Total health inspections
10
Washington average 7.8
Last Health inspection on Oct 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Nursing Home
Discovery Nursing & Rehab of Vancouver
Managed under Prestige Senior Living, Discovery Nursing and Rehabilitation is the post-acute care center in Hazel Dell. The nursing home is where one can find a team of committed professional staff to deliver high-class service to its residents. The goal of management is to ensure that residents can relax and recover during their stay; they hope that the well-being of seniors is relaxed and rejuvenated.
As a Prestige Lifestyle community, Discovery aims for a comfortable and secure lifestyle — The upscale nursing homes provide state-of-the-art features that cater to short-term or long-term residents; they are also guaranteed to feel comfortable and know that they belong in a home that offers 24-hour nursing care with inpatient and outpatient care in a resort-like community with the utmost hospitality. Other features include its exclusive Celebration and Expressions services.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
89
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
60.2%
Residents per day (avg)
77
Occupancy rate
60.2%
Residents per day (avg)
77
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
29% of new residents, usually for short-term rehab.
Typical stay
21 days
Private pay
60% of new residents, often for short stays.
Typical stay
30 days
Medicaid
12% of new residents, often for long-term daily care.
Typical stay
6 - 7 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$13.9M
Operating loss
-$603.2K
Privately-owned community
Operated by a business corporation.
Home revenue
$13,856,911.00
Operating loss
$-603,188.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$12.5M
Types of Care at Discovery Nursing & Rehab of Vancouver
Skilled Nursing
Health Inspection History
Inspections
Total health citations
44
Washington average 48.9
Citations per inspection
4.4
Washington average 6.92
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
36 of 44 citations resulted from standard inspections; 7 of 44 resulted from complaint investigations; and 1 of 44 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
567% worse than Washington averageWashington average: 0.3
Serious Health citations
4
4
135% worse than Washington averageWashington average: 1.7
2 critical citations
4 serious citations
38 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 27, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 27, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 25, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 25, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 04, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 04, 2025
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 24, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 24, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Vancouver The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
Avamere Rehabilitation of Cascade Park
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
N
Nursing
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Vancouver (Cascade Highlands)
88
89.5%
+23%
4.49
+6%
0
35
1
81
56
Rose, Ryan
$17,4M
$6,4M
36.8%
505389
Discovery Nursing & Rehab of Vancouver
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
N
Nursing
Vancouver (Hazel Dell South)
89
60.2%
-17%
4.71
+12%
4
44
6
77
19
-
$11,3M
$4,6M
40.2%
505341
Hazel Dell Assisted Living
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
VANCOUVER
75
-
-
-
-
0
0
0
-
-
-
-
-
-
-
Ray Hickey Hospice House
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Vancouver (Central Park)
15
-
-
-
-
0
0
0
-
67
-
-
-
-
-
Stephen’s Place
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Vancouver
41
-
-
-
-
0
0
0
-
-
-
-
-
-
-
Places of interest near Discovery Nursing & Rehab of Vancouver
2.4 miles from city center — 4.91 miles to nearest hospital (Fresenius Medical Care)
5220 NE Hazel Dell Ave, Vancouver, WA 98663
Calculate Travel Distance to Discovery Nursing & Rehab of Vancouver
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
157
Employees
101
Contractors
56
Staff to resident ratio
2.45:1
32% better than Washington averageWashington average ratio: 1.85:1
Avg staff/day
44
Average shift
8.1 hours
0% compared with Washington averageWashington average: 8.1 hours
Total staff hours (quarter)
32,389
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
45
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
71
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
3.6%
1,156 contractor hours this quarter
Certified Nursing Assistant: 29
Licensed Practical Nurse: 25
Registered Nurse: 2
Staff by category
| Certified Nursing Assistant | 42 | 29 | 71 | 15,099 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 20 | 25 | 45 | 7,041 | 91 | 100% | 8.7 |
| Registered Nurse | 12 | 2 | 14 | 4,246 | 91 | 100% | 8.1 |
| Respiratory Therapy Technician | 8 | 0 | 8 | 1,658 | 91 | 100% | 6.2 |
| Dental Services Staff | 3 | 0 | 3 | 1,540 | 65 | 71% | 8.5 |
