ALM's inspection grade is 75 / 100, a C — 9 points below the Washington average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
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.
ALM's inspection grade is 75 / 100, a C — 9 points below the Washington average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
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.
Discovery Nursing & Rehab of Vancouver is a nursing home in Vancouver, WA, offering palliative care and skilled nursing in the Hazel Dell South neighborhood. Nursing home and skilled nursing services provide licensed nursing care on site, while palliative care focuses on comfort and symptom management. The community may be a good fit for a resident who needs ongoing nursing support alongside comfort-focused care.
Discovery Nursing & Rehab of Vancouver has 89 beds. Medicare, Medicaid, and private pay are accepted, giving families listed ways to cover care, including Medicare for eligible short-term skilled care after a hospital stay and Medicaid for qualifying long-term care needs. Total nurse staffing is 5h per resident per day, representing the daily hands-on nurse staffing allocated per resident.
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.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 8th out of 60 nursing homes we track 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.
4h 36mStandout metric: LPN / LVN is +39% above Washington average
2 of 6 metrics below Washington average
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. 29 total: 11 of the facility's own employees and 18 agency contractors.
29 staff · 8.2-hour shifts
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. 70 total: 14 of the facility's own employees and 56 agency contractors.
70 staff · 8.5-hour shifts
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. 105 total: 38 of the facility's own employees and 67 agency contractors.
105 staff · 8.2-hour shifts
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.
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.
RN + LPN + aide · Sat–Sun
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.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
232
91 employees · 141 contractors · 44 on an average day
232 total staff / 76 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
3.05 : 1
↑ 69% · WA 1.80This facility: 3.05 staff per resident, 69% above the Washington average of 1.80 (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
232 staff ÷ 76 residents
See full Washington ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.9 h
↓ 1% · WA 8 hThis facility: 7.9 h, 1% below the Washington average of 8 h (among Washington facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
31,928 staff hours this quarter
See full Washington ranking →87% of staff hours were worked by the facility's own employees
Washington average: 93.8% · Contractors this quarter: Certified Nursing Assistant (67), Licensed Practical Nurse (56), Registered Nurse (18)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
89
Rank #40 / 69Bed count — State benchmarked This nursing home is ranked 40th out of 69 nursing homes we track in Washington for bed count. Shows this facility's certified or reported bed count compared to other Washington facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #70 / 80Walk Score — State benchmarked This nursing home is ranked 70th out of 80 nursing homes we track in Washington for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Washington facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #28 / 56Occupancy rate — State benchmarked This nursing home is ranked 28th out of 56 nursing homes we track in Washington for occupancy. Shows this facility's occupancy rate versus the Washington average, with its Statewide rank out of 56. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Based on residents per day and 89 beds.
Higher than the Washington average: 77.6%
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
Source: CMS Provider Information, average daily residents
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
9 points below the Washington average for CMS-certified facilities (84/100)
Category breakdown
176 severity-weighted points (55 deficiencies) · 44% higher than the typical CMS-certified WA facility (median: 123)
$212,847 in fines · 5 enforcement actions
29 days to fix issues · faster than the typical CMS-certified WA facility (median: 37)
100% corrected
55 of 55 citations corrected Latest inspection: Jun 18, 2026 · 2 citations, all corrected
Most cited category: Quality of Life & Care, 15 of 55 citations · 10 categories in total
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Showing the 50 most recent of 55 citations.
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
42 of 55 citations resulted from standard inspections; 12 of 55 resulted from complaint investigations; and 1 of 55 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
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.
Show Inspection Reports
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 Aug 2026
5 penalties in the past 3 years
Latest: Oct 27, 2025 · $15,015 civil money penalty
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$15,015
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$107,738
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$54,649
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$28,002
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$7,443Totals count every penalty on record; the history lists the past 3 years. Washington and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
How residents at this home fare on health outcomes and preventive care, compared with the Washington average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 12% · WA 3.6This facility: 4.0, 12% above the WA average of 3.6 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 10% · WA 3.6This facility: 4.0, 10% above the WA average of 3.6 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
8.0
Score · lower is better
↓ 6% · WA 8.5This facility: 8.0, 6% below the WA average of 8.5 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
11.9
Score · lower is better
↓ 34% · WA 18.0This facility: 11.9, 34% below the WA average of 18.0 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 4 better, 5 worse, 2 near WA average
8 short-stay measures: 5 worse, 3 compared with US only
People who live at the home · 11 measures
Percent of long-stay residents whose need for help with daily activities has increased
15.9%
↑ 12% · WA 14.2This facility: 15.9, 12% above the WA average of 14.2 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
10.2%
↓ 41% · WA 17.2This facility: 10.2, 41% below the WA average of 17.2 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
9.5%
↓ 58% · WA 22.5This facility: 9.5, 58% below the WA average of 22.5 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.4%
↑ 55% · WA 1.6This facility: 2.4, 55% above the WA average of 1.6 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
↓ 8% · WA 2.6This facility: 2.4, 8% below the WA average of 2.6 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
5.8%
↑ 35% · WA 4.3This facility: 5.8, 35% above the WA average of 4.3 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
5.9%
↑ 7% · WA 5.5This facility: 5.9, 7% above the WA average of 5.5 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
10.9%
↓ 38% · WA 17.7This facility: 10.9, 38% below the WA average of 17.7 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
15.8%
↑ 5% · WA 15.1This facility: 15.8, 5% above the WA average of 15.1 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
↓ 1% · WA 96.0This facility: 94.8, 1% below the WA average of 96.0 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.2%
↓ 1% · WA 93.8This facility: 93.2, 1% below the WA average of 93.8 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 8 measures
Percentage of residents at or above expected ability to care for themselves at discharge.
