Bridge Crest Post Acute
A nursing home in Vancouver, Washington 98663
5220 Northeast Hazel Dell Avenue, Vancouver, Washington 98663. (360) 693-1474.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 22 health citations at the latest inspection cycle Washington average: 15.7
- 3.83 nurse hours per resident per day Washington average: 4.42
- 4 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
22 health citations at the latest inspection cycle
The Washington average is 15.7.
Last standard inspection Dec 12, 2025.
Most serious in three years: immediate jeopardy to health or safety (J), at a standard inspection on Nov 14, 2023
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
48 citations in 12 months of the last 36. Last cited Aug 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 58 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 16 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 12, 2026: complaint inspection1 citation
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jul 23, 2026: complaint inspection1 citation
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jul 20, 2026: complaint inspection1 citation
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Ensure services provided by the nursing facility meet professional standards of quality.
Jul 15, 2026: complaint inspection1 citation
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Jun 18, 2026: complaint inspection2 citations
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dec 12, 2025: standard inspection15 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Reasonably accommodate the needs and preferences of each resident.
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Keep residents’ personal and medical records private and confidential.
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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Ensure each resident receives an accurate assessment.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Provide activities to meet all resident’s needs.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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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.
Oct 27, 2025: complaint inspection1 citation
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Sep 4, 2025: complaint inspection2 citations
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Verify that a nurse aide has been trained; and if they haven’t worked as a nurse aide for 2 years, receive retraining.
Aug 25, 2025: complaint inspection1 citation
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Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.
Aug 4, 2025: complaint inspection1 citation
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Apr 24, 2025: complaint inspection1 citation
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Mar 11, 2025: complaint inspection1 citation
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Ensure that residents are free from significant medication errors.
Feb 27, 2025: complaint inspection1 citation
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Provide timely, quality laboratory services/tests to meet the needs of residents.
Oct 11, 2024: standard inspection18 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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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.
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Keep residents’ personal and medical records private and confidential.
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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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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.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide enough food/fluids to maintain a resident’s health.
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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.
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Post nurse staffing information every day.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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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.
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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.
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Provide and implement an infection prevention and control program.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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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.
Mar 20, 2024: complaint inspection1 citation
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Nov 14, 2023: standard inspection9 citations
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers.
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Provide enough food/fluids to maintain a resident’s health.
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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.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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Provide and implement an infection prevention and control program.
Nov 14, 2023: standard and complaint inspection1 citation
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Respond appropriately to all alleged violations.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jun 2, 1989.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 4 fines in the last three years, $205,643 in all.
- No Medicare payment denials in the last three years.
- 16 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Oct 27, 2025 | Fine | $15,254 |
| Apr 24, 2025 | Fine | $107,738 |
| Feb 27, 2025 | Fine | $54,649 |
| Nov 14, 2023 | Fine | $28,002 |
Who does the caring?
3.83 nurse hours per resident per day
The Washington average is 4.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Washington average |
|---|---|---|
| Nurse hours per resident per day | 3.83 | 4.42 |
| Of which registered nurses | 0.82 | 0.99 |
| At weekends | 3.17 | 3.82 |
| Nursing staff turnover | 61.9% | 43.9% |
| Registered nurse turnover | 50% | 43.8% |
| Administrators who left | 1 | Not given |
Who owns it?
- Providence Group NH, LLC owns 100% directly since May 14, 2024.
- 11 owners or officers are people: Jason H Murray (owns 5% or more through other companies, 41.8%); Mark D Hancock (owns 5% or more through other companies, 41.8%); Jason H Murray (corporate director); John T Mitchell (corporate officer); John T Mitchell (on the governing body (managing control)); Frederick G Apt (corporate officer); Frederick G Apt (runs it (operational or managerial control)); Matthew David Van Auken (runs it (operational or managerial control)); Joshua O Jergensen (corporate officer); Christopher Warren (runs it (operational or managerial control)); Stacey Olmstead (runs it (operational or managerial control)).
- Part of PACS Group (277 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Providence Group NH, LLC | Owns 5% or more directly | 100% | May 14, 2024 |
| Pacs Holdings, LLC | General partner | 100% | May 14, 2024 |
| Truist Bank | Holds 5% or more security interest | 100% | Aug 1, 2024 |
| Pacs Group, Inc. | Owns 5% or more through other companies | 100% | Aug 1, 2024 |
| Providence Group Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2025 | |
| Providence Administrative Consulting Services Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 1, 2024 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Washington average 4.1).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 4 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 9.5 miles, this one had the 1st most health citations at the latest inspection cycle (22; the middle value was 8.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Bridge Crest Post Acute This nursing home | 22 | |
| The Oaks at Timberline | 1.0 | 3 |
| Vancouver Specialty and Rehab Care | 4.4 | 12 |
| Hudson Bay Health and Rehabilitation | 4.5 | 6 |
| Salmon Creek Post Acute & Rehabilitation | 4.5 | 21 |
| Marquis Piedmont Post Acute Rehab | 5.7 | 8 |
| Fernhill Rehabilitation and Care | 6.9 | 12 |
| Porthaven Post Acute | 7.8 | 7 |
| Avamere Rehabilitation of Cascade Park | 7.9 | 9 |
| Holladay Park Plaza | 8.9 | 3 |
| Evergreen Post Acute | 9.0 | 15 |
| Providence Child Center | 9.5 | 0 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.