Mt Baker Care Center
Bellingham, Washington · CCN 505376
31 surveys since 2010, 11 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 124
- Surveys
- 31
- Harm or worse
- 11
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 70
- Ownership
- For profit - Limited Liability company
- Chain
- REGENCY PACIFIC MANAGEMENT
- County
- Whatcom
- Medicare-certified since
- 1991
CMS ratings
- Overall
- 5
- Health inspection
- 5
- Staffing
- 5
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 52 for-profit facilities of 66–99 beds in Washington.
Last survey on record
May 12, 2026
181 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 5.00 | 4.01 |
| Registered-nurse hours per resident day | 1.30 | — |
| Annual nurse turnover | 41.0% | 41.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1785.0% | E15.0% | F210.0% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F7602×
Ensure that residents are free from significant medication errors.
- F8802×
Provide and implement an infection prevention and control program.
- F6051×
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
In the surveyor’s words
From the most serious findings on record at Mt Baker Care Center, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF801Jan 7, 2023
Based on interviews, personnel record review, and facility job description review, the facility failed to ensure Staff C, Dietary Manager (DM), was qualified with the appropriate competencies and skill sets to serve as the Director of Food and Nutrition Services. This had the potential to affect all 57 residents who consumed food from the kitchen. Findings included . Review of the facility's Job Description and Qualifications provided by the facility for the Dining Services Director, undated, indicated Prefer dietary manager certification. Review of the personnel records provided by the facility revealed Staff C and Staff E, Assistant Dietary Manager, had completed the Washington State Food Worker Card. There was no evidence of any other trainings or certifications being completed. […]
- No harm, potential for more than minimal, widespreadF812Jan 7, 2023
Based on observations, interviews, and facility policy review, the facility failed to ensure cold food was stored at the proper temperature; cold food was covered during storage; cold food was held at proper temperature for meal service; and the stove hood was cleaned in accordance with professional standards for food service safety. This had the potential to affect all 57 residents who consumed food from the kitchen. Findings included . Review of the facility's policy titled Cooking Food dated 05/04/2017, indicated Effective methods for cooling foods include: 1. Foods should be loosely covered to facilitate heat transfer while also protecting from contamination. […]
- No harm, potential for more than minimal, patternF677Apr 12, 2024
Based on observation, interview, and record review, the facility failed to provide assistance with activities of daily living to include personal hygiene and bathing for 5 of 5 sampled dependent residents (Residents 7, 9, 11, 49 and 10) reviewed for activities of daily living (ADL's). Facility failure to provide resident's, who were dependent on staff for assistance with hygiene including oral care, and showers placed residents and others at risk for embarrassment, poor hygiene, unmet care needs and a diminished quality of life. Findings included . Review of the facility's policy, Bathing/Showers, revised 06/23/2023, showed the policy was to ensure residents are receiving proper personal hygiene regarding bathing and the facility is meeting their needs and bathing preferences. […]
- No harm, potential for more than minimal, isolatedF609May 12, 2026
Based on interview and record review the facility failed to ensure their abuse and neglect policy was followed for an allegation of abuse for 1 of 1 resident (Resident 1). This failed practice placed Resident 1 and all other residents at risk of abuse and neglect. Findings included.Review of the facility's policy titled, Abuse and Neglect Policy, with a review date of 11/11/2025, showed it was the policy of the facility to follow effective procedures to protect and prevent abuse of residents which included to report allegations of abuse and neglect to the appropriate authorities and investigate allegations of abuse and neglect. Resident 1 was admitted to the facility on [DATE]. […]
- No harm, potential for more than minimal, isolatedF684Jan 7, 2026
Based on interview and record review, the facility failed to ensure 1 of 3 residents (Resident 1) received the necessary care and services to attain or maintain the highest practicable physical level of well-being. Failure to ensure Resident 1 received care in accordance with a physician order and their care plan when they received a bath and not a shower. This failure potentially placed the resident at risk of medical complications and a decreased or diminished quality of life. […]
Read 31 findings in full →The most serious and the most recent: 31 of 124 on record.
Every survey on record
FindingsAt actual harm or above
- May 12, 2026Complaint1 finding
- Jan 7, 2026Complaint1 finding
- Jul 2, 2025Standard5 findings
- Apr 12, 2024Standard6 findings
- Apr 3, 2024Complaint1 finding
- Mar 4, 2024Complaint1 finding
- Jan 7, 2023Standard5 findings
- Dec 16, 2019Standard and complaint15 findings
Show the 23 earlier surveys
- Oct 31, 2018Standard and complaint17 findings · 1 harm
- Oct 24, 2017Complaint1 finding · 1 harm
- Sep 20, 2017Standard12 findings
- Jul 29, 2016Standard10 findings · 1 harm
- Dec 22, 2015Complaint2 findings · 1 harm
- May 26, 2015Standard8 findings
- Jun 13, 2014Complaint1 finding
- Mar 7, 2014Standard3 findings
- Jan 16, 2014—1 finding · 1 harm
- Sep 30, 2013—3 findings · 2 harm
- Feb 22, 2013—1 finding
- Jan 17, 2013—8 findings
- Nov 9, 2012—1 finding · 1 harm
- Nov 23, 2011—5 findings
- Oct 27, 2011—2 findings · 1 harm
- Sep 9, 2011—1 finding
- Aug 10, 2011—1 finding
- Jul 18, 2011—3 findings
- May 23, 2011—1 finding
- Apr 29, 2011—1 finding
- Mar 30, 2011—4 findings · 1 harm
- Nov 16, 2010—1 finding · 1 harm
- Oct 6, 2010—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction