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4/5
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.
4/5
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.
Stephen’s Place is a specialized residential community in Vancouver, Washington, focusing on adults with intellectual and developmental disabilities (IDD). With a 41-bed capacity, the community has 30 occupied beds and is currently at a 73% occupancy rate. The community also follows a holistic model that supports physical, social, emotional, spiritual, vocational, and volunteer aspects of daily life.
This setting differs from traditional assisted living or nursing models and is classified as a behavioral health community, offering services like private residential apartments, a structured day program, horticultural therapy, and opportunities for community involvement. Its focused approach makes it a more specialized option, so families should confirm that eligibility requirements are met before moving forward.
According to the Washington Department of Social and Health Services, Residential Care Services, the community has had two inspections. The most recent, conducted on December 12, 2024, identified gaps in fire safety documentation, including missing or outdated testing records, resulting in a compliance concern in that area. A prior follow-up visit in October 2024 also found no deficiencies and confirmed that earlier staff training documentation issues had been resolved. Additionally, there were no complaint-initiated investigations reported.
Stephen’s Place is best suited for adults with intellectual and developmental disabilities seeking structured programming, community engagement, and support in a smaller residential setting. Its focus on dignity, independence, and meaningful daily activity sets it apart from more traditional care models. Families are also encouraged to discuss eligibility criteria and current safety updates directly with the community.
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 38th out of 89 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.
| 1h 11m per day | ▲ 29% State avg: 54m 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.
| 30m per day | ▼ 37% State avg: 48m 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 26m per day | ▼ 9% State avg: 2h 41m per day · National avg: 2h 20m 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 27m per day | ▼ 12% State avg: 3h 57m per day · National avg: 3h 27m 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.
| 4m per day | ▼ 26% State avg: 6m 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.
| 41m per day | ▲ 5% State avg: 39m per day · National avg: 29m per day |
Similar to the Washington average: 72.5%In Washington, the Department of Social and Health Services, Residential Care Services conducts unannounced inspections and issues reports on the quality of care in all licensed settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Washington state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 6 | 31 | This facility has 81% fewer total deficiencies than a typical Washington nursing home (6 vs. WA avg 31).↓ 81% better |
|
Deficiencies per year
Average deficiencies per year since 2024.
| 3 | 15.5 | This facility has 81% fewer deficiencies per year than a typical Washington nursing home (3 vs. WA avg 15.5).↓ 81% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Washington average 7.8
Last Health inspection on Mar 2025
Washington average 48.9
Washington average 6.92
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
30 of 33 citations resulted from standard inspections; and 3 of 33 resulted from complaint investigations.
233% worse than Washington averageWashington average: 0.3
76% worse than Washington averageWashington average: 1.7
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
8% more staff per resident than Washington average
7% worse than Washington average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 19 RN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursAssists with medical care and medications.
11 total: 10 full-time employees and 1 contractor.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursHelps with daily care and mobility.
All 69 CNA Staff are full-time employees. No contractors work on this role.
69
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,149 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 69 | 0 | 69 | 17,603 | 92 | 100% | 7.3 |
| Registered Nurse | 19 | 0 | 19 | 5,518 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 10 | 1 | 11 | 3,634 | 92 | 100% | 9.4 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 2,541 | 78 | 85% | 7.9 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,126 | 90 | 98% | 7 |
| Speech Language Pathologist | 1 | 2 | 3 | 907 | 86 | 93% | 7 |
| Physical Therapy Aide | 2 | 0 | 2 | 844 | 78 | 85% | 7.1 |
| Mental Health Service Worker | 2 | 0 | 2 | 749 | 62 | 67% | 7.7 |
| Dental Services Staff | 2 | 0 | 2 | 501 | 62 | 67% | 7.9 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 495 | 62 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 445 | 56 | 61% | 8 |
| Administrator | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 229 | 30 | 33% | 7.6 |
| Physical Therapy Assistant | 3 | 0 | 3 | 201 | 46 | 50% | 4.2 |
| Other Physician | 0 | 1 | 1 | 160 | 40 | 43% | 4 |
| Medical Director | 0 | 1 | 1 | 68 | 34 | 37% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 42 | 35 | 38% | 1.2 |
| Qualified Social Worker | 1 | 0 | 1 | 39 | 13 | 14% | 3 |
Includes penalties issued in 2024-2025
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)
86% higher than Washington averageWashington average: $82K
62% 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.
1
261% more payment denials than Washington averageWashington average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 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.
Mar 4, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 3, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jan 3, 2024Last 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.
9.5
5% better than Washington averageWashington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.9
14% better than Washington averageWashington average: 20.9
Percent of long-stay residents whose need for help with daily activities has increased
16.4%
In line with Washington averageWashington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
16.1%
26% better than Washington averageWashington average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.2%
13% better than Washington averageWashington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
8.3%
219% worse than Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
2.0%
60% better than Washington averageWashington average: 4.9%
Percent of long-stay residents with a urinary tract infection
6.2%
254% worse than Washington averageWashington average: 1.7%
Percent of long-stay residents who lose too much weight
4.8%
18% better than Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
11.5%
29% better than Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
25.0%
73% worse than Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Washington averageWashington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
In line with Washington averageWashington average: 93.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.4%
In line with Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
72% better than Washington averageWashington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.2%
In line with Washington averageWashington average: 82.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
59% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
65Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 Stephen’s Place from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #29 / 93Payroll — State benchmarkedThis home is ranked 29th 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (59% of admissions), and a typical Medicare stay runs around 29 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.6 miles from city center
Estimated distance in miles from Vancouver's city center to Stephen’s Place's address, calculated via Google Maps.
Add your location
Stephen’s Place is located in Vancouver, Washington.
Here are the financial assistance programs available to residents in Washington.
Stephen’s Place has a walk score of 33. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to WA state health department records, Stephen’s Place's license number is 2414.
According to WA state health department records, Stephen’s Place's license expires on January 31, 2026.
Stephen’s Place's occupancy is 73%.
Stephen’s Place has 41 beds.
Yes — there are 2 photos of Stephen’s Place in the photo gallery on this page.
Stephen’s Place is located at 501 SE Ellsworth Rd.
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