VANCOUVER SPECIALTY AND REHAB CARE

πŸ“ 1015 NORTH GARRISON ROAD, vancouver, WA 98664 πŸ“ž 3606947501 πŸ›οΈ 104 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐
2/5

Inspection History Overview

137
Total Violations
9 years of data
$189,967
Total Fines
6 penalties
15
Inspections
Since 2014
21
Quality Metrics
Tracked measures

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.

βœ“ Corrected: May 23, 2025
Tag 0552 D Jan 9, 2025

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

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Feb 10, 2025
Tag 0624 D Jan 9, 2025

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

βœ“ Corrected: Feb 10, 2025
Tag 0645 D Jan 9, 2025

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Feb 10, 2025
Tag 0684 E Jan 9, 2025

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

βœ“ 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.

βœ“ Corrected: Feb 10, 2025
Tag 0730 D Jan 9, 2025

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

βœ“ 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.

βœ“ Corrected: Feb 10, 2025

2024 3 violations

Tag 0610 D Mar 21, 2024

Respond appropriately to all alleged violations.

βœ“ Corrected: Apr 16, 2024
Tag 0684 D Mar 21, 2024

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

βœ“ 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.

βœ“ Corrected: Mar 12, 2024

2023 16 violations

Tag 0686 G Oct 13, 2023

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

βœ“ Corrected: Oct 27, 2023
Tag 0692 D May 10, 2023

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

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: May 4, 2023
Tag 0645 E Apr 6, 2023

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ 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.

βœ“ 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.

βœ“ Corrected: May 4, 2023
Tag 0679 D Apr 6, 2023

Provide activities to meet all resident's needs.

βœ“ Corrected: May 4, 2023
Tag 0684 D Apr 6, 2023

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

βœ“ Corrected: May 4, 2023
Tag 0686 G Apr 6, 2023

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

βœ“ Corrected: Jun 26, 2023
Tag 0732 C Apr 6, 2023

Post nurse staffing information every day.

βœ“ Corrected: May 4, 2023
Tag 0757 E Apr 6, 2023

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

βœ“ 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.

βœ“ 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.

βœ“ Corrected: May 4, 2023
Tag 0880 D Apr 6, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 4, 2023

2022 27 violations

Tag 0686 D Dec 14, 2022

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

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Jun 10, 2022
Tag 0684 D Apr 29, 2022

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

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Mar 18, 2022
Tag 0641 D Feb 3, 2022

Ensure each resident receives an accurate assessment.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Mar 18, 2022
Tag 0687 D Feb 3, 2022

Provide appropriate foot care.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Mar 18, 2022
Tag 0695 D Feb 3, 2022

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

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Mar 18, 2022

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.

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

Keep residents' personal and medical records private and confidential.

βœ“ 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.

βœ“ Corrected: Nov 15, 2021
Tag 0880 F Oct 7, 2021

Provide and implement an infection prevention and control program.

βœ“ 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.

βœ“ Corrected: Aug 30, 2021
Tag 0610 D Jul 22, 2021

Respond appropriately to all alleged violations.

βœ“ Corrected: Aug 30, 2021
Tag 0686 E Jul 22, 2021

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

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Aug 13, 2021
Tag 0660 D Jul 7, 2021

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

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Feb 13, 2020

2019 24 violations

Tag 0602 D Dec 27, 2019

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

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

Respond appropriately to all alleged violations.

βœ“ 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.

βœ“ 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.

βœ“ 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.

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

Ensure that residents are free from significant medication errors.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Jul 27, 2019
Tag 0552 D May 10, 2019

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

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Aug 24, 2018
Tag 0582 D Jul 18, 2018

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

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Aug 24, 2018
Tag 0610 D Jul 18, 2018

Respond appropriately to all alleged violations.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Aug 24, 2018
Tag 0684 D Jul 18, 2018

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

βœ“ Corrected: Aug 24, 2018
Tag 0692 D Jul 18, 2018

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

βœ“ Corrected: Aug 24, 2018
Tag 0695 D Jul 18, 2018

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

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Aug 24, 2018
Tag 0880 E Jul 18, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 24, 2018
Tag 0883 E Jul 18, 2018

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

βœ“ 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.

βœ“ Corrected: Mar 26, 2018

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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Oct 30, 2017
Tag 0223 K Aug 31, 2017

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

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Oct 30, 2017
Tag 0253 E Aug 31, 2017

Provide housekeeping and maintenance services.

βœ“ 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 .

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Oct 30, 2017
Tag 0441 D Aug 31, 2017

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

βœ“ 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.

βœ“ Corrected: Jul 11, 2017

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
Fine
November 22, 2019
$18,077
Fine
September 5, 2019
Average: $30,064 | Range: $18,077 - $42,050

2018 3 penalties totaling $54,840

$31,840
Fine
July 18, 2018
$13,000
Fine
July 18, 2018
$10,000
Fine
March 1, 2018
Average: $18,280 | Range: $10,000 - $31,840

2017 1 penalties totaling $75,000

$75,000
Fine
August 31, 2017
Average: $75,000 | Range: $75,000 - $75,000

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

March 21, 2024
0.00

Health

February 21, 2024
0.00

Health

October 13, 2023
0.00

Health

May 10, 2023
0.00

Health

April 6, 2023
0.00

Health

December 14, 2022
0.00

Health

August 19, 2022
0.00

Health

May 26, 2022
0.00

Health

April 29, 2022
0.00

Health

February 3, 2022
0.00

Health

December 15, 2021
0.00

Health

October 7, 2021
0.00

Health

July 22, 2021
0.00

Health

July 7, 2021
0.00

Health

May 10, 2019
0.00

Quality Measures

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Ownership Information

For profit - Individual
Independent (Not part of a chain)
505269
505269
3606947501
Clark

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Organization