1015 North Garrison Road, Vancouver WA 98664 · (360) 694-7501 · 88.65% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Note: Vancouver Specialty and Rehab Care has been flagged for abuse in the past 12 months. We have capped this facility's overall grade accordingly.
Vancouver Specialty and Rehab Care is located in the densely populated metropolitan area of Vancouver, Washington with a population of 299,480 people. Our scoring scheme was not very kind to this facility, as it received an overall rating of F. If you are not satisfied with this facility's mediocre overall grade, you will be pleased to know there are five other nursing homes in Vancouver. More information on this facility's category grades may be found below. Its best category was inspections, which is discussed in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 104 Beds
CCRC :
For profit - Individual
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
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Facility Inspections
D
Historical
We were not high on this nursing home's overall score or its category ratings. We gave it a D for our inspections rating and that turned out to be its best grade. Inspection grades account for a host of factors included in a facility's inspection report. One key criteria we rely on is the quantity and severity of deficiencies. This particular nursing home had a category L deficiency, which is the worst possible category of deficiencies. This category means inspectors identified a widespread deficiency putting patient health or safety in imminent jeopardy. Even a single deficiency of this severity really pulls a facility's inspection rating down. On top of having severe deficiencies, this facility was cited by CMS for possible abuse or neglect. We would not recommend this facility under any circumstance.
Nurse Quality
F
Historical
We also wanted to draw your attention to this facility's poor nursing grade where it received an F. Nursing ratings are primarily associated with the nursing home's level of nurse staffing. According to CMS records, this nursing home averaged 4 hours of nursing care per resident per day. This was actually above the national average. Keep in mind, however, that when we compute our nursing ratings, we apply more weight to hours performed by nurses with a higher level of skill. Despite performing well in terms of nursing hours, this place had poor scores in some of the quality-based measures we looked at in computing our nursing grades. We looked at the percent of residents sustaining pressure ulcers and we were very disappointed. This facility was at roughly 150 percent of the national average in this statistic. This is likely a bad sign when you consider that many bed sores are believed to be preventable with better nursing care. This statistic helped pull down this nursing home's nursing grade quite a bit.
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Short-term Care Quality
F
Historical
Additionally, we gave this nursing home an F in the area of short-term care. Our short-term care scores are based in part on a nursing home's quantity of skilled highly skilled professionals. This means a wide scope of services, spanning from registered nurses to physical and respiratory therapists, in addition to other types of therapy. In this nursing home's case, we found that it provides less physical therapist and registered nurse hours per resident than the average facility. The final item we looked at in this category is the percentage of patients that returned home from the facility. This nursing home struggled quite a bit in this metric as well, with just 27.8 percent of its residents returning home.
Long-term Care Quality
F
Historical
The next category we graded was long-term care. Sadly, it received an abysmal F for this category, which is a poor grade. For long-term care residents, the primary objective is to maintain patients' quality of life and keep them safe. In addition to considering the volume of care provided by nurses and other staff, we also looked at the percentage of residents vaccinated against pneumonia. Fortunately, this facility administered the vaccine to 97.916664 percent of its patients, which is a very solid percentage. Lastly, we looked at the nursing home's number of hospitalizations. We found that this nursing home fared much worse with 3.63 hospitalizations per one thousand long-term resident days. Unfortunately, this statistic is more than twice the national average.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Aug 20
Provider:
F
State:
B-
National:
B
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating
Vancouver Specialty and Rehab Care Quality Metrics
Minimizes Pressure Ulcers
This tells you the percent of residents who have had a pressure ulcer. Pressure ulcers, also known as bed sores, are routinely the result of patients not being moved frequently enough. Better nursing protocols minimizes the number of pressure ulcers sustained by residents in a nursing home.
Provider
D
14.07%
State
B+
6.51%
National
B
7.33%
Percent of Patients with Pressure Ulcers Lower is Better
Minimizes Serious Falls
This statistic gauges the percent of long-term patients who had falls resulting in major injury. Falls can arise for a variety of reasons, but excessive numbers of falls could be an indication of lower quality nursing care.
Provider
A-
2.08%
State
B+
3.03%
National
B
3.36%
Percent of Patients with Serious Falls Lower is Better
Minimizes Urinary Tract Infections
This is the percent of patients who suffered from a urinary tract infection. These infections may be associated with inadequate hygiene.
Provider
B+
1.51%
State
B
2.47%
National
B
2.65%
Percent of Patients with UTIs Lower is Better
Appropriately Uses Anti-Psychotic Medication
This statistic measures the percentage of long-term care patients receiving antipsychotic medications. While antipsychotic medications serve an important medical purpose, it is important to confirm these medications are being used appropriately. In some situations, increased usage of these drugs may mean a nursing home is using these drugs to control patient behavior.
Provider
C
19.87%
State
B
14.62%
National
B
14.18%
Percent of Patients Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of residents who were given antianxiety medications. These medications are generally prescribed to patients suffering from anxiety or depression.
Provider
B
18.83%
State
A-
12.27%
National
B
19.67%
Percent of Patients Lower is Better
Managing Depression Among Residents
This metric is a measure of the percentage of long-term care patients who are demonstrating depressive symptoms.
Provider
B
1.41%
State
B-
10.42%
National
B+
5.09%
Percent of Patients Lower is Better
Appropriate Vaccine Usage
This metric measures the percentage of long-term care patients that received the flu and pneumonia vaccines.
Provider
B-
96.02%
State
B
92.43%
National
B
92.04%
Percent of Patients Higher is Better
Residents Maintain Autonomy
This is a measure of the percentage of long-term care patients that required increased assistance with activities of daily living over time. ADL's include activities such as taking medications and taking a bath. Some argue that this is a reasonable measure of a patient's well-being.
Provider
B
13.6%
State
B+
13.68%
National
B
14.47%
Percentage of Patients Lower is Better
Ability to Keep Residents Mobile
This indicates the percentage of patients that remained mobile levels over time. Retaining mobility is usually a great sign for residents' well-being.
Provider
B
16.34%
State
B
18.05%
National
B
17.09%
Percentage of Residents Higher is Better
Hospitalizations
This is the number of times residents are hospitalized per thousand days of care. There is typically a correlation between keeping patients out of the hospital and the quality of care.
Provider
B-
1.91
State
A-
1.28
National
B
1.70
Hospitalizations per 1,000 resident days Lower is Better
Short-term Care: Rehospitalizations
This is the number of times residents are rehospitalized per 1,000 days of short-term patient care.
Provider
B
16.34
State
B
18.05
National
B
17.09
Percentage of Residents Rehospitalized Lower is Better
Short-term Care: ER Visits
This metric measures the number of times residents are sent to the emergency room per thousand days of short-term patient care.
This tells you the percentage of short-term care residents that saw functional improvements, such as enhanced ability to perform activities of daily living.
Provider
A-
76.01%
State
B
67.15%
National
B
68.04%
Percentage of Resident Higher is Better
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