Discovery Nursing and Rehab of Vancouver: Data Analysis and Ratings

CMS Five Star Rating(5 out of 5):

 5220 NORTHEAST HAZEL DELL AVENUE VANCOUVER, WA 98663

  360-693-1474

Data date: August 01, 2022

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The Most Important Data about Discovery Nursing and Rehab of Vancouver

We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)

There is no indication of abuse occuring at Discovery Nursing and Rehab of Vancouver. (CMS flags facilities where abuse has either happened or is very likely.)

CMS 5-Star Overall Rating: (5 out of 5):
(The national average overall star rating is 3 stars.)

Current Trend: Improving

Total Nursing Hours Spent Per Resident Per Day: 4.33
(The national average is 3.77 )

According to our analysis, Discovery Nursing and Rehab of Vancouver is ranked #8 out of 65 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near Discovery Nursing and Rehab of Vancouver.

What is this page all about?

Below is everything shred of information that we can find about Discovery Nursing and Rehab of Vancouver, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.

General Data Card

These are the basic data points for the facility.

Data date: August 01, 2022

Address: 5220 NORTHEAST HAZEL DELL AVENUE

VANCOUVER, WA 98663

Phone: 360-693-1474

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Ranking: Discovery Nursing and Rehab of Vancouver is ranked #5 out of 23 facilities within a 10 mile radius and #8 out of 65 facilities within a 25 mile radius.

Medicare Provider Number: 505341

Participating in Medicare Since: June 02, 1989

No. of Certified Beds: 85

No. of Residents: 61

Occupancy: 71.76 % (as of 09/04/2022 )

Amount fined in recent period: $657.80

Complaints filed: 1

Review of Discovery Nursing and Rehab of Vancouver Ratings and Inspection Scores

CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.

Ratings

Overall Rating 5:
Health Inspection Rating 5:
Quality Rating 4:
Staffing Rating 3:

Inspection Scores

Cycle 1 Score NA
Cycle 2 Score (as of April 22, 2019) 48
Cycle 3 Score (as of May 25, 2018) 16
Weighted All Cycles Score 19

It has been 13 months since the most recent inspection.

What Goes Into the Nursing Home's 5-Star Rating

CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.

The rating system has five separate ratings including:

  • Overall rating
  • Health Inspection rating
  • Staff rating
  • RN Staffing rating
  • Quality Measures rating

Nursing homes are rated from 1-star to 5-stars with 1-star being the best rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.

Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :

  1. Begin with the Health Inspection Rating
  2. Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
  3. Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
  4. Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
  5. Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.

Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)

Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.

Owner and Operator Information for Discovery Nursing and Rehab of Vancouver

Our database of owners and operators shows all directo owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.

Business Entity Name:

CARE CENTER HAZEL DELL INC

Owners:

Managers and Directors:

Analysis of Nursing Hours Spent Per Patient

CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.

The nursing staff of Discovery Nursing and Rehab of Vancouver spends MORE time on average with its residents than the state average for total nursing homes spent per resident and MORE time than the national average for total nursing homes spent per resident.

Type Facility State / National Avg
Registered Nurse (RN)
Hours 0.78 0.93 / 0.68
Case Mix 0.35 0.41 / 0.39
Adjusted 0.86 NA / NA
Licensed Practical Nurse (LPN)
Hours 0.75 0.80 / 0.89
Case Mix 0.65 NA / NA
Adjusted 0.85 NA / NA
Certified Nursing Assistants (CNA)
Hours 2.80 2.49 / 2.20
Case Mix 2.10 NA / NA
Adjusted 2.71 NA / NA
Total Licensed Staff
Hours 1.53 1.73 / 1.57
Physical Therapist (PT)
Hours 0.02 0.09 / 0.07
Total Nursing Homes Spent per Resident on Average
Hours 4.33 4.22 / 3.77
Case Mix 3.11 3.32 / 3.17
Adjusted 4.41 NA / NA

Quality Measures

Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.

