Lilisity

Nursing home

Vancouver Specialty and Rehab Care

1015 North Garrison Road, Vancouver, WA 98664 · Map
For profit - Individual · 104 certified beds

Medicare and Medicaid certified
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Vancouver Specialty and Rehab Care is a Medicare-certified nursing home in Vancouver, Washington. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.48 hours per resident per day, above the Washington average of 4.39. Its most recent inspection on Jan 9, 2025 cited 11 deficiencies.

4 out of 5Overall CMS rating
4 out of 5Health inspections
3 out of 5Staffing
104 bedsCertified beds
  • 2 fines totaling $58,607In CMS records: 3 total penalties, 1 Medicare payment denial.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating4/5
Health inspections4/5
Staffing3/5
Quality measures3/5
Long-stay quality4/5
Short-stay quality2/5

How Vancouver Specialty and Rehab Care compares

This facility vs. the Washington and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityWashington avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)4.484.393.89above avg
RN staffing (hrs/resident/day)0.790.880.68below avg
Aide staffing (hrs/resident/day)2.482.692.34below avg
Nursing staff turnover46.6%46.7%46.4%below avg
Deficiencies cited, last inspection11.017.19.5below avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

4.48Total nurse hrs/resident/day
0.79RN hrs/resident/day
1.20LPN hrs/resident/day
2.48Aide hrs/resident/day
4.37Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff46.6%
Registered nurses35.7%
Administrator changes0 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Jan 9, 2025Most recent inspection
11Deficiencies found
52Health inspection score
2Fines
  • Every deficiency from the February 24, 2026 inspection was corrected by March 30, 2026

Penalties in CMS records: 2 fines totaling $58,607, 3 total penalties, 1 Medicare payment denial.

What inspectors found at Vancouver Specialty and Rehab Care

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

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

    Nursing and Physician Services Deficiencies · Feb 24, 2026 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Feb 24, 2026 · Full report (PDF)
  • Potential for harm

    Provide a neutral and fair arbitration process and agree to arbitrator and venue.

    Administration Deficiencies · Feb 24, 2026 · Full report (PDF)
  • Potential for harm

    Ensure resident rooms meet each resident's needs.

    Environmental Deficiencies · Feb 24, 2026 · Full report (PDF)
  • Potential for harm

    Keep all essential equipment working safely.

    Environmental Deficiencies · Feb 24, 2026 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Quality of Life and Care Deficiencies · Feb 24, 2026 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Feb 24, 2026 · Full report (PDF)
  • Potential for harm

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies · Feb 24, 2026 · Full report (PDF)
  • Potential for harm

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 24, 2026 · Full report (PDF)
  • Potential for harm

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Resident Rights Deficiencies · Feb 24, 2026 · Full report (PDF)
  • Potential for harm

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

    Resident Rights Deficiencies · Dec 9, 2025 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Apr 29, 2025 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
1015 North Garrison Road
Vancouver, WA 98664
CMS certification #
505269
Ownership
For profit - Individual
Certified beds
104
Avg residents/day
88.5
Provider type
Medicare and Medicaid
First certified
1982-07-01
Setting
Urban

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Location and nearby

Explore the area around Vancouver Specialty and Rehab Care using Google Maps.

Other public records

  • Workplace safety 1 OSHA workplace safety inspection since 2019, 12 violations cited
Full public records, with dates and sources

Staff pay and workplace safety

Federal records about how the employer here treats its staff.

OSHA workplace safety inspections

OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.

