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Vancouver Specialty And Rehab Care

📍 1015 North Garrison Road, Vancouver, WA 98664 📞 (360) 694-7501 🛏️ 104 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2019 2 penalties totaling $60,127

$42,050
Nov 22, 2019

Fine

$18,077
Sep 5, 2019

Fine

2018 3 penalties totaling $54,840

$31,840
Jul 18, 2018

Fine

$13,000
Jul 18, 2018

Fine

$10,000
Mar 1, 2018

Fine

2017 1 penalties totaling $75,000

$75,000
Aug 31, 2017

Fine

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Health Violations by Year

2025 10 violations

Tag 0677 D Apr 29, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: May 23, 2025
Tag 0552 D Jan 9, 2025

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Feb 10, 2025
Tag 0553 D Jan 9, 2025

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

✓ Corrected: Feb 10, 2025
Tag 0578 D Jan 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: Feb 10, 2025
Tag 0624 D Jan 9, 2025

Prepare residents for a safe transfer or discharge from the nursing home.

✓ Corrected: Feb 10, 2025
Tag 0645 D Jan 9, 2025

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Feb 10, 2025
Tag 0684 E Jan 9, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 10, 2025
Tag 0727 E Jan 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: Feb 10, 2025
Tag 0730 D Jan 9, 2025

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Feb 10, 2025
Tag 0758 D Jan 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: Feb 10, 2025

2024 3 violations

Tag 0610 D Mar 21, 2024

Respond appropriately to all alleged violations.

✓ Corrected: Apr 16, 2024
Tag 0684 D Mar 21, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 16, 2024
Tag 0609 D Feb 21, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Mar 12, 2024
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2023 16 violations

Tag 0686 G Oct 13, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Oct 27, 2023
Tag 0692 D May 10, 2023

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: May 31, 2023
Tag 0561 D Apr 6, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: May 4, 2023
Tag 0578 F Apr 6, 2023

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: May 4, 2023
Tag 0625 D Apr 6, 2023

Notify 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.

✓ Corrected: May 4, 2023
Tag 0645 E Apr 6, 2023

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: May 4, 2023
Tag 0657 D Apr 6, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: May 4, 2023
Tag 0677 D Apr 6, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: May 4, 2023
Tag 0679 D Apr 6, 2023

Provide activities to meet all resident's needs.

✓ Corrected: May 4, 2023
Tag 0684 D Apr 6, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: May 4, 2023
Tag 0686 G Apr 6, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jun 26, 2023
Tag 0732 C Apr 6, 2023

Post nurse staffing information every day.

✓ Corrected: May 4, 2023
Tag 0757 E Apr 6, 2023

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: May 4, 2023
Tag 0758 E Apr 6, 2023

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: May 4, 2023
Tag 0761 E Apr 6, 2023

Ensure 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.

✓ Corrected: May 4, 2023
Tag 0880 D Apr 6, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: May 4, 2023

2022 27 violations

Tag 0686 D Dec 14, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jan 23, 2023
Tag 0677 D Aug 19, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Sep 26, 2022
Tag 0550 D May 26, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jun 10, 2022
Tag 0585 D Apr 29, 2022

Honor 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.

✓ Corrected: Jun 10, 2022
Tag 0677 E Apr 29, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jun 10, 2022
Tag 0684 D Apr 29, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jun 10, 2022
Tag 0725 E Apr 29, 2022

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Jun 10, 2022
Tag 0553 D Feb 3, 2022

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

✓ Corrected: Mar 18, 2022
Tag 0641 D Feb 3, 2022

Ensure each resident receives an accurate assessment.

✓ Corrected: Mar 18, 2022
Tag 0644 D Feb 3, 2022

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Mar 18, 2022
Tag 0656 D Feb 3, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 18, 2022
Tag 0657 E Feb 3, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Mar 18, 2022
Tag 0677 D Feb 3, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Mar 18, 2022
Tag 0678 D Feb 3, 2022

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: Mar 18, 2022
Tag 0687 D Feb 3, 2022

Provide appropriate foot care.

✓ Corrected: Mar 18, 2022
Tag 0690 D Feb 3, 2022

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Mar 18, 2022
Tag 0693 E Feb 3, 2022

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Mar 18, 2022
Tag 0695 D Feb 3, 2022

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Mar 18, 2022
Tag 0725 F Feb 3, 2022

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Mar 18, 2022
Tag 0727 F Feb 3, 2022

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: Mar 18, 2022
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2021 11 violations

Tag 0585 D Dec 15, 2021

Honor 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.

✓ Corrected: Jan 6, 2022
Tag 0583 D Oct 7, 2021

Keep residents' personal and medical records private and confidential.

✓ Corrected: Nov 15, 2021
Tag 0625 D Oct 7, 2021

Notify 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.

✓ Corrected: Nov 15, 2021
Tag 0880 F Oct 7, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 15, 2021
Tag 0609 D Jul 22, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Aug 30, 2021
Tag 0610 D Jul 22, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Aug 30, 2021
Tag 0686 E Jul 22, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Aug 30, 2021
Tag 0842 D Jul 22, 2021

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Aug 30, 2021
Tag 0561 E Jul 7, 2021

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Aug 13, 2021
Tag 0660 D Jul 7, 2021

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Aug 13, 2021
Tag 0688 D Jul 7, 2021

Provide 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.