Desc. Perc. State Avg. / Comparison
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.4% 16.2%
Worse
Percentage of short-stay residents who had an outpatient emergency department visit 16.0% 11.0%
Worse
Number of hospitalizations per 1000 long-stay resident days 1.4% 1.0%
Worse
Number of outpatient emergency department visits per 1000 long-stay resident days 1.0% 0.8%
Worse
Percentage of long-stay residents whose need for help with daily activities has increased 14.1% 13.9%
Worse
Percentage of long-stay residents who lose too much weight 3.1% 6.4%
Better
Percentage of low risk long-stay residents who lose control of their bowels or bladder 55.9% 54.3%
Worse
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6% 1.7%
Better
Percentage of long-stay residents with a urinary tract infection 0.5% 2.3%
Better
Percentage of long-stay residents who have depressive symptoms 2.1% 13.7%
Better
Percentage of long-stay residents who were physically restrained 0.0% 0.5%
Better
Percentage of long-stay residents experiencing one or more falls with major injury 4.5% 2.9%
Worse
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.5% 95.0%
Worse
Percentage of long-stay residents who received an antipsychotic medication 9.9% 13.8%
Better
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.6% 83.7%
Worse
Percentage of short-stay residents who newly received an antipsychotic medication 1.2% 1.5%
Better
Percentage of long-stay residents whose ability to move independently worsened 21.2% 21.8%
Better
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.9% 12.3%
Worse
Percentage of high risk long-stay residents with pressure ulcers 5.8% 7.1%
Better
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.5% 95.3%
Worse
Percentage of short-stay residents who made improvements in function 85.0% 74.4%
Worse
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 93.5% 79.2%
Worse

Discovery Nursing and Rehab of Vancouver Complaints and Fines

These are complaints and fines that are reported by CMS. Some of the data is not very recent, but we have decided to include it here so that you have as much information as possible.

