Creswell Post Acute
735 South 2nd Street · Creswell, OR · 97426 · 5418953333
76 certified beds For profit - Limited Liability company Chain: Pacs Group
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 77 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 5.07 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.43 | 0.55–0.75 |
| Weekend hours / resident-day | 4.74 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (50 in the current record)
-
Potential for harm · D January 30, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 6, 2026 · Resident Rights
-
Potential for harm · D January 30, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 6, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 30, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 6, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 30, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 6, 2026 · Quality of Life and Care
-
Potential for harm · D January 30, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 6, 2026 · Quality of Life and Care
-
Potential for harm · D January 30, 2026
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected March 6, 2026 · Nursing and Physician Services
-
Potential for harm · D January 30, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 6, 2026 · Pharmacy Service
-
Potential for harm · E January 30, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 6, 2026 · Nutrition and Dietary
-
Potential for harm · E January 30, 2026
Provide and implement an infection prevention and control program.
Corrected March 6, 2026 · Infection Control
-
Potential for harm · D January 30, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 6, 2026 · Infection Control
-
Potential for harm · D January 30, 2026
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected March 6, 2026 · Infection Control
-
Potential for harm · D December 11, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 11, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected January 12, 2026 · Resident Rights
-
Potential for harm · D December 11, 2025 · found via complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected January 12, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D December 11, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 12, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D December 11, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 12, 2026 · Nursing and Physician Services
-
Potential for harm · E October 9, 2024 · found via complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected October 17, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 30, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected October 17, 2024 · Resident Rights
-
Potential for harm · D August 30, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 17, 2024 · Resident Rights
-
Potential for harm · D August 30, 2024
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.
Corrected October 17, 2024 · Resident Rights
-
Potential for harm · D August 30, 2024
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.
Corrected October 17, 2024 · Resident Rights
-
Potential for harm · D August 30, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected October 17, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 30, 2024
Plan the resident's discharge to meet the resident's goals and needs.
Corrected October 17, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 30, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 17, 2024 · Quality of Life and Care
-
Potential for harm · D August 30, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected October 17, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385182 · certified since April 28, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.