Salmon Creek Post Acute & Rehabilitation
2811 Ne 139th Street · Vancouver, WA · 98686 · 3605745247
120 certified beds For profit - Corporation Chain: Hill Valley Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.93 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.67 | 0.55–0.75 |
| Weekend hours / resident-day | 3.47 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (49 in the current record)
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Potential for harm · E April 9, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 15, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 9, 2026 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 15, 2026 · Quality of Life and Care
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Potential for harm · E April 9, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 15, 2026 · Pharmacy Service
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Potential for harm · D January 9, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 20, 2026 · Resident Rights
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Potential for harm · D January 9, 2026
Honor the resident's right to manage his or her financial affairs.
Corrected February 20, 2026 · Resident Rights
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Potential for harm · D January 9, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected February 20, 2026 · Resident Rights
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Potential for harm · D January 9, 2026
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.
Corrected February 20, 2026 · Resident Rights
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Potential for harm · D January 9, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected February 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 9, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 20, 2026 · Resident Rights
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Potential for harm · D January 9, 2026
Ensure each resident receives an accurate assessment.
Corrected February 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 9, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 9, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026
Post nurse staffing information every day.
Corrected February 20, 2026 · Nursing and Physician Services
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Potential for harm · E January 9, 2026
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.
Corrected February 20, 2026 · Pharmacy Service
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Potential for harm · E January 9, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 20, 2026 · Nutrition and Dietary
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Potential for harm · D January 9, 2026
Provide and implement an infection prevention and control program.
Corrected February 20, 2026 · Infection Control
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Potential for harm · D January 5, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 23, 2026 · Resident Rights
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Potential for harm · E January 5, 2026 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected January 23, 2026 · Quality of Life and Care
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Potential for harm · E January 5, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 23, 2026 · Pharmacy Service
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Potential for harm · D November 18, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 12, 2025 · Pharmacy Service
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Potential for harm · D July 31, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 26, 2025 · Resident Rights
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Potential for harm · D July 31, 2025 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected September 26, 2025 · Quality of Life and Care
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Potential for harm · D July 31, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 26, 2025 · 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
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505522 · certified since October 26, 2011. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.