Amount fined in recent period: $657.80, Complaints filed: 1

Deficiency Deficiency Date / Date Corrected
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
(Health)
05-25-2018 / 07-25-2018
Provide care and assistance to perform activities of daily living for any resident who is unable.
(Health)
05-25-2018 / 07-25-2018
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.
(Health)
05-25-2018 / 07-25-2018
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
(Health)
05-25-2018 / 07-25-2018
Have approved installation, maintenance and testing program for fire alarm systems.
(Fire Safety)
05-29-2018 / 07-02-2018
Inspect, test, and maintain automatic sprinkler systems.
(Fire Safety)
05-29-2018 / 07-02-2018
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
(Fire Safety)
05-29-2018 / 07-02-2018
Meet requirements for the use of electrical equipment.
(Fire Safety)
05-29-2018 / 07-02-2018
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
(Health)
04-22-2019 / 05-30-2019
Give the resident's representative the ability to exercise the resident's rights.
(Health)
04-22-2019 / 05-30-2019
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
(Health)
04-22-2019 / 05-30-2019
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
(Health)
04-22-2019 / 05-30-2019
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
(Health)
04-22-2019 / 05-30-2019
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.
(Health)
04-22-2019 / 05-30-2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
(Health)
04-22-2019 / 05-30-2019
Provide and implement an infection prevention and control program.
(Health)
04-22-2019 / 05-30-2019
Establish an Emergency Preparedness Program (EP).
(Fire Safety)
04-22-2019 / 05-23-2019
Develop and maintain an Emergency Preparedness Program (EP).
(Fire Safety)
04-22-2019 / 05-23-2019
Develop Emergency Preparedness policies and procedures.
(Fire Safety)
04-22-2019 / 05-23-2019
Address subsistence needs for staff and patients.
(Fire Safety)
04-22-2019 / 05-23-2019
Establish procedures for tracking staff and patients during an emergency.
(Fire Safety)
04-22-2019 / 05-23-2019
Establish policies and procedures including evacuation.
(Fire Safety)
04-22-2019 / 05-23-2019
Establish policies and procedures for medical documentation.
(Fire Safety)
04-22-2019 / 05-23-2019
Establish policies and procedures for volunteers.
(Fire Safety)
04-22-2019 / 05-23-2019
Create arrangements with other facilities to receive patients.
(Fire Safety)
04-22-2019 / 05-23-2019
Establish roles under a Waiver declared by secretary.
(Fire Safety)
04-22-2019 / 05-23-2019
Develop a communication plan.
(Fire Safety)
04-22-2019 / 05-23-2019
Provide primary/alternate means for communication.
(Fire Safety)
04-22-2019 / 05-23-2019
Establish methods for sharing information.
(Fire Safety)
04-22-2019 / 05-23-2019
Provide a means of sharing information on occupancy/needs.
(Fire Safety)
04-22-2019 / 05-23-2019
Provide family notifications of emergency plan.
(Fire Safety)
04-22-2019 / 05-23-2019
Establish emergency prep training and testing.
(Fire Safety)
04-22-2019 / 05-23-2019
Establish staff and initial training requirements.
(Fire Safety)
04-22-2019 / 05-23-2019
Conduct testing and exercise requirements.
(Fire Safety)
04-22-2019 / 05-23-2019
Inspect, test, and maintain automatic sprinkler systems.
(Fire Safety)
04-22-2019 / 05-23-2019
Install smoke barrier doors that can resist smoke for at least 20 minutes.
(Fire Safety)
04-22-2019 / 05-23-2019
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
(Fire Safety)
04-22-2019 / 05-23-2019
Ensure proper usage of power strips and extension cords.
(Fire Safety)
04-22-2019 / 05-23-2019
Ensure that testing and maintenance of electrical equipment is performed.
(Fire Safety)
04-22-2019 / 05-23-2019
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
(Health)
05-26-2021 / 06-28-2021
Meet other general requirements.
(Fire Safety)
06-08-2021 / 06-25-2021
Provide properly protected cooking facilities.
(Fire Safety)
06-08-2021 / 06-25-2021
Inspect, test, and maintain automatic sprinkler systems.
(Fire Safety)
06-08-2021 / 06-24-2021
Have properly installed electrical wiring and gas equipment.
(Fire Safety)
06-08-2021 / 06-24-2021
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
(Fire Safety)
06-08-2021 / 06-24-2021
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
(Fire Safety)
06-08-2021 / 06-24-2021
Ensure proper usage of power strips and extension cords.
(Fire Safety)
06-08-2021 / 06-24-2021
Ensure that testing and maintenance of electrical equipment is performed.
(Fire Safety)
06-08-2021 / 07-19-2021

Detailed Analysis Pages:

Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.

CMS Five Star Ratings and Quality Measures for Discovery Nursing and Rehab of Vancouver

Five different rating results plus detailed inspection numbers and quality measures for Discovery Nursing and Rehab of Vancouver.

Covid Infections at Discovery Nursing and Rehab of Vancouver

This report is updated weekly and shows new and historical infection levels.

Nursing Hours Analysis for Discovery Nursing and Rehab of Vancouver

How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.

Ownership Details for Discovery Nursing and Rehab of Vancouver

A list of all of the registered owners for Discovery Nursing and Rehab of Vancouver. This includes direct and indirect owners and managers.

Noted Deficiencies for Discovery Nursing and Rehab of Vancouver

A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.

Comparison Ranking of Nearby Skilled Nursing Facilities

How does Discovery Nursing and Rehab of Vancouver compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.

Best Nursing Homes in VANCOUVER

Homes that you should consider. A list ranking the best skilled nursing facilities in VANCOUVER based on their weighted inspection score as of August 01, 2022.

Worst Nursing Homes in VANCOUVER

Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in VANCOUVER based on their weighted inspection score as of August 01, 2022.