8 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Vancouver, WA
5-star overall rating with 4-star inspections with 8 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
801 Southeast Park Crest Avenue, Vancouver, WA
(360) 260-2200
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
88
Certified beds
Average residents
82
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Avamere
Operator or chain grouping
Approved since
1991-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
33 facilities
Chain averages 3 overall / 3 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.01
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
1.08
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.51
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
4.60
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
2.09
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
4.12
Weekend nurse staffing · state 3.79 · national 3.43
Weekend RN hours
0.67
Weekend registered nurse coverage · state 0.63 · national 0.47
Physical therapist
0.18
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.00
CMS adjusted RN staffing hours
Adjusted total hours
4.55
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
26%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
3,479
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.13
Composite VBP score used to determine payment impact.
Payment multiplier
0.9972
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2
Baseline 17.36% · Performance 20.51% · Measure score 2 · Achievement 2 · Improvement 0
Healthcare-associated infections
2.74
Baseline 4.36% · Performance 7.02% · Measure score 2.74 · Achievement 2.74 · Improvement 0
Total nurse turnover
8.05
Baseline 43.59% · Performance 30.77% · Measure score 8.05 · Achievement 8.05 · Improvement 6.34
Adjusted total nurse staffing
4.87
Baseline 4.52 hours · Performance 4.46 hours · Measure score 4.87 · Achievement 4.87 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.57% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 220 · Observed rate 10.45% · Lower 95% interval 8.53% |
| Discharge to community | 62.34% |
50.57%
11.8 pts better
|
Better than the National Rate · Eligible stays 246 · Observed rate 55.28% · Lower 95% interval 56.49% |
| Medicare spending per beneficiary | 0.85 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 129 · Denominator 129 |
| Falls with major injury | 0.78% |
0.77%
About the same
|
Numerator 1 · Denominator 129 |
| Discharge self-care score | 47.31% |
53.69%
6.4 pts worse
|
Numerator 44 · Denominator 93 |
| Discharge mobility score | 44.09% |
50.94%
6.8 pts worse
|
Numerator 41 · Denominator 93 |
| Pressure ulcers or injuries, new or worsened | 1.55% |
2.29%
0.7 pts better
|
Numerator 2 · Denominator 129 · Adjusted rate 1.82% |
| Healthcare-associated infections requiring hospitalization | 7.02% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 128 · Observed rate 6.25% · Lower 95% interval 4.34% |
| Staff COVID-19 vaccination coverage | 4.29% |
8.2%
3.9 pts worse
|
Numerator 7 · Denominator 163 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 145 |
| Discharge function score | 52.69% |
56.45%
3.8 pts worse
|
Numerator 49 · Denominator 93 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 26 · Denominator 26 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 90 · Denominator 90 |
| Resident COVID-19 vaccinations up to date | 25.81% |
25.2%
0.6 pts better
|
Numerator 16 · Denominator 62 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
96.0%
4 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.8%
6.2 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
2.6%
2 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
16.3%
13.8 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.2% · Q3 3.6% · Q4 0.0% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 8.6% |
5.8%
2.8 pts worse
|
5.4%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 7.7% · Q3 8.1% · Q4 8.1% · 4Q avg 8.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.5% |
12.1%
5.4 pts worse
|
19.6%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 23.1% · Q3 13.2% · Q4 16.2% · 4Q avg 17.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.7% |
15.9%
4.2 pts better
|
16.7%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 10.7% · Q3 10.3% · Q4 9.4% · 4Q avg 11.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 26.8% |
20.0%
6.8 pts worse
|
16.3%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 26.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.1% |
15.8%
1.3 pts worse
|
14.9%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 5.6% · Q3 27.0% · Q4 16.7% · 4Q avg 17.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.5% |
1.2%
4.3 pts worse
|
1.0%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.0% · Q3 10.0% · Q4 7.1% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
1.7%
0.4 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.5% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.4% |
23.5%
3.1 pts better
|
19.8%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 16.4% · Q3 23.7% · Q4 27.4% · 4Q avg 20.4% |
| Percentage of long-stay residents with pressure ulcers | 9.2% |
4.7%
4.5 pts worse
|
5.1%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 12.2% · Q3 6.6% · Q4 6.6% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
87.7%
12.3 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.6% |
13.2%
5.4 pts worse
|
12.0%
6.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.6% · Observed 17.0% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.4%
0.6 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.8% · Q3 1.1% · Q4 1.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.9% |
82.0%
14.9 pts better
|
79.7%
17.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.3% |
19.9%
3.4 pts worse
|
23.9%
0.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.3% · Observed 20.8% · Expected 21.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Resident Rights (5 deficiencies)
17 fire-safety deficiencies
Top issue: Emergency Preparedness (11 deficiencies)
Top issue: Resident Rights (7 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-09-11
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2024-09-11
Fire Safety
Provide family notifications of emergency plan.
Corrected 2024-10-02
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2024-10-14
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-09-11
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-10-11
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-11
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-10-11
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-09-11
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-10-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-11
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-10-11
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-09-11
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2023-10-23
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-10-23
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2023-10-23
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2023-10-23
Fire Safety
Provide primary/alternate means for communication.
Corrected 2023-10-23
Fire Safety
Establish methods for sharing information.
Corrected 2023-10-23
Fire Safety
Provide family notifications of emergency plan.
Corrected 2023-10-23
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-10-23
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-10-23
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-10-23
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2023-10-23
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-10-23
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-10-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-23
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-23
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-10-23
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-10-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-12
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-12-12
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-12-12
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-12-12
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2022-12-12
Fire Safety
Develop a communication plan.
Corrected 2022-11-18
Fire Safety
List the names and contact information of those in the facility.
Corrected 2022-12-12
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-12-12
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2022-12-12
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-12-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-12-12
Inspection history
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-12-19
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-12-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-23
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-12-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-23
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-12-23
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-23
Health
Post nurse staffing information every day.
Corrected 2025-12-23
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-10-11
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-11
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-09-11
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-09-11
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-09-11
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-09-11
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-09-11
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-09-11
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-11
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-11
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-11-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-03
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2023-11-03
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2023-11-03
Health
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2023-11-03
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-11-03
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-11-03
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2023-11-03
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2023-11-03
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-11-03
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-11-03
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-11-03
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-06-23
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Contracted Managing Employee · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Nearby options
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Portland, OR
1-star overall rating with 2-star inspections with $4,194 in total fines with 19 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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