Rock Hill Health & Rehabilitation
Rock Hill Health & Rehabilitation in BELLINGHAM, WA — inspection on May 1, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Findings included .
Review of chapter two of the Nursing Home Guidelines, sixth edition, dated October 2015 showed that A thorough investigation was a systematic collection and review of evidence/information that describes and explains an event or a series of events. It seeks to determine if abuse, neglect, abandonment, personal and/or financial exploitation or misappropriation of resident property occurred, and how to prevent further occurrences .The investigation should end with the identification of who was involved in the incident, and what, when, where, why, and how the incident happened, including the probable or reasonable cause. It should also allow the nursing home to determine if the allegations were true or not true.
Review of the facility policy titled, Abuse, Neglect, Mistreatment and Misappropriation of Resident Property, dated 09/21/2022, showed the facility had a policy in place which addressed the components and systems for completion of investigations per the regulatory requirements.
<RESIDENT 5>
Resident 5 admitted [DATE] with diagnoses to include Alzheimer's dementia.
According to the Minimum Data Set (MDS-, an assessment tool) assessment dated [DATE], the resident had moderate cognitive impairment.
Review of a fall investigation dated 12/07/2024 at 1:00 PM, documented Resident 5 was found on the floor on their left side with a goose egg/hematoma to their left temple. Resident 5 stated they were getting rid of flowers and picking up flower pedals in the bathroom and fell .
The investigation showed the facility staff did not know when the resident had last received toileting, repositioning or fluids.
There was no statement from the Nursing Assistant Certified (NAC) assigned to care for Resident 5 that shift included in the investigation.
The post fall monitoring included with the investigation showed there was no monitoring completed on 12/08/2024 or 12/10/2024 on AM shift.
The incident that occurred on 12/07/2025 at 1:00 PM, was logged on the state reporting log two days late on 12/13/2025.
The injury type was coded under the substantial injury section as S15, bruises of deep color and depth.
505098
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 505098 B.
Wing 05/01/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Shuksan Rehabilitation and Health Care 1530 James Street Bellingham, WA 98225
Findings included .
Review of the undated facility policy titled Administrative Management (Governing Board), stated the Governing Board had full legal authority and responsibility for the management and operation of the facility.
Based on record review the following vendors sent demand bill notices to the facility:
Trident Lab corporation, past due $9,536.92 with a hold for non-payment.
City of [NAME] water, a shut off notice was sent on 04/07/2025 with shut off date of 05/07/2025 with a past due amount of $2,487.91
Cascade Natural Gas invoice with urgent past due notice dated 04/14/2025 requested payment of $1877.85 be received by 5:00 PM on April 22, 2025, or service may be disconnected.
Kavala staffing agency owing $191,210.01
Clipboard staffing agency owing $2,563.89, with a notice they will cease to send staff after May 5.
KCI (a medical supply company) invoice owing $12,550 with a notice on 04/21/2025 demand bill to pay by 04/21/2025.
According to the Office of Rates Management, as of 04/07/2025, the Safety Net Assessment (SNA) account for Shuksan HealthCare was 60 days past due in the amount of $119,996.01, which included a new outstanding balance for December 2024 days of $29,377.00, due to be paid 01/20/2025.
In an interview with the facility lab services provider on 04/25/2025 at 1:42 PM, CC5, the lab provider confirmed that the facility lab services were placed on a non-payment hold on 04/23/2025 which had not been corrected in their system.
This lack of lab services impacted 4 Residents (Residents 10, 34, 95, and 7) and potentially additional residents if new orders were received.
Resident 10, Depakote level (lab to determine therapeutic drug level for seizure medication) was not obtained.
505098
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 505098 B.
Wing 05/01/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Shuksan Rehabilitation and Health Care 1530 James Street Bellingham, WA 98225
Findings included .
Review of the undated facility policy titled Administrative Management, stated the Facility Administrator appointed was accountable to facility management and operations, which would be reported to a governing board.
Based on record review the following vendors sent demand bill notices to the facility:
- Trident Lab corporation, past due $9,536.92 with a hold for non-payment with invoices beginning 11/30/2024.
- City of [NAME] water, a shut off notice was sent on 04/07/2025 with shut off date of 05/07/2025 with a past due amount of $2,487.91.
- Kavala staffing agency statement #3545 dated 03/26/2025 total amount owed $191,210.01 for invoices from 11/25/2024 through 03/21/2025.
- Clipboard staffing agency owing $2,563.89, with a notice they will cease to send staff after 05/05/2025.
- KCI (a medical supply company) invoice owing $12,550 with a notice on 04/21/2025 demand bill to pay by 04/21/2025 with invoices beginning 10/21/2024.
-Cascade Natural Gas invoice with urgent past due notice dated 04/14/2025 requested payment of $1877.85 be received by 5:00 PM on April 22, 2025, or service may be disconnected.
505098
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 505098 B.
Wing 05/01/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Shuksan Rehabilitation and Health Care 1530 James Street Bellingham, WA 98225
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.