29.3%
↓ 45% · US 53.7This facility: 29.3, 45% below the US average of 53.7 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
66.3%
↑ 31% · US 50.6This facility: 66.3, 31% above the US average of 50.6 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
↑ 38% · WA 1.3This facility: 1.8, 38% above the WA average of 1.3 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
61.9%
↓ 30% · WA 88.3This facility: 61.9, 30% below the WA average of 88.3 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
63.4%
↓ 23% · WA 82.0This facility: 63.4, 23% below the WA average of 82.0 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.4%
↑ 18% · WA 19.9This facility: 23.4, 18% above the WA average of 19.9 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
24.7%
↑ 87% · WA 13.2This facility: 24.7, 87% above the WA average of 13.2 (among WA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
17% of new residents, usually for short-term rehab.
70% of new residents, often for short stays.
13% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
76Residents 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 2012–2024, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2024.
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
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 #51 / 60Payroll costs — State benchmarked This nursing home is ranked 51st out of 60 nursing homes we track in Washington. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Washington average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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 #54 / 60Payroll % of net patient revenue — State benchmarked This nursing home is ranked 54th out of 60 nursing homes we track in Washington. Shows payroll as a percentage of net patient revenue versus the Washington average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Washington that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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 (70% of admissions), and a typical private pay stay runs around 1 months.
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.
Add your location
Info below is compiled from CMS reports & the WA Dept. of Social & Health Services (DSHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Washington average is: 64.4% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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| Avamere Rehabilitation of Cascade Park | NH PC RC SNF | Vancouver (Cascade Highlands) | 88
Facility
88
WA AVG
90
Rank
#41 / 69 | A+ |
94.2%
Facility
94.2%
WA AVG
77.6%
Rank
#7 / 56 | +21% | 4.61
Facility
4.61
WA AVG
4.29
Rank
#8 / 60 | +1% | +8% | $0
Facility
$0
WA AVG
$89.5k
Rank
#1 / 61 | 32
Facility
32
WA AVG
49.6
Rank
#16 / 61 | 4.6
Facility
4.6
WA AVG
6.2
Rank
#20 / 61 | 1 | 83 | - |
56
Facility
56
WA AVG
51
Rank
#33 / 80 | Ryan Rose | $17.9MFiscal year ending 12/2024
Facility
$17.9MFiscal year ending 12/2024
WA AVG
$16.6M
Rank
#15 / 60 | $9.4MFiscal year ending 12/2024
Facility
$9.4MFiscal year ending 12/2024
WA AVG
$10.1M
Rank
#22 / 60 | 52.8%Fiscal year ending 12/2024
Facility
52.8%Fiscal year ending 12/2024
WA AVG
64.4%
Rank
#48 / 60 | 505389 | ||||
| Discovery Nursing & Rehab of Vancouver | NH PC SNF | Vancouver (Hazel Dell South) | 89
Facility
89
WA AVG
90
Rank
#40 / 69 | C |
81.5%
Facility
81.5%
WA AVG
77.6%
Rank
#28 / 56 | +5% | 4.60
Facility
4.60
WA AVG
4.29
Rank
#8 / 60 | -13% | +7% | $212.8k
Facility
$212.8k
WA AVG
$89.5k
Rank
#59 / 61 | 55
Facility
55
WA AVG
49.6
Rank
#39 / 61 | 4.2
Facility
4.2
WA AVG
6.2
Rank
#14 / 61 | 8 | 73 | - |
19
Facility
19
WA AVG
51
Rank
#70 / 80 | - | $12.2MFiscal year ending 12/2024
Facility
$12.2MFiscal year ending 12/2024
WA AVG
$16.6M
Rank
#40 / 60 | $6.1MFiscal year ending 12/2024
Facility
$6.1MFiscal year ending 12/2024
WA AVG
$10.1M
Rank
#51 / 60 | 50.4%Fiscal year ending 12/2024
Facility
50.4%Fiscal year ending 12/2024
WA AVG
64.4%
Rank
#54 / 60 | 505341 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other WA nursing home we track that reports that metric, not just the 2 on this page. See how we rank facilities
Discovery Nursing & Rehab of Vancouver is located in Vancouver, Washington State.
Here are the financial assistance programs available to residents in Washington State.
Discovery Nursing & Rehab of Vancouver is in the Hazel Dell South neighborhood of Vancouver.
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 81.5%.
No, Discovery Nursing & Rehab of Vancouver has a no-pet policy.
Discovery Nursing & Rehab of Vancouver is registered as a for-profit.
Discovery Nursing & Rehab of Vancouver received a 2-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Discovery Nursing & Rehab of Vancouver has 89 beds.
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