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2400 Samish Way
Bellingham, WA 98225
(360) 734-4800

Data accessed April 27, 2022.

General Information

Highland Health and Rehabilitation is a for-profit LLC owned by Empres Washington Healthcare. A Medicare and Medicaid participant, this facility has 44 certified beds and is not located within a hospital or Continuing Care Retirement Community.

Fines and Citations

As a result of the facility’s most recent health inspection on September 16, 2019, the facility received 23 citations for various failures, including to:

  • Ensure residents received adequate supervision so as to prevent accidents in the case of two residents who consequently sustained “recurrent falls” that put them at heightened risk of injury.
  • Protect residents from the use of unnecessary psychotropic medications in the case of two residents, including one who was given such medication with an “inappropriate” diagnosis.
  • Immediately notify resident’s family members of situations affecting the resident, in the case of a resident whose family representative was not timely notified of a resident who sustained a fall.
  • Maintain effective infection control measures, in the case of a staff member who did not properly change their gloves while cleansing a resident’s groin area.

Fire and Safety Inspections

This facility has automatic sprinkler systems in all required areas. Its most recent fire and safety inspection was on September 16, 2019, and zero fire safety citations were issued. The average number of safety citations in Washington is 5.8; in the U.S., 4.4.

Staffing

Number of Residents
The average number of residents per day at this facility is 27.5.
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 44 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 53 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 55 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 hours and 55 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 0 minutes.
The Washington Average is 5 minutes.
The national average is 4 minutes.

1. Vital Statistics

Number of Beds: 44 certified bedsinformation

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

Accepts:  Medicare and Medicaidinformation

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

2. Key Ratings

Star Rating Summary
Overall Ratinginformation

Medicare assigns the overall star rating based on a nursing home’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

Four Stars Above Average
Health Inspectioninformation

Medicare assigns the star rating based on a nursing home’s weighted score from recent health inspections. More stars means fewer health risks

Two Stars Below Average
Staffinginformation

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

Four Stars Above Average
RN Staffing Four Stars Above Average
Quality Measuresinformation

Medicare assigns the star rating based on data from a select set of clinical data measures. More stars means better quality of care

Five Stars Much Above Average

3. Key Short Stay Statistics

Description Highland Health and Rehabilitation 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.
57.8% 78.9%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
77.5% 83.2%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
0% 1.5%

4. Key Long Stay Statistics

Description Highland Health and Rehabilitation Washington Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
2% 3%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
0% 2.2%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
0% 7%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
27.3% 54.3%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
2.2% 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.
26.9% 23.3%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
7.3% 13.8%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
4.1% 6.3%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
0% 13.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
14.4% 12.4%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
96.3% 95.3%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
99% 95%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
9.8% 13.9%

5. COVID-19 Vaccination and Booster Rates

Description Highland Health and Rehabilitation Washington Average
Resident vaccination
Higher percentages are better.
92.9% 89.9%
Resident boosters
Higher percentages are better.
84.6% 82%
Staff vaccination
Higher percentages are better.
100% 92.2%
Staff boosters
Higher percentages are better.
40.4% 46.4%

6. Inspection Summary

Date of standard health inspection:  9/16/2019
Total number of health citations: 23
Average number of health deficiencies in Washington: 20.3
Average number of health citations in the U.S.: 8.1