Total staff
232
Employees
91
Contractors
141
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Discovery Nursing & Rehab of Vancouver
Nursing Home & Skilled Nursing · Vancouver, WA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Discovery Nursing & Rehab of Vancouver
Nursing Home & Skilled Nursing · Vancouver, WA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Discovery Nursing & Rehab of Vancouver accepts Medicare, Medicaid, and private pay.
Under Prestige Senior Living management, Discovery Nursing & Rehabilitation occupies a campus-style setting in Vancouver’s Hazel Dell neighborhood, 2.4 miles from downtown. The 89-bed skilled nursing center targets post-acute rehabilitation residents with an average 47-day stay, accepting Medicare (29% of new admissions), private-pay (60%), and Medicaid (12%). The facility’s current resident census of 64 reflects 45.3% Medicaid-funded long-term stays, 29.7% Medicare short-term rehabilitation, and 25% private-pay placements.
Clinical staffing totals 4 hours 43 minutes of daily nursing care per resident; among the top 10% statewide. Yet 61% of the nursing workforce consists of contract labor.
Physical therapy services stand significantly above peer levels at 12 minutes daily per resident, 140% higher than state norms.
Long-stay residents experience walking ability decline in 40.7% of cases, nearly double the 21.8% state average. Falls with major injury strike 6.1% of long-term residents versus a 2.6% state benchmark. Weight loss affects 13.3% of long-stay residents, more than double the 5.8% state rate. Short-stay rehabilitation residents show a similarly poor discharge profile: only 29.3% leave with expected self-care ability, compared to the 53.7% state average.
Emergency department utilization for short-stay residents runs at 24.7%, nearly twice the 13.2% state rate.
Four separate penalties totaling $198K were issued between October 2023 and April 2025; a rate 142% above Washington’s average.
Simultaneously, occupancy has collapsed from 77.3% (2022) to 60.2% (2023), and the facility operates at a $603K annual loss.
Discovery Nursing & Rehabilitation maintains rehabilitation capacity but faces compounding financial, operational, and clinical performance deficits.
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.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 10th out of 89 homes in Washington. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 10th out of 89 homes in Washington. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 43m per day
Rank #10 / 89Nurse hours — State benchmarkedThis home is ranked 10th out of 89 homes in Washington. Shows adjusted nurse hours per resident per day benchmarked to the Washington average, with a ranking across 89 Washington SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Washington avg
+12%
Standout metric
Physical Therapist is +140% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 42m per day | ▼ 21% State avg: 53m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 6m per day | ▲ 35% State avg: 49m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 16m per day | ▼ 16% State avg: 2h 41m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 0m per day | ▼ 21% State avg: 3h 47m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 12m per day | ▲ 140% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 26m per day | ▼ 32% State avg: 38m per day · National avg: 29m per day |
Capacity and availability
This home usually has availability
Occupancy rate
60.2%
Rank #247 / 310Occupancy rate — State benchmarkedThis home is ranked 247th out of 310 homes in Washington. Shows this facility's occupancy rate versus the Washington average, with its Statewide rank out of 310. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
47 days
Walk Score: 19 / 100 Rank #532 / 628Walk Score — State benchmarkedThis home is ranked 532nd out of 628 homes in Washington. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Washington SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
3.63:1
95% better than Washington average
Avg staff/day
44
Average shift
7.9 hours
0% compared with Washington average
Total staff hours (quarter)
31,928
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
29 total: 11 full-time employees and 18 contractors.
29
29 total: 11 full-time employees and 18 contractors.
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
70 total: 14 full-time employees and 56 contractors.
70
70 total: 14 full-time employees and 56 contractors.
70
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 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
105 total: 38 full-time employees and 67 contractors.
105
105 total: 38 full-time employees and 67 contractors.
