VANCOUVER SPECIALTY AND REHAB CARE in VANCOUVER, WA was fined $58,607 by CMS across 2 separate penalties following 30 deficiency citations identified during federal surveys.

VANCOUVER SPECIALTY AND REHAB CARE (VANCOUVER, WA) — $58,607 in CMS Fines

Outcome: VANCOUVER SPECIALTY AND REHAB CARE in VANCOUVER, WA was fined $58,607 by CMS across 2 separate penalties following 30 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.


• Provide care and assistance to perform activities of daily living for any resident who is unable.


• 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.


• PASARR screening for Mental disorders or Intellectual Disabilities


• Provide appropriate treatment and care according to orders, resident’s preferences and goals.


• Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.


• Observe each nurse aide's job performance and give regular training.


• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.