Three Creeks Post Acute
Northwest 1310 Deane · Pullman, WA · 99163 · 5093321566
48 certified beds For profit - Limited Liability company Chain: Kalesta Healthcare Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $18,337 in fines in the last 24 months.
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
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: not rated Quality measures: 2 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 2 · $50,512 |
Inspection citations (43 in the current record)
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Potential for harm · D March 3, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 1, 2026 · Resident Rights
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Potential for harm · D March 3, 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 May 1, 2026 · Resident Rights
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Potential for harm · D March 3, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 3, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D March 3, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · E March 3, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D March 3, 2026
Provide care or services that was trauma informed and/or culturally competent.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D March 3, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 1, 2026 · Pharmacy Service
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Potential for harm · E March 3, 2026
Ensure that residents are free from significant medication errors.
Corrected May 1, 2026 · Pharmacy Service
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Potential for harm · D March 3, 2026
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected May 1, 2026 · Nutrition and Dietary
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Potential for harm · E March 3, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 1, 2026 · Nutrition and Dietary
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Potential for harm · E March 3, 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 May 1, 2026 · Infection Control
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Potential for harm · E March 3, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 1, 2026 · Environmental
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Potential for harm · E March 3, 2026 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2026 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected March 20, 2026 · Quality of Life and Care
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Immediate jeopardy · L December 22, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 28, 2026 · Nutrition and Dietary
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Potential for harm · D December 22, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 28, 2026 · Resident Assessment and Care Planning
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No harm found · C December 22, 2025 · found via complaint
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 January 28, 2026 · Resident Rights
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Potential for harm · D November 10, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 10, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 9, 2026 · Pharmacy Service
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Potential for harm · E January 10, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 14, 2025 · Infection Control
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Potential for harm · D November 17, 2024
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.
Corrected December 23, 2024 · Resident Rights
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Potential for harm · D November 17, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 23, 2024 · Resident Rights
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Potential for harm · D November 17, 2024
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected December 23, 2024 · Resident Rights
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Potential for harm · D November 17, 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 December 23, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 10, 2025 | Fine | $18,337 |
| November 10, 2025 | Payment Denial | 3 days |
| May 1, 2024 | Fine | $32,175 |
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 505246 · certified since September 1, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.