Vancouver Specialty and Rehab Care
1015 North Garrison Road · Vancouver, WA · 98664 · 3606947501
104 certified beds For profit - Individual
- Staffing hours comfortably above national benchmarks.
The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.77 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.88 | 0.55–0.75 |
| Weekend hours / resident-day | 4.46 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 1 · $19,841 |
Inspection citations (25 in the current record)
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Potential for harm · D February 24, 2026
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected March 30, 2026 · Resident Rights
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Potential for harm · D February 24, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 24, 2026
Ensure each resident receives an accurate assessment.
Corrected March 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 24, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected March 30, 2026 · Quality of Life and Care
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Potential for harm · D February 24, 2026
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected March 30, 2026 · Quality of Life and Care
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Potential for harm · F February 24, 2026
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 30, 2026 · Nursing and Physician Services
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Potential for harm · E February 24, 2026
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected March 30, 2026 · Administration
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Potential for harm · E February 24, 2026
Provide and implement an infection prevention and control program.
Corrected March 30, 2026 · Infection Control
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Potential for harm · D February 24, 2026
Keep all essential equipment working safely.
Corrected March 30, 2026 · Environmental
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Potential for harm · D February 24, 2026
Ensure resident rooms meet each resident's needs.
Corrected March 30, 2026 · Environmental
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Potential for harm · D December 9, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 2, 2026 · Resident Rights
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Potential for harm · D April 29, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 23, 2025 · Quality of Life and Care
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Potential for harm · D January 9, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected February 10, 2025 · Resident Rights
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Potential for harm · D January 9, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected February 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 9, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 10, 2025 · Quality of Life and Care
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Potential for harm · E January 9, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected February 10, 2025 · Nursing and Physician Services
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Potential for harm · D January 9, 2025
Observe each nurse aide's job performance and give regular training.
Corrected February 10, 2025 · Nursing and Physician Services
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Potential for harm · D January 9, 2025
Implement 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.
Corrected February 10, 2025 · Pharmacy Service
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Potential for harm · D January 9, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 10, 2025 · Resident Rights
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Potential for harm · D January 9, 2025 · found via complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected February 10, 2025 · Resident Rights
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Potential for harm · D January 9, 2025 · found via complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected February 10, 2025 · Resident Rights
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Potential for harm · D March 21, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 16, 2024 · Quality of Life and Care
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Potential for harm · D March 21, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 21, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G October 13, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 27, 2023 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 13, 2023 | Fine | $19,841 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505269 · certified since July 1, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.