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Vancouver Specialty and Rehab Care

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1015 North Garrison Road, Vancouver, WA 98664 (opens Google Maps) · Clark County · (360) 694-7501· 104 certified beds · avg 88 residents/day · certified since Jul 1, 1982 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

4/5
Health inspection rating (on-site)
inspected Feb 24, 2026
1
Serious findings on record
most recent Oct 13, 2023
$19,841
Fines, last 3 years
3.37
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Oct 27, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 25 inspection findings. Open the full record below to read every finding.

  1. F · Potential for more than minimal harm, widespread

    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. F-0725

  2. E · Potential for more than minimal harm, pattern

    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. F-0848

  3. E · Potential for more than minimal harm, pattern

    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. F-0880

View all 25 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Feb 24, 2026F · Potential for more than minimal harm, widespreadThe 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. · F-0725
Feb 24, 2026E · Potential for more than minimal harm, patternThe 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. · F-0848
Feb 24, 2026E · Potential for more than minimal harm, patternThe 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. · F-0880
Feb 24, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0569
Feb 24, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0605
Feb 24, 2026D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Feb 24, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0676
Feb 24, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0678
Feb 24, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908
Feb 24, 2026D · Potential for more than minimal harm, isolatedThe facility did not make sure resident rooms met each resident's needs. · F-0910
Dec 9, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0580
Apr 29, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0677
Jan 9, 2025E · Potential for more than minimal harm, patternThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Jan 9, 2025E · Potential for more than minimal harm, patternThe 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. · F-0727
Jan 9, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0552
Jan 9, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0553
Jan 9, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0578
Jan 9, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0624
Jan 9, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0645
Jan 9, 2025D · Potential for more than minimal harm, isolatedThe facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730
Jan 9, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0758
Mar 21, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0610
Mar 21, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Feb 21, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0609
Oct 13, 2023▲ G · Actual harm, isolatedThe 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 · F-0686

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 10).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 1
Serious citations (G–L): 1
2024
All citations: 3
Serious citations (G–L): 0
2025
All citations: 11
Serious citations (G–L): 0
2026
All citations: 10
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202311G ▲
202430D
2025110E
2026100F

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)

How to file a complaint about care →

1 fine totaling $19,841.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Oct 13, 2023Fine$19,841

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityWashington averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.37
Washington average: 4.24
U.S. average: 3.95
Registered Nurse hours
This facility: 0.58
Washington average: 0.91
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.33
Washington average: 3.69
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityWashington avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.374.243.95bottom 6% in Washington; bottom 30% in the U.S.
Registered Nurse hours0.580.910.69bottom 10% in Washington; bottom 50% in the U.S.
Weekend total nurse staffing3.333.693.50bottom 38% in Washington; bottom 49% in the U.S.
Weekend RN hours (not acuity-adjusted)0.730.670.48top 37% in Washington; top 15% in the U.S.
Total nursing staff turnover (%)52.845.145.8bottom 29% in Washington; bottom 30% in the U.S.
RN turnover (%)44.445.442.9bottom 49% in Washington; bottom 45% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.85 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Vancouver Specialty and Rehab Care. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Individual

Owner / managerTypeRoleStakeSince
Schmukler, YehudaIndividualDirect Ownership InterestNOT APPLICABLE04/01/2018
Edify Compliance LLCOrganizationOperational/Managerial ControlNOT APPLICABLE01/01/2025
Edify Compliance LLCOrganizationADP of the SNFNOT APPLICABLE02/28/2025
Hansen Hunter LLCOrganizationOperational/Managerial ControlNOT APPLICABLE01/01/2025
Hansen Hunter LLCOrganizationADP of the SNFNOT APPLICABLE02/28/2025
Khokhar, AbdulIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2025
Khokhar, AbdulIndividualADP of the SNFNOT APPLICABLE01/01/2025
LTC Consulting Services LLCOrganizationOperational/Managerial ControlNOT APPLICABLE01/01/2025
LTC Consulting Services LLCOrganizationADP of the SNFNOT APPLICABLE02/28/2025
Lynch, CharlienIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2025
Lynch, CharlienIndividualADP of the SNFNOT APPLICABLE01/01/2025
Schmukler, YehudaIndividualOperational/Managerial ControlNOT APPLICABLE04/01/2018
Schmukler, YehudaIndividualADP of the SNFNOT APPLICABLE04/01/2018

All 13 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Washington midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 53% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 13 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 56 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Hudson Bay Health and Rehabilitation0.1 miVancouver, WA★★★★★5/5
Avamere Rehabilitation of Cascade Park3.5 miVancouver, WA★★★★★4/5
The Oaks at Timberline4.0 miVancouver, WA★★★★★5/5
Bridge Crest Post Acute4.4 miVancouver, WA★★☆☆☆2/5
Fernhill Rehabilitation and Care4.8 miPortland, OR★★☆☆☆2/5abuse
Marquis Piedmont Post Acute Rehab4.9 miPortland, OR★★★★☆4/5
Porthaven Post Acute5.1 miPortland, OR★★★☆☆2/5
Evergreen Post Acute5.5 miPortland, OR★★☆☆☆2/5
Rose City Nursing and Rehabilitation6.8 miPortland, OR★★★☆☆3/5
Salmon Creek Post Acute & Rehabilitation6.9 miVancouver, WA★★★☆☆3/5
Providence Child Center6.9 miPortland, OR★★★★★5/5
Glisan Post Acute7.2 miPortland, OR★★☆☆☆2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Clark, WA — 8 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Vancouver →

Facility data as of CMS processing date 2026-08-01. CCN 505269.

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