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Waterford at Fairway Village LLC
No longer in CMS list This agency is not in CMS's current list of Medicare-certified home health agencies (file dated 2026-09-21), but it has federal inspection records. It may have closed, changed ownership, or changed its certification number. Address shown is from its inspection records.
2927 SE Village Loop Ste 100, Vancouver, WA 98683
CMS Certification Number 507117
4deficiencies since 2018
0serious
2inspections
n/aCMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean
Inspection 2022-12-15
· Recertification · 2 deficiencies · CMS source report (PDF)Moderate Plan Of Care
The agency failed to timely provide secondary services as ordered by the physician for 3 of 10 patients (Patient #303, #308 and #310).
Source: CMS Form 2567, inspection 2022-12-15, tag G0572 · view on CMS
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Minor Plan Of Care Must Include The Following
The agency failed to ensure that the patient plan of care contained all required elements for 1 of 10 patients (Patient #306).
Source: CMS Form 2567, inspection 2022-12-15, tag G0574 · view on CMS
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Inspection 2020-01-24
· Recertification · 2 deficiencies · CMS source report (PDF)Moderate Ep Testing Requirements
The agency failed to participate in a full-scale community-based exercise or, if a community-based exercise was not available, an additional-agency based exercise and failed to analyze the agencies response to emergency drills consistent with facility policy.
Source: CMS Form 2567, inspection 2020-01-24, tag E0039 · view on CMS
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Moderate Licensing
The Agency failed to be in compliance with the new (2018) Washington Administrative Code 246-335-525 (6) (c), Personnel Policies.
Source: CMS Form 2567, inspection 2020-01-24, tag G0860 · view on CMS
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