| Physical Therapy Assistant | 4 | 0 | 4 | 525 | 74 | 81% | 4.6 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 505 | 67 | 74% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 297 | 48 | 53% | 6.2 |
| Physical Therapy Aide | 1 | 0 | 1 | 128 | 24 | 26% | 5.3 |
| Therapeutic Recreation Specialist | 2 | 0 | 2 | 122 | 25 | 27% | 4.3 |
| Speech Language Pathologist | 1 | 0 | 1 | 110 | 20 | 22% | 5.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 88 | 13 | 14% | 6.8 |
| Qualified Social Worker | 2 | 0 | 2 | 86 | 27 | 30% | 3 |
71 Certified Nursing Assistant
% of Days
100%
45 Licensed Practical Nurse
% of Days
100%
14 Registered Nurse
% of Days
100%
8 Respiratory Therapy Technician
% of Days
100%
3 Dental Services Staff
% of Days
71%
4 Physical Therapy Assistant
% of Days
81%
1 Administrator
% of Days
70%
1 Dietitian
% of Days
74%
1 Nurse Practitioner
% of Days
59%
2 Other Dietary Services Staff
% of Days
53%
1 Physical Therapy Aide
% of Days
26%
2 Therapeutic Recreation Specialist
% of Days
27%
1 Speech Language Pathologist
% of Days
22%
1 Occupational Therapy Aide
% of Days
14%
2 Qualified Social Worker
% of Days
30%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
64 residents
Residents by payment source
Medicare
19 residents (29.7%)
Medicaid
29 residents (45.3%)
Private pay or other
16 residents (25%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
17.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
17.9
78% worse than Washington averageWashington average: 10.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.8
38% worse than Washington averageWashington average: 20.9
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
21.9%
Percent of long-stay residents whose need for help with daily activities has increased
21.9%
33% worse than Washington averageWashington average: 16.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
40.7%
Percent of long-stay residents whose ability to move independently worsened
40.7%
87% worse than Washington averageWashington average: 21.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.7%
In line with Washington averageWashington average: 24.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.1%
Percent of long-stay residents experiencing one or more falls with major injury
6.1%
133% worse than Washington averageWashington average: 2.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.3%
Percent of long-stay high risk residents with pressure ulcers
7.3%
48% worse than Washington averageWashington average: 4.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.1%
Percent of long-stay residents with a urinary tract infection
1.1%
37% better than Washington averageWashington average: 1.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
13.3%
Percent of long-stay residents who lose too much weight
13.3%
129% worse than Washington averageWashington average: 5.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
10.2%
Percent of long-stay residents who have depressive symptoms
10.2%
37% better than Washington averageWashington average: 16.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.8%
Percent of long-stay residents who received an antipsychotic medication
11.8%
18% better than Washington averageWashington average: 14.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.0%
In line with Washington averageWashington average: 96.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.2%
In line with Washington averageWashington average: 93.8%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
69.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
69.4%
21% worse than Washington averageWashington average: 88.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
38% better than Washington averageWashington average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
63.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
63.4%
23% worse than Washington averageWashington average: 82.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$198K
142% higher than Washington averageWashington average: $82K
Number of fines
4
117% more fines than Washington averageWashington average: 1.8
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Washington averageWashington average: 0.3
Fines amount comparison
Fines amount comparison
This facility
$198K
Washington average
$82K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 24, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 24, 2025
$108K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 27, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 27, 2025
$55K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 14, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 14, 2023
$28K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 2, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 2, 2023
$7K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Discovery Nursing & Rehab of Vancouver based on CMS SNF Cost Reports.
Occupancy Rate
60.2%
↓ 17.2pp vs 2022
Net Income
-$603,188
↑ ~$1.0M vs 2022
Total Payroll
$5,571,266
↑ ~$885K vs 2022
Profit Margin
-5.3%
↑ 10.5pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Washington Seniors
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