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Public Record

Hudson Bay Health and Rehabilitation

Nursing HomeVancouver, WACMS 505260
82 citations on record

From CMS

Facility profile

CMS overall rating
5 / 5

*CMS Five-Star

Certified beds
92

*CMS

Avg. residents per day
78.3

*CMS

Inspection record

On record from CMS

Citations on record
82

*CMS

Inspections on file
10

*CMS

Last inspection
2026-03-19

*CMS

Citations

82 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0521Generalpotential for harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0761Generalpotential for harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0645Generalpotential for harm

    PASARR screening for Mental disorders or Intellectual Disabilities

  • 0578Generalpotential for harm

    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.

  • 0324Generalpotential for harm

    Provide properly protected cooking facilities.

  • 0291Generalpotential for harm

    Install emergency lighting that can last at least 1 1/2 hours.

  • 0921Generalpotential for harm

    Ensure that testing and maintenance of electrical equipment is performed.

  • 0553Generalpotential for harm

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

  • 0920Generalpotential for harm

    Ensure proper usage of power strips and extension cords.

  • 0918Generalpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0908Generalpotential for harm

    Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

  • 0921Generalpotential for harm

    Ensure that testing and maintenance of electrical equipment is performed.

  • 0923Generalpotential for harm

    Have proper medical gas storage and administration areas.

  • 0909Generalpotential for harm

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

  • 0804Generalpotential for harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  • 0755Generalpotential for harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • 0740Generalpotential for harm

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0100Generalpotential for harm

    Meet other general requirements.

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0324Generalpotential for harm

    Provide properly protected cooking facilities.

  • 0321Generalpotential for harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  • 0521Generalpotential for harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0761Generalpotential for harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  • 0918Generalpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0760Generalpotential for harm

    Ensure that residents are free from significant medication errors.

  • 0039Generalpotential for harm

    Conduct testing and exercise requirements.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0806Generalpotential for harm

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0921Generalpotential for harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  • 0009Generalpotential for harm

    Include a process for Emergency Preparedness collaboration.

  • 0020Generalpotential for harm

    Establish policies and procedures including evacuation.

  • 0029Generalpotential for harm

    Develop a communication plan.

  • 0030Generalpotential for harm

    List the names and contact information of those in the facility.

  • 0032Generalpotential for harm

    Provide primary/alternate means for communication.

  • 0035Generalpotential for harm

    Provide family notifications of emergency plan.

  • 0036Generalpotential for harm

    Establish emergency prep training and testing.

  • 0100Generalpotential for harm

    Meet other general requirements.

  • 0321Generalpotential for harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0363Generalpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0729Generalpotential for harm

    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

  • 0037Generalpotential for harm

    Establish staff and initial training requirements.

  • 0036Generalpotential for harm

    Establish emergency prep training and testing.

  • 0906Seriousimmediate jeopardy

    Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers.

  • 0848Generalpotential for harm

    Provide a neutral and fair arbitration process and agree to arbitrator and venue.

  • 0843Generalpotential for harm

    Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

  • 0625Generalpotential for harm

    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.

  • 0585Generalpotential for harm

    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.

  • 0578Generalpotential for harm

    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.

  • 0576Generalpotential for harm

    Ensure residents have reasonable access to and privacy in their use of communication methods.

  • 0574Generalpotential for harm

    The resident has the right to receive notices in a format and a language he or she understands.

  • 0550Generalpotential for harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • 0007Seriousimmediate jeopardy

    Address patient/client population and determine types of services needed.

  • 0835Generalpotential for harm

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  • 0020Generalpotential for harm

    Establish policies and procedures including evacuation.

  • 0022Generalpotential for harm

    Establish policies and procedures for sheltering.

  • 0032Generalpotential for harm

    Provide primary/alternate means for communication.

  • 0035Generalpotential for harm

    Provide family notifications of emergency plan.

  • 0015Generalpotential for harm

    Address subsistence needs for staff and patients.

  • 0921Generalpotential for harm

    Ensure that testing and maintenance of electrical equipment is performed.

  • 0920Generalpotential for harm

    Ensure proper usage of power strips and extension cords.

  • 0918Seriousimmediate jeopardy

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0915Generalpotential for harm

    Have proper power supply for life support equipment.

  • 0908Generalpotential for harm

    Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

  • 0907Generalpotential for harm

    Ensure medical gas and vacuum systems have documented maintenance programs.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0521Generalpotential for harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0324Generalpotential for harm

    Provide properly protected cooking facilities.

  • 0039Generalpotential for harm

    Conduct testing and exercise requirements.

  • 0916Generalpotential for harm

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

  • 0761Generalpotential for harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0758Generalpotential for harm

    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.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

FAQ

Questions and answers

What is Hudson Bay Health and Rehabilitation?
Hudson Bay Health and Rehabilitation is a Medicare- and Medicaid-certified nursing home in Vancouver, WA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 505260.
What is the CMS rating for Hudson Bay Health and Rehabilitation?
Hudson Bay Health and Rehabilitation has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Hudson Bay Health and Rehabilitation have?
Hudson Bay Health and Rehabilitation is certified for 92 beds. It serves an average of 78.3 residents per day.
How many citations does Hudson Bay Health and Rehabilitation have?
Hudson Bay Health and Rehabilitation has 82 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Hudson Bay Health and Rehabilitation last inspected?
Hudson Bay Health and Rehabilitation was last inspected on March 19, 2026. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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