Vancouver Specialty and Rehab Care
1015 North Garrison Road, Vancouver, WA 98664 · Clark County · 104 certified beds · avg 88 residents/day · certified since Jul 1, 1982
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 13, 2023 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 27, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (25)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 24, 2026 | F · Potential for harm, facility-wide | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Feb 24, 2026 | E · Potential for harm, repeated | The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location. |
| Feb 24, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 24, 2026 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Feb 24, 2026 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Feb 24, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 24, 2026 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Feb 24, 2026 | D · Potential for harm, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| Feb 24, 2026 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Feb 24, 2026 | D · Potential for harm, one-off | The facility did not make sure resident rooms met each resident's needs. |
| Dec 9, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Apr 29, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Jan 9, 2025 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 9, 2025 | E · Potential for harm, repeated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · from a complaint |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. · from a complaint |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Mar 21, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Mar 21, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Feb 21, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Oct 13, 2023 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 1 | G ▲ |
| 2024 | 3 | 0 | D |
| 2025 | 11 | 0 | E |
| 2026 | 10 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $19,841.
| Date | Type | Amount / length |
|---|---|---|
| Oct 13, 2023 | Fine | $19,841 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Washington avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.37 | 4.24 | 3.95 | bottom 6% in Washington; bottom 30% in the U.S. |
| Registered Nurse hours | 0.58 | 0.91 | 0.69 | bottom 10% in Washington; bottom 50% in the U.S. |
| Weekend total nurse staffing | 3.33 | 3.69 | 3.50 | bottom 38% in Washington; bottom 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.73 | 0.67 | 0.48 | top 37% in Washington; top 15% in the U.S. |
| Total nursing staff turnover (%) | 52.8 | 45.1 | 45.8 | bottom 29% in Washington; bottom 30% in the U.S. |
| RN turnover (%) | 44.4 | 45.4 | 42.9 | bottom 49% in Washington; bottom 45% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.85, RN 0.84, weekend 4.79. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Schmukler, Yehuda | Individual | Direct Ownership Interest | NOT APPLICABLE | 04/01/2018 |
| Edify Compliance LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Edify Compliance LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2025 |
| Hansen Hunter LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Hansen Hunter LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2025 |
| Khokhar, Abdul | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Khokhar, Abdul | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| LTC Consulting Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| LTC Consulting Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2025 |
| Lynch, Charlien | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Lynch, Charlien | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Schmukler, Yehuda | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2018 |
| Schmukler, Yehuda | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Does your admission agreement include an arbitration clause, and is signing it optional?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Hudson Bay Health and Rehabilitation | 0.1 mi | Vancouver, WA | ★★★★★ | 5/5 | |
| Avamere Rehabilitation of Cascade Park | 3.5 mi | Vancouver, WA | ★★★★★ | 4/5 | |
| The Oaks at Timberline | 4.0 mi | Vancouver, WA | ★★★★★ | 5/5 | |
| Bridge Crest Post Acute | 4.4 mi | Vancouver, WA | ★★☆☆☆ | 2/5 | |
| Fernhill Rehabilitation and Care | 4.8 mi | Portland, OR | ★★☆☆☆ | 2/5 | abuse |
| Marquis Piedmont Post Acute Rehab | 4.9 mi | Portland, OR | ★★★★☆ | 4/5 | |
| Porthaven Post Acute | 5.1 mi | Portland, OR | ★★★☆☆ | 2/5 | |
| Evergreen Post Acute | 5.5 mi | Portland, OR | ★★☆☆☆ | 2/5 | |
| Rose City Nursing and Rehabilitation | 6.8 mi | Portland, OR | ★★★☆☆ | 3/5 | |
| Salmon Creek Post Acute & Rehabilitation | 6.9 mi | Vancouver, WA | ★★★☆☆ | 3/5 | |
| Providence Child Center | 6.9 mi | Portland, OR | ★★★★★ | 5/5 | |
| Glisan Post Acute | 7.2 mi | Portland, OR | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 505269.