105
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
13%
4,150 contractor hours this quarter
Certified Nursing Assistant: 67
Licensed Practical Nurse: 56
Registered Nurse: 18
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 38 | 67 | 105 | 15,504 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 14 | 56 | 70 | 6,656 | 92 | 100% | 8.5 |
| Registered Nurse | 11 | 18 | 29 | 3,864 | 92 | 100% | 8.2 |
| Dental Services Staff | 3 | 0 | 3 | 1,336 | 65 | 71% | 8 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 998 | 83 | 90% | 6.1 |
| Administrator | 2 | 0 | 2 | 920 | 64 | 70% | 8.2 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 499 | 55 | 60% | 9.1 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 480 | 63 | 68% | 7.6 |
| Physical Therapy Assistant | 3 | 0 | 3 | 371 | 71 | 77% | 4.4 |
| Other Dietary Services Staff | 2 | 0 | 2 | 269 | 51 | 55% | 5.3 |
| Speech Language Pathologist | 4 | 0 | 4 | 246 | 37 | 40% | 5.2 |
| Occupational Therapy Aide | 1 | 0 | 1 | 143 | 20 | 22% | 7.1 |
| Physical Therapy Aide | 2 | 0 | 2 | 79 | 10 | 11% | 7.2 |
| Qualified Social Worker | 2 | 0 | 2 | 67 | 31 | 34% | 2.2 |
105 Certified Nursing Assistant
% of Days
100%
70 Licensed Practical Nurse
% of Days
100%
29 Registered Nurse
% of Days
100%
3 Dental Services Staff
% of Days
71%
6 Respiratory Therapy Technician
% of Days
90%
2 Administrator
% of Days
70%
1 Clinical Nurse Specialist
% of Days
60%
1 Nurse Practitioner
% of Days
67%
1 Dietitian
% of Days
68%
3 Physical Therapy Assistant
% of Days
77%
2 Other Dietary Services Staff
% of Days
55%
4 Speech Language Pathologist
% of Days
40%
1 Occupational Therapy Aide
% of Days
22%
2 Physical Therapy Aide
% of Days
11%
2 Qualified Social Worker
% of Days
34%
Penalties and fines
Includes penalties issued in 2023-2025
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 Rank #82 / 91Federal fines — State benchmarkedThis home is ranked 82nd out of 91 homes in Washington. Shows this facility's cumulative CMS federal fine dollars versus the Washington average among facilities with fines, and where it ranks among 91 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.4%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.4%
18% worse than Washington averageWashington average: 19.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
24.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
24.7%
87% worse than Washington averageWashington average: 13.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Washington averageWashington average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
29.3%
Percentage of residents at or above expected ability to care for themselves at discharge.
29.3%
45% worse than Washington averageWashington average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
66.3%
Rate of successful return to home or community from a skilled nursing facility.
66.3%
31% better than Washington averageWashington average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
64
Medicare
19
29.7% of residents
Medicaid
29
45.3% of residents
Private pay or other
16
25% of residents
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.
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
-$603.2K
↑ ~$1.0M vs 2022
Total Payroll
$5.6M
↑ ~$885.0K vs 2022
Profit Margin
-5.3%
↑ 10.5pp vs 2022
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
$13.9M Rank #48 / 93Revenue — State benchmarkedThis home is ranked 48th out of 93 homes in Washington. Shows this facility's annual revenue compared to the Washington SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$603.2K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #63 / 93Payroll — State benchmarkedThis home is ranked 63rd out of 93 homes in Washington. Shows total annual staff payroll benchmarked to the Washington average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$5.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #63 / 93Payroll — State benchmarkedThis home is ranked 63rd out of 93 homes in Washington. Shows total annual staff payroll benchmarked to the Washington average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$12.5M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Discovery Nursing & Rehab of Vancouver
2.4 miles from city center
Estimated distance in miles from Vancouver's city center to Discovery Nursing & Rehab of Vancouver's address, calculated via Google Maps.
— 4.91 miles to nearest hospital (Fresenius Medical Care)
Calculate Travel Distance to Discovery Nursing & Rehab of Vancouver
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Financial Assistance for
Nursing Home in Washington
Discovery Nursing & Rehab of Vancouver is located in Vancouver, Washington.
Here are the financial assistance programs available to residents in Washington.
Compare Nursing Home around Vancouver
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
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| 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
Facility
89
WA AVG
81
Rank
#141 / 366 | - | - | 4.71 | -13% | +12% | $197.8k | 44 | 4.4 | 6 | 77 |
19
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19
WA AVG
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Rank
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Frequently Asked Questions about Discovery Nursing & Rehab of Vancouver
What neighborhood is Discovery Nursing & Rehab of Vancouver in?
Discovery Nursing & Rehab of Vancouver is in the Hazel Dell South neighborhood.
Is Discovery Nursing & Rehab of Vancouver in a walkable area?
Discovery Nursing & Rehab of Vancouver has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.
Are there photos of Discovery Nursing & Rehab of Vancouver?
Yes — there are 6 photos of Discovery Nursing & Rehab of Vancouver in the photo gallery on this page.
What is the phone number of Discovery Nursing & Rehab of Vancouver?
(360) 693-1474 will put you in contact with the team at Discovery Nursing & Rehab of Vancouver.
Is Discovery Nursing & Rehab of Vancouver Medicare or Medicaid certified?
Yes — Discovery Nursing & Rehab of Vancouver is a CMS-certified provider of Medicare and Medicaid.
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