✓ Corrected: Aug 13, 2021

2020 6 violations

Tag 0609 D Mar 10, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Apr 15, 2020
Tag 0921 F Mar 10, 2020

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Apr 15, 2020
Tag 0578 D Jan 23, 2020

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: Feb 13, 2020
Tag 0609 D Jan 23, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Feb 13, 2020
Tag 0693 D Jan 23, 2020

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Feb 13, 2020
Tag 0580 D Jan 10, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Feb 13, 2020
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2019 24 violations

Tag 0602 D Dec 27, 2019

Protect each resident from the wrongful use of the resident's belongings or money.

✓ Corrected: Feb 13, 2020
Tag 0610 D Dec 27, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Feb 13, 2020
Tag 0600 G Nov 22, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Feb 13, 2020
Tag 0677 E Nov 22, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Feb 13, 2020
Tag 0725 F Nov 22, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Feb 13, 2020
Tag 0760 D Nov 22, 2019

Ensure that residents are free from significant medication errors.

✓ Corrected: Feb 13, 2020
Tag 0838 F Nov 22, 2019

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

✓ Corrected: Feb 13, 2020
Tag 0550 D Sep 5, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Oct 22, 2019
Tag 0604 G Sep 5, 2019

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Oct 22, 2019
Tag 0693 D Jul 3, 2019

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Jul 27, 2019
Tag 0835 D Jun 18, 2019

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Jul 27, 2019
Tag 0921 F Jun 18, 2019

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Jul 27, 2019
Tag 0552 D May 10, 2019

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Jul 27, 2019
Tag 0553 D May 10, 2019

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

✓ Corrected: Jul 27, 2019
Tag 0559 D May 10, 2019

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

✓ Corrected: Jul 27, 2019
Tag 0623 E May 10, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Jul 27, 2019
Tag 0625 E May 10, 2019

Notify 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.

✓ Corrected: Jul 27, 2019
Tag 0644 D May 10, 2019

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Jul 27, 2019
Tag 0656 D May 10, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jul 27, 2019
Tag 0657 D May 10, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jul 27, 2019

2018 18 violations

Tag 0550 G Jul 18, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Aug 24, 2018
Tag 0582 D Jul 18, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Aug 24, 2018
Tag 0584 E Jul 18, 2018

Honor 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.

✓ Corrected: Aug 24, 2018
Tag 0600 D Jul 18, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Aug 24, 2018
Tag 0609 D Jul 18, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Aug 24, 2018
Tag 0610 D Jul 18, 2018

Respond appropriately to all alleged violations.

✓ Corrected: Aug 24, 2018
Tag 0656 E Jul 18, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 24, 2018
Tag 0676 D Jul 18, 2018

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Aug 24, 2018
Tag 0677 D Jul 18, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Aug 24, 2018
Tag 0684 D Jul 18, 2018

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Aug 24, 2018
Tag 0692 D Jul 18, 2018

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Aug 24, 2018
Tag 0695 D Jul 18, 2018

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Aug 24, 2018
Tag 0725 D Jul 18, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Aug 24, 2018
Tag 0726 E Jul 18, 2018

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Aug 24, 2018
Tag 0812 E Jul 18, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 24, 2018
Tag 0880 E Jul 18, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 24, 2018
Tag 0883 E Jul 18, 2018

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Aug 24, 2018
Tag 0600 G Mar 1, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Mar 26, 2018
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2017 22 violations

Tag 0329 E Nov 15, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Dec 13, 2017
Tag 0469 F Nov 15, 2017

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Dec 13, 2017
Tag 0157 D Aug 31, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Oct 30, 2017
Tag 0223 K Aug 31, 2017

Protect each resident from all abuse, physical punishment, and involuntary separation from others.

✓ Corrected: Oct 30, 2017
Tag 0225 K Aug 31, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

✓ Corrected: Oct 30, 2017
Tag 0241 E Aug 31, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

✓ Corrected: Oct 30, 2017
Tag 0242 D Aug 31, 2017

Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

✓ Corrected: Oct 30, 2017
Tag 0250 G Aug 31, 2017

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Oct 30, 2017
Tag 0252 D Aug 31, 2017

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

✓ Corrected: Oct 30, 2017
Tag 0253 E Aug 31, 2017

Provide housekeeping and maintenance services.

✓ Corrected: Oct 30, 2017
Tag 0309 D Aug 31, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Oct 30, 2017
Tag 0312 D Aug 31, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

✓ Corrected: Oct 30, 2017
Tag 0314 D Aug 31, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

✓ Corrected: Oct 30, 2017
Tag 0318 D Aug 31, 2017

Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.

✓ Corrected: Oct 30, 2017
Tag 0323 D Aug 31, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Oct 30, 2017
Tag 0329 D Aug 31, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Oct 30, 2017
Tag 0353 E Aug 31, 2017

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

✓ Corrected: Oct 30, 2017
Tag 0431 E Aug 31, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Oct 30, 2017
Tag 0441 D Aug 31, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Oct 30, 2017
Tag 0153 D Jun 8, 2017

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

✓ Corrected: Jul 11, 2017
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