Washington › Whitman County › Pullman
Three Creeks Post Acute
Northwest 1310 Deane, Pullman, WA 99163
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Three Creeks Post Acute is a For-profit, limited liability company nursing home in Pullman, Washington, certified for 48 beds and caring for about 39 residents a day.
CMS gives it 1 of 5 stars overall, below the Washington median of 3; the health inspection rating is 1, staffing 3 and quality measures 4.
Inspectors recorded 41 health deficiencies across the three most recent survey cycles (20, 8, 13 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 85.4 per 100 beds, more than the state median of 50.0.
CMS lists 3 penalties in the period covered: fines totalling $51K and 1 payment denial.
Reported nurse staffing is 3.8 hours per resident per day (0.9 RN), close to the Washington median of 4.1; nursing staff turnover is 57.1%.
Compared with county, state and nation
| Measure | This facility | Whitman Co. median | Washington median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 41 | 64 | 46 | 28.7 |
| Citations per 100 beds | 85.4 | 116.4 | 50.0 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.8 | 4.1 | 3.9 |
| RN hours per resident day | 0.9 | 1.0 | 0.9 | 0.7 |
| Nursing staff turnover | 57.1% | 71.4% | 43.2% | 45.8% |
| Fines listed | $50,850 | $81,864 | $17,388 | — |
County and state figures are medians across facilities (2 in the county, 193 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Washington average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Mar 2026, 17 Nov 2024.
Severity mix: L ×1 G ×1 D ×26 E ×11 F ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 3 Mar 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Complaint investigation | 1 May 2026 |
| 3 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 1 May 2026 |
| 3 Mar 2026 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 1 May 2026 |
| 3 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 May 2026 |
| 3 Mar 2026 | F0887 | 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. | E | Standard survey | 1 May 2026 |
| 3 Mar 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 1 May 2026 |
| 3 Mar 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 1 May 2026 |
| 3 Mar 2026 | F0584 | 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. | D | Standard survey | 1 May 2026 |
| 3 Mar 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 1 May 2026 |
| 3 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 May 2026 |
| 3 Mar 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 1 May 2026 |
| 3 Mar 2026 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 1 May 2026 |
| 3 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 1 May 2026 |
| 3 Mar 2026 | F0801 | 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. | D | Standard survey | 1 May 2026 |
| 26 Feb 2026 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 20 Mar 2026 |
| 22 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | L | Complaint investigation | 28 Jan 2026 |
| 22 Dec 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 28 Jan 2026 |
| 22 Dec 2025 | F0584 | 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. | C | Complaint investigation | 28 Jan 2026 |
| 10 Nov 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 17 Dec 2025 |
| 10 Nov 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 9 Feb 2026 |
| 10 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 14 Feb 2025 |
| 17 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 23 Dec 2024 |
| 17 Nov 2024 | F0578 | 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. | D | Standard survey | 23 Dec 2024 |
| 17 Nov 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 23 Dec 2024 |
| 17 Nov 2024 | F0622 | 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. | D | Standard survey | 23 Dec 2024 |
| 17 Nov 2024 | F0625 | 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. | D | Standard survey | 23 Dec 2024 |
| 17 Nov 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 23 Dec 2024 |
| 17 Nov 2024 | F0801 | 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. | D | Standard survey | 23 Dec 2024 |
| 24 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 19 Jun 2024 |
| 24 May 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 19 Jun 2024 |
| 24 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Jun 2024 |
| 24 May 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 19 Jun 2024 |
| 1 May 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 19 Jun 2024 |
| 1 May 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 19 Jun 2024 |
| 5 Dec 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Dec 2023 |
| 5 Dec 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 15 Dec 2023 |
| 9 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 7 Dec 2023 |
| 2 Oct 2023 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint investigation | 17 Oct 2023 |
| 19 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 13 Sep 2023 |
| 19 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 13 Sep 2023 |
| 19 Aug 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 13 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 10 Nov 2025 | Payment denial | — | 3 days |
| 10 Nov 2025 | Fine | $18,675 | |
| 1 May 2024 | Fine | $32,175 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Washington average. Turnover: nursing staff 57.1%, RNs 28.6%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.0% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.8% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.2% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.9% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.5% | 14.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Westwards Beach, Llc. Chain: Kalesta Healthcare Group (19 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Kalesta Healthcare Group, LLC | 5% or greater direct ownership interest | 100% | 06/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Whitman County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Colfax Health and Rehabilitation of Cascadia | Colfax | 55 | 1 | 1 | 3 | 64 | 116.4 | $82K | 7 Apr 2026 |
All 2 facilities in Whitman County
Questions and answers
How many deficiencies has Three Creeks Post Acute been cited for?
41 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Washington median is 46 per facility.
Has Three Creeks Post Acute been fined?
Yes. CMS lists fines totalling $51K in the period covered, plus 1 payment denial.
How does staffing at Three Creeks Post Acute compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Washington median of 4.1 and a national average of 3.9.
Who operates Three Creeks Post Acute?
It is part of the Kalesta Healthcare Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Kalesta Healthcare Group, LLC. Individual owners and managers are not listed on this site.
When was Three Creeks Post Acute last inspected?
The most recent survey or investigation in the CMS record is dated 3 Mar 2026; the most recent standard health survey was 3 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.