Nursing homeActive

Vancouver Specialty And Rehab Care

1015 North Garrison Road, Vancouver, WA 986643606947501104 certified beds · 88 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
25
0241
Penalties · 3 yrs
$19,841
1 fine
Last survey
2026-02-24
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Washington DSHS Aging and Long-Term Support · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-02-24Standard0100CMS-2567 (Care Compare)
2025-12-09Complaint010CMS-2567 (Care Compare)
2025-04-29Complaint010CMS-2567 (Care Compare)
2025-01-09Standard090CMS-2567 (Care Compare)
2024-03-21Standard020CMS-2567 (Care Compare)
2024-02-21Complaint010CMS-2567 (Care Compare)
2023-10-13Complaint001CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Washington DSHS Aging and Long-Term Support publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-02-24Standard survey · 10 deficienciesOfficial report
F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-30Record 505269-20260224-F569
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-30Record 505269-20260224-F605
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-30Record 505269-20260224-F641
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-30Record 505269-20260224-F676
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-30Record 505269-20260224-F678
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-30Record 505269-20260224-F725
F848Provide a neutral and fair arbitration process and agree to arbitrator and venue.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-30Record 505269-20260224-F848
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-30Record 505269-20260224-F880
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-30Record 505269-20260224-F908
F910Ensure resident rooms meet each resident's needs.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-30Record 505269-20260224-F910
2025-12-09Complaint survey · 1 deficiencyOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-02Record 505269-20251209-F580
2025-04-29Complaint survey · 1 deficiencyOfficial report
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-23Record 505269-20250429-F677
2025-01-09Standard survey · 9 deficienciesOfficial report
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 505269-20250109-F552
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 505269-20250109-F553
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 505269-20250109-F578
F624Prepare residents for a safe transfer or discharge from the nursing home.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 505269-20250109-F624
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 505269-20250109-F645
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 505269-20250109-F684
F727Have 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 505269-20250109-F727
F730Observe each nurse aide's job performance and give regular training.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 505269-20250109-F730
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 505269-20250109-F758
2024-03-21Standard survey · 2 deficienciesOfficial report
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-16Record 505269-20240321-F610
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-16Record 505269-20240321-F684
2024-02-21Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-12Record 505269-20240221-F609
2023-10-13Complaint survey · 1 deficiencyOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-10-27Record 505269-20231013-F686

Penalties & enforcement

DateActionAmountSource
2023-10-13Civil money penalty$19,841CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.84
Facility
Washington
National
Washington 0.94 · National 0.69
Total nurse hours per resident day4.85
Facility
Washington
National
Washington 4.37 · National 3.86
Weekend total nurse hours4.79
Facility
Washington
National
Washington 3.81 · National 3.42
Total nursing staff turnover53%
Facility
Washington
National
Washington 45% · National 46%
Registered nurse turnover44%
Facility
Washington
National
Washington 45% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityWashingtonNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.6%4.3%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
4.1%2.6%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
11.6%15.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%1.6%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
13.0%14.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
7.9%5.5%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
17.7%12.4%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Edify Compliance LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hansen Hunter LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Khokhar, Abdul
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ltc Consulting Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lynch, Charlien
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Schmukler, Yehuda
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Edify Compliance LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Hansen Hunter LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Khokhar, Abdul
Individual
ADP OF THE SNFNOT APPLICABLE
Ltc Consulting Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Lynch, Charlien
Individual
ADP OF THE SNFNOT APPLICABLE
Schmukler, Yehuda
Individual
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Schmukler, Yehuda
Individual
ADP OF THE SNFNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Washington.

No county cost figures on file for Clark.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Hudson Bay Health And Rehabilitation
Vancouver
0.1 mi2026-03-190170
Avamere Rehabilitation Of Cascade Park
Vancouver
3.5 mi2026-03-041301
Fernhill Rehabilitation And Care
Portland
4.8 mi2025-08-081421
Porthaven Post Acute
Portland
5.1 mi2025-12-080313
Evergreen Post Acute
Portland
5.5 mi2026-05-141290
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01