2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
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.
This home is ranked 10th out of 90 homes in Washington for nurse hours. 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.
| 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.
| 45m per day | ▼ 15% 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 2m per day | ▲ 26% 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 23m per day | ▼ 11% 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 33m per day | ▼ 6% 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.
| 9m per day | ▲ 85% 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 | ▼ 33% State avg: 38m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
95% more staff per resident than Washington average
0% compared with Washington average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
29 total: 11 full-time employees and 18 contractors.
29
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursAssists with medical care and medications.
70 total: 14 full-time employees and 56 contractors.
70
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursHelps with daily care and mobility.
105 total: 38 full-time employees and 67 contractors.
105
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,150 contractor hours this quarter
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 |
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)
142% higher than Washington averageWashington average: $82K
117% more fines than Washington averageWashington average: 1.8
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
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.
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.
Feb 27, 2025
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.
Oct 2, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
21.9%
33% worse than Washington averageWashington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
40.7%
87% worse than Washington averageWashington average: 21.8%
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%
Percent of long-stay residents experiencing one or more falls with major injury
6.1%
133% worse than Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
7.3%
48% worse than Washington averageWashington average: 4.9%
Percent of long-stay residents with a urinary tract infection
1.1%
37% better than Washington averageWashington average: 1.7%
Percent of long-stay residents who lose too much weight
13.3%
129% worse than Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
10.2%
37% better than Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
11.8%
18% better than Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.0%
In line with Washington averageWashington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.2%
In line with Washington averageWashington average: 93.8%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
69.4%
21% worse than Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
38% better than Washington averageWashington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
63.4%
23% worse than Washington averageWashington average: 82.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.4%
18% worse than Washington averageWashington average: 19.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
24.7%
87% worse than Washington averageWashington average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Washington averageWashington average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
29.3%
45% worse than Washington averageWashington average: 53.7%
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.
29% of new residents, usually for short-term rehab.
60% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
64Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Discovery Nursing & Rehab of Vancouver from 2012–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #64 / 94Payroll — State benchmarkedThis home is ranked 64th out of 94 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.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #73 / 94Payroll % — State benchmarkedThis home is ranked 73rd out of 94 homes in Washington. Shows payroll as a percentage of revenue versus the Washington average. Well-run Washington facilities typically land around 53–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (60% of admissions), and a typical private pay stay runs around 30 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
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The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
| Avamere Rehabilitation of Cascade Park | NH PC RC | Vancouver (Cascade Highlands) | 88
Facility
88
WA AVG
82
Rank
#144 / 366 |
89.5%
Facility
89.5%
WA AVG
72.5%
Rank
#49 / 310 | +23% | 4.49
Facility
4.49
WA AVG
4.22
Rank
#17 / 90 | +1% | +6% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 92 | 35
Facility
35
WA AVG
48.9
Rank
#29 / 92 | 5.8
Facility
5.8
WA AVG
6.9
Rank
#39 / 92 | 1 | 82 | - |
56
Facility
56
WA AVG
51
Rank
#281 / 628 | Ryan Rose | $16.1M
Facility
$16.1M
WA AVG
$13.2M
Rank
#29 / 94 | $7.7M
Facility
$7.7M
WA AVG
$5.7M
Rank
#37 / 94 | 48%
Facility
48%
WA AVG
45.5%
Rank
#70 / 94 | 505389 | ||||
| Discovery Nursing & Rehab of Vancouver | NH PC | Vancouver (Hazel Dell South) | 89
Facility
89
WA AVG
82
Rank
#142 / 366 |
60.2%
Facility
60.2%
WA AVG
72.5%
Rank
#248 / 310 | -17% | 4.71
Facility
4.71
WA AVG
4.22
Rank
#10 / 90 | -13% | +12% | $220.9k
Facility
$220.9k
WA AVG
$87.7k
Rank
#83 / 92 | 44
Facility
44
WA AVG
48.9
Rank
#40 / 92 | 4.4
Facility
4.4
WA AVG
6.9
Rank
#15 / 92 | 6 | 71 | - |
19
Facility
19
WA AVG
51
Rank
#532 / 628 | - | $8.9M
Facility
$8.9M
WA AVG
$13.2M
Rank
#49 / 94 | $5.6M
Facility
$5.6M
WA AVG
$5.7M
Rank
#64 / 94 | 62.5%
Facility
62.5%
WA AVG
45.5%
Rank
#73 / 94 | 505341 |
Discovery Nursing & Rehab of Vancouver is located in Vancouver, Washington.
Here are the financial assistance programs available to residents in Washington.
Discovery Nursing & Rehab of Vancouver is in the Hazel Dell South neighborhood.
Discovery Nursing & Rehab of Vancouver has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.
Discovery Nursing & Rehab of Vancouver's occupancy is 60.2%.
Yes — there are 6 photos of Discovery Nursing & Rehab of Vancouver in the photo gallery on this page.
Discovery Nursing & Rehab of Vancouver is located at 5220 Ne Hazel Dell Ave, Vancouver, WA 98663.
(360) 693-1474 will put you in contact with the team at Discovery Nursing & Rehab of Vancouver.
Yes — Discovery Nursing & Rehab of Vancouver is a CMS-certified provider of Medicare and Medicaid.
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