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The Oaks at Timberline

400 East 33rd Street, Vancouver, WA 98663 · Clark County · (360) 696-2561

85 certified beds, about 66 residents a day · For profit - Corporation · Medicare and Medicaid since 1970

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 505206 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 5, 2026, inspectors cited 3 health deficiencies (the Washington average is 15.8, the national average 9.2).

None of its 14 health citations since February 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.07 hours per resident per day, against 4.36 across Washington and 3.86 nationally. Registered nurses accounted for 0.62 of those hours.

27.6% of nursing staff left within the year CMS measured (Washington average 45.1%).

CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 14 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
1E
1F
Potential for minimal harm
0A
0B
0C
March 5, 2026Standard inspection · 3 citations
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 3, 2026
    Inspectors wroteBased on interview and record review, the facility failed to develop a comprehensive care plan for 1 of 1 sampled resident (Resident 34) reviewed for insulin (an injectable medication used to treat diabetes mellitus, a group of disorders characterized by an inability of the body to regulate its blood sugar levels). This failure placed residents at risk for injury, unmet care needs, and a diminished quality of life.
  2. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 3, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were administered by professional standards of practice for 1 of 1 sampled resident (Resident 37) reviewed for medication administration. This failure placed residents at risk for medication errors, negative outcomes, and a diminished quality of life.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 3, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to implement Enhanced Barrier Precautions (EBP, an infection control intervention, to include the use of gloves and a gown, during high contact care activities designed to reduce the transmission of organisms) when providing wound care for 1 of 2 sampled residents (Resident 1) reviewed for Pressure Ulcer (an injury or open wound to the skin and underlying soft tissue). This failure placed residents and staff at risk for the spread of infection transmission, and a decreased quality of life.
January 27, 2025Standard inspection, Complaint inspection · 8 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 7, 2025
    Inspectors wroteBased on observation and interview, the facility failed to ensure food items were labeled and had when opened dates in 1 of 1 kitchen walk-in refrigerators reviewed for food storage in a sanitary manner. This failure placed residents at risk for cross-contamination, food borne illness, and a diminished quality of life.
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 7, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents were treated with respect and dignity to enhance their quality of life when a resident called out for help and a licensed nurse told the resident they could not help for 1 of 2 sampled residents (38) reviewed for resident rights. This failure placed residents at risk of not meeting their highest practical psychosocial well being, unmet care needs, and a diminished quality of life.
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure the Minimum Data Set (MDS) assessment was completed accurately to reflect a resident's health status and/or care needs for 1 of 4 sampled residents (3) reviewed for assessment accuracy. This failure placed residents at risk for unidentified and/or unmet care needs and a diminished quality of life.
  4. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure the recommendations of the Level II Preadmission Screen and Resident Review (PASARR) were implemented upon receiving recommendations for 2 of 8 sampled residents (55 & 38) reviewed for coordination of PASARR and assessments. This failure placed residents at risk of not receiving the necessary mental health services and a diminished quality of life.
  5. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a Pre-admission Screening and Resident Review (PASARR) assessment accurately reflected the resident's mental health diagnoses and Level II PASARR evaluations were referred and completed timely for 1 of 8 sampled residents (15) reviewed for PASARRs. This failure placed residents at risk for inappropriate placement, not receiving timely and necessary mental health services to meet their mental health needs, and a diminished quality of life.
  6. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide care and services according to professional standards of practice when insulin was not held as per physician orders for 1 of 5 sampled residents (54) reviewed for care provided meeting professional standards. This placed the residents at risk for medical complications and a diminished quality of life.
  7. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure activities of daily living (ADLs) were provided for dependent residents including nail care for 1 of 2 sampled residents (25) reviewed for ADLs. This failure placed residents at risk of not receiving the care and services needed for which they cannot perform themselves and a diminished quality of life.
  8. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to ensure bowel management interventions were initiated for 2 of 6 sampled residents (15 & 45) and failed to ensure dental care was completed for 1 of 2 sampled residents (20) reviewed for quality of care. These failures placed residents at risk for discomfort, health complications and a diminished quality of life.
August 12, 2024Complaint inspection · 1 citation
  1. D
    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
    F729 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure nursing assistants were screened through the nurse aide registry [OBRA] prior to providing care to the residents for 1 of 2 staff [Staff C] reviewed for staff qualifications. This failure placed residents at risk for abuse and unmet care needs.
February 7, 2024Standard inspection · 2 citations
  1. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 4, 2024
    Inspectors wroteBased on interview, observation and record review, the facility failed to maintain a clean homelike environment by failing to ensure resident room windows were clean for 9 of 43 resident rooms (4, 5, 6, 19, 25, 28, 38, 41 & 44) reviewed for environment. This failure placed residents at risk for a diminished quality of life.
  2. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 4, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure staff performed hand hygiene during meal assistance for 1 of 4 sampled residents (15) reviewed for dining assistance and food service. This failure placed residents at risk for cross-contamination, food borne illness and a diminished quality of life.

Fire safety inspections

23 fire safety citations on file: 12 on March 5, 2026, 6 on January 27, 2025, 5 on February 7, 2024.

