Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 505393

North Cascades Health And Rehabilitation

93 federal citations on record , including 1 at the Immediate Jeopardy level, and 6 federal enforcement actions totaling $347,043.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
93
Total citations
88
Last 3 years
11
Actual harm+
6
Federal penalties
$347,043
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care28 Resident Rights14 Care Planning12 Abuse & Neglect11 Medication & Pharmacy10

Most common F-tags at this facility

F6898 F6847 F6105 F7614 F8804

Citation history

93 on record
SurveyF-TagViolationSeveritySource
Jan 28, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jan 28, 2026F760Ensure that residents are free from significant medication errors.GComplaint
Jan 28, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jan 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.DComplaint
Jan 28, 2026F551Give the resident's representative the ability to exercise the resident's rights.DComplaint
Dec 17, 2025F850Hire a qualified full-time social worker in a facility with more than 120 beds.EComplaint
Dec 17, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Dec 17, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 17, 2025F610Respond appropriately to all alleged violations.DComplaint
Dec 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.DComplaint
Mar 28, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 28, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint
Mar 28, 2025F610Respond appropriately to all alleged violations.DComplaint
Jan 24, 2025F880Provide and implement an infection prevention and control program.DStandard
Jan 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.DStandard
Jan 24, 2025F760Ensure that residents are free from significant medication errors.DStandard
Jan 24, 2025F759Ensure medication error rates are not 5 percent or greater.EStandard
Jan 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.DStandard
Jan 24, 2025F730Observe each nurse aide's job performance and give regular training.EStandard
Jan 24, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jan 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard
Jan 24, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jan 24, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jan 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.DStandard
Jan 24, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Dec 30, 2024F791Provide or obtain dental services for each resident.DComplaint
Sep 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 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.EComplaint
Aug 12, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.DComplaint
Jun 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.DComplaint
Jun 20, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Jun 20, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EComplaint
Apr 17, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Apr 17, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 8, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EComplaint
Mar 8, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FComplaint
Mar 8, 2024F730Observe each nurse aide's job performance and give regular training.EComplaint
Mar 8, 2024F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Mar 8, 2024F880Provide and implement an infection prevention and control program.DStandard
Mar 8, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Mar 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.EStandard
Mar 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.DStandard
Mar 8, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Mar 8, 2024F692Provide enough food/fluids to maintain a resident's health.GStandard
Mar 8, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Mar 8, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Mar 8, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Mar 8, 2024F610Respond appropriately to all alleged violations.DStandard
Mar 8, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Mar 8, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Mar 8, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Dec 21, 2023F880Provide and implement an infection prevention and control program.EComplaint
Dec 21, 2023F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.FComplaint
Dec 21, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Dec 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.FComplaint
Dec 21, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Dec 21, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Dec 21, 2023F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint
Dec 21, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Dec 21, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Nov 13, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Nov 13, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Oct 30, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 30, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Oct 30, 2023F610Respond appropriately to all alleged violations.DComplaint
Sep 19, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Sep 19, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Jun 9, 2023F880Provide and implement an infection prevention and control program.DStandard
Jun 9, 2023F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.FStandard
Jun 9, 2023F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard
Jun 9, 2023F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard
Jun 9, 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.DStandard
Jun 9, 2023F732Post nurse staffing information every day.BStandard
Jun 9, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jun 9, 2023F692Provide enough food/fluids to maintain a resident's health.GStandard
Jun 9, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 9, 2023F688Provide 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.DStandard
Jun 9, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Jun 9, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jun 9, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Jun 9, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jun 9, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jun 9, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Jun 9, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Jun 9, 2023F584Honor 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.EStandard
Jun 9, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Jun 9, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Jun 9, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Apr 4, 2023F610Respond appropriately to all alleged violations.DComplaint
Mar 22, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 22, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Mar 22, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Mar 22, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint

Federal enforcement history

Federal regulators have imposed 6 enforcement actions against this facility, including 6 civil money penalties totaling $347,043 .

DateTypeFinePayment denial
Dec 30, 2024Fine$15,584—
Jun 20, 2024Fine$50,278—
Mar 8, 2024Fine$104,832—
Sep 19, 2023Fine$46,449—
Jun 9, 2023Fine$77,074—
Mar 22, 2023Fine$52,826—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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