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Nursing HomeMedicaid Top Rated

Hudson Bay Health and Rehabilitation

Strong Medicare quality ratings; families often praise highly competent respiratory therapy department. Still worth an in-person visit.

8507 Northeast 8th Way, North Garrison Heights · Vancouver, WA 9866492 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.1/5

based on 80 Google reviews

5
4
3
2
1
Hudson Bay Health and Rehabilitation Nursing Home in Vancouver, WA — Street View
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What this means for your family

This facility appears to have a functional rehab and respiratory therapy program, but the reports of neglect in long-term care are alarming. If you consider this facility, we strongly recommend unannounced visits during evening or weekend shifts to observe staffing levels and response times, as these are the most frequently cited areas of failure.

Google Reviews

Google Reviews

80 reviews on Google
Hudson Bay Health and Rehabilitation receives highly polarized feedback, with some families praising the respiratory and physical therapy departments for their dedication, while others report severe neglect and safety concerns. Critical reviews frequently cite unresponsive staff, poor hygiene, and significant delays in answering call lights, suggesting a lack of consistency in quality of care. Families should be aware of the stark contrast between the positive experiences of some rehab patients and the distressing accounts of long-term care residents.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean4.0Activities6.0Meds3.0MemoryN/AComms3.0ValueN/A

Strengths

  • Highly competent respiratory therapy department
  • Effective physical therapy and rehabilitation services
  • Helpful and communicative administrative/social services staff
  • Clean and well-maintained facility environment

Concerns

  • Unresponsive staff and failure to answer call lights (mentioned by 12 reviewers)
  • Poor hygiene and lingering odors (feces/urine) (mentioned by 6 reviewers)
  • Neglect of basic patient needs (bathing, changing, feeding) (mentioned by 8 reviewers)
  • Theft of personal belongings (mentioned by 3 reviewers)
  • Poor communication regarding patient transfers or status (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(2)'17(6)'19(6)'23(26)'25(24)'26(17)

Distribution · 140 analyzed

5
69
4
11
3
0
2
7
1
53

How They Respond to Reviews

5%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the facility's focus on respiratory and physical therapy, how do you ensure that the same level of attention is consistently applied to daily personal care needs like bathing and hygiene?
  • 2I noticed the staffing rating is lower than the overall CMS score; what specific protocols do you have in place to ensure call lights are answered promptly and residents' needs are met in a timely manner?
  • 3How do you maintain the cleanliness of the facility and manage odor control throughout the day to ensure a comfortable living environment for all residents?
  • 4Since communication is a top priority for our family, what is your standard process for keeping us updated on any changes in care, transfers, or medical status?
  • 5What measures do you have in place to safeguard residents' personal belongings and ensure their property remains secure?
  • 6Could you walk me through the daily activity schedule and how you encourage residents to participate in social life outside of their rehabilitation sessions?

Personalized based on this facility's data


Key Review Excerpts

The respiratory department is professional and compassionate. The staff is awesome!

Respiratory care family member · 2023★★★★★

The CNAs we spoke to didn't know how to suction or communicate with her. She was often found alone in a dark room with her cellphone of

Long-term resident's family · 2024☆☆☆☆

They would leave him without meds, barely bathed him, did basically zero therapy with him, and left his oxygen line full of fluid multiple times to where he almost died- not an exaggeration.

Long-term resident's family · 2024☆☆☆☆
Source: 80 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.02hrs
OK
Registered nurses for medical care
Total Nursing
3.79hrs
92%
All nurses + aides combined
Staff Turnover
59%
Lower is better (< 30% = good)
RN Turnover
56%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

13

measures

Worse Than Avg

2

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility25.6%
Worse than Avg
Here
25.6%
US
15.3%
WA
18.8%
Clark
11.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.1%
Mixed vs Avgs
Here
13.1%
US
19.5%
WA
12.2%
Clark
24.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility8.3%
Better than Avg
Here
8.3%
US
12.1%
WA
17.1%
Clark
17.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
WA
95.9%
Clark
91.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.2%
Better than Avg
Here
10.2%
US
15.4%
WA
15.2%
Clark
14.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility96.3%
Better than Avg
Here
96.3%
US
95.5%
WA
93.8%
Clark
91.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility88.0%
Better than Avg
Here
88.0%
US
79.7%
WA
82.0%
Clark
76.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.0%
Better than Avg
Here
90.0%
US
81.8%
WA
87.9%
Clark
80.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
1.6%
WA
1.3%
Clark
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Well below state avg (17.1)
5 complaint-triggered
$65,861 in fines

Hudson Bay Health and Rehabilitation has 68 deficiencies across recent surveys, with 4 complaint-triggered issues where families reported concerns about medication management and food safety. The facility shows recurring problems in three main areas: emergency preparedness planning, fire safety systems, and medication management. While all deficiencies appear corrected according to facility reports, the pattern of repeated issues across multiple surveys in emergency planning and safety systems suggests ongoing operational challenges families should discuss during visits.

Mar 19, 2026Routine
14
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

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

0908Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0578Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

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

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Apr 24, 2025Routine
34
0100Potential for harm · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

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

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0100Potential for harm · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

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

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0909Potential for harm · IsolatedCorrected

Environmental Deficiencies

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.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0521Potential for harm · IsolatedCorrected

Services Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0909Potential for harm · IsolatedCorrected

Environmental Deficiencies

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.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0521Potential for harm · IsolatedCorrected

Services Deficiencies

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

Sep 9, 2024Complaint
1
0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jun 7, 2024Routine
30
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0009Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Include a process for Emergency Preparedness collaboration.

0020Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0029Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop a communication plan.

0030Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

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

0032Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0035Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0036Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0100Potential for harm · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0032Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0009Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Include a process for Emergency Preparedness collaboration.

0020Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0029Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop a communication plan.

0030Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

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

0035Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0036Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0100Potential for harm · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

Jun 7, 2024Complaint
2
0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

Sep 22, 2023Complaint
1
0729Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hudson Bay Health and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Cascadia Healthcare

Chain Size

44 facilities nationwide

Chain avg rating: 3.2/5 · Rank 2 of 43 (Best)

Ownership & Management

Owners

Cascadia Washington Operations LLC

Owner · Organization

Cascadia Hc Group LLC

Owner (parent company) · Organization

Cascadia Healthcare LLC

Owner (parent company) · Organization

Cascadia Holdco LLC

Owner (parent company) · Organization

Hammond, Owen

Owner (parent company)

Laforte, Stephen

Owner (parent company)

Nelson, Timothy

Owner (parent company)

Key personnel

Timberline Ohi Tenant LLC5% or Greater Security InterestWhite Oak Healthcare Finance LLC5% or Greater Security InterestCascadia Services LLCManagerDinh, DieuManagerHammond, OwenManager
Source: Medicare provider data

Contact

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References & Resources

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