U.S., 4.4.

Number of Residents
The average number of residents per day at this facility is 82.9.
The Washington average is 62.9.
The national average is 76.5.

Number of Nurse Staff Hours Per Resident Per Day
The total number of licensed nurse staff hours per resident per day is 3 hours and 20 minutes.
The Washington average is 4 hours and 11 minutes.
The national average is 3 hours and 46 minutes.

Number of RN Hours Per Resident Per Day
The number of RN hours per resident per day is 56 minutes.
The Washington average is 56 minutes.
The national average is 41 minutes.

LPN/LVN Hours Per Resident Per Day
The number of LPN/LVN hours per resident per day is 33 minutes.
The Washington average is 47 minutes minutes.
The national average is 53 minutes.

Nurse Aide Hours Per Resident Per Day
The number of nurse aid hours per resident per day is 1 hour and 50 minutes.
The Washington average is 2 hours 28 minutes.
The national average is 2 hours 12 minutes.

Physical Therapist Staff Hours Per Resident Per Day
The number of Physical Therapist staff hours per resident per day is 4 minutes.
The Washington Average is 5 minutes.
The national average is 4 minutes.

1Vital Statistics

Number of Beds:122 certified beds

Beds in the nursing home that have been approved by the federal government to participate in Medicare or Medicaid.

Accepts:Medicare and Medicaid

Shows if the nursing home participates in the Medicare, Medicaid, or both.

2Key Ratings

Star Rating Summary
Overall Rating Medicare assigns the overall star rating based on a nursing homes's performance on 3 separate measures: Health inspections, staffing, and quality measures. Each of these domains have their own star ratings, with more stars meaning better quality of care		Average
Health Inspection Medicare assigns the star rating based on a nursing home's weighted score from recent health inspections. More stars means fewer health risks		Below Average
Staffing Medicare assigns the star rating based on the nursing home's staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs), and Nurse aides. More stars means a better level of staffing per nursing home resident		Average
RN Staffing		Above Average
Quality Measures Medicare assigns the star rating based on data from a select set of clinical data measures. More stars means better quality of care		Much Above Average

3Key Short Stay Statistics

Description	North Cascades Health and Rehabilitation Center	Washington Average
Percentage of SNF residents with pressure ulcers that are new or worsened Lower percentages are better.	0%	Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better.	86.2%	78.9%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better.	97.2%	83.2%
Percentage of short-stay residents who got antipsychotic medication for the first time Lower percentages are better.	1%	1.5%

4Key Long Stay Statistics

Description	North Cascades Health and Rehabilitation Center	Washington Average
Percent of long-stay residents experiencing one or more falls with major injury Lower percentages are better.	4.7%	3%
Percent of long-stay residents with a urinary tract infection Lower percentages are better.	0.8%	2.2%
Percent of long-stay high-risk residents with pressure ulcers Lower percentages are better.	4.1%	7%
Percent of long-stay low-risk residents who lose control of their bowels or bladder Lower percentages are better.	54.3%	54.3%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder Lower percentages are better.	0.4%	1.6%
Percent of long-stay residents who were physically restrained Lower percentages are better.	0%	0.6%
Percentage of long-stay residents whose ability to move independently worsened Lower percentages are better.	24%	23.3%
Percent of long-stay residents whose need for help with daily activities has increased Lower percentages are better.	7.9%	13.8%
Percent of long-stay residents who lose too much weight Lower percentages are better.	12.1%	6.3%
Percent of long-stay residents who have depressive symptoms Lower percentages are better.	2.5%	13.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower percentages are better.	22%	12.4%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better.	98.7%	95.3%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better.	100%	95%
Percent of long-stay residents who received an antipsychotic medication Lower percentages are better.	9.4%	13.9%

5COVID-19 Vaccination and Booster Rates

Description	North Cascades Health and Rehabilitation Center	Washington Average
Resident vaccination Higher percentages are better.	92.7%	89.9%
Resident boosters Higher percentages are better.	38.2%	82%
Staff vaccination Higher percentages are better.	95.8%	92.2%
Staff boosters Higher percentages are better.	84.8%	46.4%

6Inspection Summary

Date of standard health inspection: 6/23/2021
Total number of health citations: 24
Average number of health deficiencies in Washington: 20.3
Average number of health citations in the U.S.: 8.1