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 REHAB CARE
VANCOUVER, WA · Medicare-certified · 104 beds
In good standing
For-profit
4 of 5 overall
VANCOUVER SPECIALTY AND REHAB CARE has an overall rating of 4 out of 5 stars, with 4-star health inspection results and 3-star staffing and quality ratings. It reports 4.77 nurse staffing hours per resident per day, above the 4.1 federal benchmark, and had $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.7671 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 4.7671.
Staffing detail
- Registered nurses
- 0.88
- Licensed practical nurses
- 1.18
- Nurse aides
- 2.71
- Weekend nursing
- 4.46
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 29%
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
13.9%15.6%Worsening
Residents with a fall causing major injury
3%4.8%Worsening
Residents with pressure ulcers (bedsores)
4%4.8%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
6.3%8.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10%13.3%Worsening
Residents whose ability to walk got worse
27.8%24.4%Improving
Long-stay residents on antianxiety or sleep medication
19%20.7%Worsening
Short-stay residents newly given an antipsychotic
0.9%0.9%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
27%19.1%Improving
Residents with depressive symptoms
29.6%68.8%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
100%98.4%Worsening
Short-stay residents given the seasonal flu vaccine
—95.8%—
Short-stay residents given the pneumonia vaccine
95%90.2%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
- Ownership
- For profit - Individual
- Occupancy
- 84.3 residents on an average day (81% of 104 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 43 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.