Every fire safety citation23 citations
  1. F
    Include a process for Emergency Preparedness collaboration.
    E 9 · March 5, 2026 · Corrected (the home has a date of correction)
  2. F
    Establish policies and procedures including evacuation.
    E 20 · March 5, 2026 · Corrected (the home has a date of correction)
  3. F
    List the names and contact information of those in the facility.
    E 30 · March 5, 2026 · Corrected (the home has a date of correction)
  4. F
    Provide emergency officials' contact information.
    E 31 · March 5, 2026 · Corrected (the home has a date of correction)
  5. F
    Conduct testing and exercise requirements.
    E 39 · March 5, 2026 · Corrected (the home has a date of correction)
  6. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 5, 2026 · Corrected (the home has a date of correction)
  7. F
    Have simulated fire drills held at unexpected times.
    K 712 · March 5, 2026 · Corrected (the home has a date of correction)
  8. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 5, 2026 · Corrected (the home has a date of correction)
  9. F
    Ensure proper usage of power strips and extension cords.
    K 920 · March 5, 2026 · Corrected (the home has a date of correction)
  10. D
    Use approved construction type or materials.
    K 161 · March 5, 2026 · Corrected (the home has a date of correction)
  11. D
    Install corridor and hallway doors that block smoke.
    K 363 · March 5, 2026 · Corrected (the home has a date of correction)
  12. D
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · March 5, 2026 · Corrected (the home has a date of correction)
  13. F
    Conduct testing and exercise requirements.
    E 39 · January 27, 2025 · Corrected (the home has a date of correction)
  14. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 27, 2025 · Corrected (the home has a date of correction)
  15. F
    Ensure proper usage of power strips and extension cords.
    K 920 · January 27, 2025 · Corrected (the home has a date of correction)
  16. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · January 27, 2025 · Corrected (the home has a date of correction)
  17. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · January 27, 2025 · Corrected (the home has a date of correction)
  18. D
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · January 27, 2025 · Corrected (the home has a date of correction)
  19. F
    Include a process for Emergency Preparedness collaboration.
    E 9 · February 7, 2024 · Corrected (the home has a date of correction)
  20. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 7, 2024 · Corrected (the home has a date of correction)
  21. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 7, 2024 · Corrected (the home has a date of correction)
  22. D
    Install corridor and hallway doors that block smoke.
    K 363 · February 7, 2024 · Corrected (the home has a date of correction)
  23. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · February 7, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeWashingtonUnited States
All nursing staff (RN, LPN and aides)4.074.363.86
Registered nurses0.620.940.69
All nursing staff on weekends3.433.803.42
Nurse aides2.31
Licensed practical nurses1.14
Nursing staff turnover (share who left in a year)27.6%45.1%45.8%
Registered nurse turnover33.3%45.4%42.9%
Administrators who left1

CMS expects 4.14 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.34 on weekdays and 3.43 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.85 in April to June 2025 to 4.07 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.070.624.343.43 0.0%0 of 9066
Oct to Dec 20254.010.464.223.49 0.0%0 of 9265
Jul to Sep 20253.990.414.213.42 0.0%0 of 9269
Apr to Jun 20253.850.534.103.24 0.0%0 of 9170
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Washington, Jan to Mar 20264.210.904.443.663.7%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeWashingtonUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.614.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.00.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.51.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.02.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.21.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.017.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.54.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.815.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.719.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.313.412.0

Owners and operators

Legal business name: COLUMBIA RIVER HEALTHCARE, INC.. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.

NameRoleTypeShareSince
Newberry, CollinManaging control - governing bodyIndividual06/01/2021
Riley, CraigManaging control - governing bodyIndividual06/01/2021
Farnsworth, StephenCorporate directorIndividual01/01/2024
Burnam, SoonCorporate officerIndividual03/22/2021
Keetch, ChadCorporate officerIndividual03/01/2011
Ross, SteveCorporate officerIndividual01/01/2024
Sato, AmiCorporate officerIndividual09/09/2024
Newberry, CollinOperational/managerial controlIndividual06/01/2021
Riley, CraigOperational/managerial controlIndividual06/01/2021
Port, BarryIndividual is an owner, partner or trustee of any ADP of the SNFIndividual07/08/2025
Caretrust Gp LLCAdp of the SNFOrganization06/01/2021
Caretrust Reit IncAdp of the SNFOrganization06/01/2021
Ctr Partnership LPAdp of the SNFOrganization06/01/2021
Ensign Services IncAdp of the SNFOrganization03/22/2021
Newberry, CollinAdp of the SNFIndividual07/08/2025
Riley, CraigAdp of the SNFIndividual07/08/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on March 5, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on January 27, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on January 27, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on January 27, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.43 hours per resident per day, below the Washington average of 3.80.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Washington contacts for a concern about a nursing home

These are the official offices in Washington. NursingHomeClear cannot take or act on complaints.

Common questions

What is The Oaks at Timberline's Medicare star rating?
CMS rates The Oaks at Timberline 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Oaks at Timberline get at its last inspection?
3 health deficiencies at the standard inspection on March 5, 2026. The Washington average is 15.8.
Has The Oaks at Timberline been fined?
CMS lists no fines in the last three years.
Does The Oaks at Timberline accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns The Oaks at Timberline?
CMS lists 16 owners and managers, and links the home to The Ensign Group. Legal business name: COLUMBIA RIVER HEALTHCARE, INC..

Sources

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