Senior Care Records.

Three Creeks Post Acute

NORTHWEST 1310 DEANE, Pullman, WA, 99163

Nursing home48 licensed beds0 citations on record
LocationOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 20 deficiencies against Three Creeks Post Acute in Pullman, Washington at its most recent standard inspection on 2026-03-03, 7 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $50,850. Medicare rates it 1 out of 5 overall.

1 / 5Medicare overall rating
48certified beds
20deficiencies at the last inspection
1immediate-jeopardy findings on record
1actual-harm findings on record
2federal fines, $50,850
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.40
Potential for minimal harmThe least serious band.1
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies · F0645 · 2026-03-03 · from a complaint · No actual harm, potential for more than minimal harm

E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2026-03-03 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies · F0760 · 2026-03-03 · standard survey · No actual harm, potential for more than minimal harm

E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · F0812 · 2026-03-03 · standard survey · No actual harm, potential for more than minimal harm

E

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.

Infection Control Deficiencies · F0887 · 2026-03-03 · standard survey · No actual harm, potential for more than minimal harm

E

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies · F0921 · 2026-03-03 · standard survey · No actual harm, potential for more than minimal harm

E

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies · F0582 · 2026-03-03 · standard survey · No actual harm, potential for more than minimal harm

D

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.

Resident Rights Deficiencies · F0584 · 2026-03-03 · standard survey · No actual harm, potential for more than minimal harm

D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies · F0657 · 2026-03-03 · standard survey · No actual harm, potential for more than minimal harm

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2026-03-03 · standard survey · No actual harm, potential for more than minimal harm

D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies · F0686 · 2026-03-03 · standard survey · No actual harm, potential for more than minimal harm

D

Provide care or services that was trauma informed and/or culturally competent.

Quality of Life and Care Deficiencies · F0699 · 2026-03-03 · standard survey · No actual harm, potential for more than minimal harm

D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies · F0755 · 2026-03-03 · standard survey · No actual harm, potential for more than minimal harm

D

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.

Nutrition and Dietary Deficiencies · F0801 · 2026-03-03 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Quality of Life and Care Deficiencies · F0740 · 2026-02-26 · from a complaint · No actual harm, potential for more than minimal harm

D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · F0812 · 2025-12-22 · from a complaint · Immediate jeopardy to resident health or safety

L

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies · F0644 · 2025-12-22 · from a complaint · No actual harm, potential for more than minimal harm

D

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.

Resident Rights Deficiencies · F0584 · 2025-12-22 · from a complaint · No actual harm, potential for minimal harm

C

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2025-11-10 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies · F0760 · 2025-11-10 · from a complaint · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.75155
Nursing staff turnoverShare of nursing staff who left in a year57.1%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS2
Total fined$50,850
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one3
Ownership

Who owns Three Creeks Post Acute

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
KALESTA HEALTHCARE GROUP, LLCOrganization100%since 06/01/2025
CLAWSON, SCOTTIndividual44%since 06/01/2025
WILLIAMS, RYANIndividual44%since 06/01/2025
CLAWSON, SCOTTIndividualNOT APPLICABLEsince 06/01/2025
BERG, TRACYIndividualNOT APPLICABLEsince 06/01/2025
CLAWSON, SCOTTIndividualNOT APPLICABLEsince 06/01/2025
DURHAM, CANDICEIndividualNOT APPLICABLEsince 06/01/2025
PASKUS, ELLIOTTIndividualNOT APPLICABLEsince 06/01/2025
WILLIAMS, RYANIndividualNOT APPLICABLEsince 06/01/2025
BERG, TRACYIndividualNOT APPLICABLEsince 06/01/2025
DURHAM, CANDICEIndividualNOT APPLICABLEsince 06/01/2025
PASKUS, ELLIOTTIndividualNOT APPLICABLEsince 06/01/2025

Part of the KALESTA HEALTHCARE GROUP group.

Contact

Ask Three Creeks Post Acute a question

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What is needed

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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 505246.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction