Federal inspection record · CMS data as of October 1, 2026
Avamere Rehabilitation Of Cascade Park
801 Southeast Park Crest Avenue, Vancouver, WA · (360) 260-2200
- CMS high-performer trophy
- Certified beds
- 88
- Residents per day
- 83
- Ownership
- For-Profit
- Chain
- Avamere
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1991
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Washington.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Avamere Rehabilitation Of Cascade Park carries 42 inspection points. That is fewer than 82% of Washington's 192 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Washington: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–69 pts
- 3★ 69–100 pts
- 2★ 100–167 pts
- 1★ over 167 pts
Bars show every rated home in Washington by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
32 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Rights14E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
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.
- D
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.
- D
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.
- E
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- E
Give residents a notice of rights, rules, services and charges.
- E
The resident has the right to receive notices in a format and a language he or she understands.
- E
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
Quality of Life and Care4E
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
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.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- E
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.
Freedom from Abuse, Neglect, and Exploitation2E
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- E
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service2D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Administration1E
- E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspection history
2025-11-21
9 health deficiencies · 16 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-08-09
11 health deficiencies · 17 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2023-09-22
12 health deficiencies · 11 fire-safety deficiencies
Top issue: Resident Rights (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 36 min of nursing staff time a day, 1 h 13 min of it from a registered nurse.
This home
4 h 36 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 34% of nursing staff and 35% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better | 100.0% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.5 pts better | 97.8% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better | 1.4% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.7 pts better | 3.2% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts better | 4.3% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.9 pts worse | 18.4% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.3 pts better | 11.7% | 15.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6 pts worse | 21.6% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.2 pts better | 11.6% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.7 pts worse | 3.5% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 0.7% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.6 pts worse | 25.2% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts worse | 5.2% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.2 pts better | 97.9% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.8 pts worse | 13.8% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 1.5% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.9 pts better | 97.3% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.7 pts worse | 27.4% | 19.7% | 23.4% |
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Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Kofstad, Mary | Corporate Officer · Individual | 0% | 22 facilities |
| Morris, Christopher | Contracted Managing Employee · Individual | 0% | 18 facilities |
| Rose, Ryan | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Simpson, Andrew | Corporate Officer · Individual | 0% | 18 facilities |
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Fire safety
44 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness20F
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Provide family notifications of emergency plan.
- F
Include a process for Emergency Preparedness collaboration.
- F
Develop Emergency Preparedness policies and procedures.
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures including evacuation.
- F
Establish policies and procedures for medical documentation.
- F
Provide primary/alternate means for communication.
- F
Establish methods for sharing information.
- F
Provide family notifications of emergency plan.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
- F
Include a process for Emergency Preparedness collaboration.
- D
Develop Emergency Preparedness policies and procedures.
- D
Develop a communication plan.
- D
List the names and contact information of those in the facility.
- D
Develop and maintain an Emergency Preparedness Program (EP).
- D
Include a process for Emergency Preparedness collaboration.
Smoke11F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Provide properly protected cooking facilities.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
Gas, Vacuum, and Electrical Systems5F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure proper usage of power strips and extension cords.
Services4F
- F
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
Egress1F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
-
Hudson Bay Health And Rehabilitation
Vancouver, WA · Cascadia Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 41 min
- Fines
- $0
-
Vancouver Specialty And Rehab Care
Vancouver, WA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 4 min
- Fines
- $0
-
Evergreen Post Acute
Portland, OR · Pacs Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 58 min
- Fines
- $4,194