  • May 8, 2019: referral inspection, partial (health). Case closed Jan 27, 2020. 12 violations cited (11 serious, 1 other). Penalties: $24,600 proposed, $18,600 now. OSHA record. OSHA recorded the employer as Wa317954335 - 1015 North Garrison LLC. Matched by street address; the name OSHA recorded differs from the community's.
    Details
    • Serious: Cited rule 296-62-07721(2)(B)(II). Penalty $600 proposed, $600 now. To be fixed by May 8, 2019. Contested by the employer.
    • Serious: Cited rule 296-65-030(1). Penalty $2,400 proposed, $1,800 now. To be fixed by May 8, 2019. Contested by the employer.
    • Serious: Cited rule 296-62-07712(2)(C). Penalty $2,400 proposed, $1,800 now. To be fixed by May 8, 2019. Contested by the employer.
    • Serious: Cited rule 296-62-07712(10)(A)(III). Penalty $2,400 proposed, $1,800 now. To be fixed by May 8, 2019. Contested by the employer.
    • Serious: Cited rule 296-62-07709(3)(A)(I). Penalty $2,400 proposed, $1,800 now. To be fixed by May 8, 2019. Contested by the employer.
    • Serious: Cited rule 296-62-07711(1). Penalty $2,400 proposed, $1,800 now. To be fixed by May 8, 2019. Contested by the employer.
    • Serious: Cited rule 296-62-07722(3)(B). Penalty $2,400 proposed, $1,800 now. To be fixed by May 8, 2019. Contested by the employer.
    • Serious: Cited rule 296-62-07715(1)(G). Penalty $2,400 proposed, $1,800 now. To be fixed by May 8, 2019. Contested by the employer.
    • Serious: Cited rule 296-62-07717(1). Penalty $2,400 proposed, $1,800 now. To be fixed by May 8, 2019. Contested by the employer.
    • Serious: Cited rule 296-62-07712(5)(B). Penalty $2,400 proposed, $1,800 now. To be fixed by May 8, 2019. Contested by the employer.
    • Serious: Cited rule 296-62-07719(3)(B)(I). Penalty $2,400 proposed, $1,800 now. To be fixed by May 8, 2019. Contested by the employer.
    • Other than serious: Cited rule 296-65-020(1). Penalty $0 proposed, $0 now. To be fixed by May 8, 2019. Contested by the employer.

Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.

Location and nearby care

Nearest hospital with an emergency room
Legacy Salmon Creek Medical Center, Vancouver. 7.0 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
Nearest Medicare nursing home
Hudson Bay Health and Rehabilitation, Vancouver. 0.1 miles away, straight line.
Nearest home health agency office
Peacehealth Southwest Home Health, Vancouver. 1.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Safeway. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 98664 as metropolitan (metropolitan core).
Dialysis within 15 miles
Davita Vancouver Dialysis Center, Vancouver, 2.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Pnrs Ft Vancouver, Vancouver, 2.4 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Fmc Maywood Park, Portland, 4.8 miles away, straight line (CMS rating 3 of 5 stars)
Hospice
8 Medicare hospices tell CMS they serve ZIP code 98664.
Peacehealth Southwest Hospice, office in Vancouver, 1.2 miles away, straight line (CMS family survey rating 3 of 5 stars)
Providence Hospice, office in Portland, 6.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Kaiser Permanente Continuing Care Services Hospice, office in Portland, 7.5 miles away, straight line (CMS family survey rating 3 of 5 stars)
Nearest geriatric medicine practice
The Vancouver Clinic Inc Ps, Vancouver. 0.4 miles away, straight line. 3 geriatric medicine doctors listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire very low, tornado very low, heat wave relatively moderate, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026See above
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteNo plain statements of services found

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Frequently asked questions

Is Vancouver Specialty and Rehab Care a good nursing home?

CMS gives Vancouver Specialty and Rehab Care an overall rating of 4 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Vancouver Specialty and Rehab Care staffed?

Vancouver Specialty and Rehab Care reports 4.48 total nurse hours per resident per day, compared with the Washington average of 4.39.

Has Vancouver Specialty and Rehab Care had inspection problems?

Its most recent CMS inspection cited 11 deficiencies.

How many beds does Vancouver Specialty and Rehab Care have?

Vancouver Specialty and Rehab Care is certified for 104 beds.