The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Vancouver Specialty and Rehabilitative Care
Registered name: VANCOUVER SPECIALTY AND REHAB CARE
VANCOUVER, WA · Medicare-certified · 104 beds
In good standing
For-profit
Data as of July 1, 2026
4 of 5 overall
Vancouver Specialty and Rehabilitative Care has an overall rating of 4 out of 5 stars, with 4 stars for health inspections and 3 stars for staffing and quality measures. Reported nurse staffing is 4.85 hours per resident per day, above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.847 hrs/resident/day
Quality measures
Last inspection: February 24, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.847.
Staffing detail
- Registered nurses
- 0.84
- Licensed practical nurses
- 1.27
- Nurse aides
- 2.74
- Weekend nursing
- 4.79
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 44%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
7.7%15.4%Worsening
Residents with a fall causing major injury
5.5%4.8%Improving
Residents with pressure ulcers (bedsores)
5.7%2.8%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
10.1%3.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13%8.7%Improving
Residents whose ability to walk got worse
13.5%24.4%Worsening
Long-stay residents on antianxiety or sleep medication
14.5%22%Worsening
Short-stay residents newly given an antipsychotic
1%0.9%No change
Residents with a long-term catheter
1.2%0%Improving
Residents with new or worsening incontinence
12.4%29%Worsening
Residents with depressive symptoms
20.3%72%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
97.3%100%Improving
Short-stay residents given the seasonal flu vaccine
—95.8%—
Short-stay residents given the pneumonia vaccine
98.8%87.8%Worsening
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The nursing home failed to ensure a fair arbitration process and agreement on the arbitrator and location. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 848 — 42 CFR §483.70 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $19,841 in total fines.
- $19,841
Federal fine
Oct 13, 2023
Operator & ownership
Recent ownership change · Apr 1, 2018
Now operated by Vancouver Specialty and Rehabilitative Care, previously Pacific Specialty and Rehabilitative Care.
- Ownership
- For profit - Individual
- Occupancy
- 87.6 residents on an average day (84% of 104 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 44 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.