Three Creeks Post Acute

NORTHWEST 1310 DEANE, PULLMAN, WA 99163 · CCN 505246 · 48 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing3 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2025-12-22 — IMMEDIATE JEOPARDY (tag F0812, severity L)

Nutrition and Dietary Deficiencies · correction not recorded in CMS data

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

2024-05-24 — ACTUAL HARM (tag F0684, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

3.19

state median 3.78

Weekend staffing gap

−1%

fewer nursing hours on weekends · state median −9%

RN hours / resident / day

0.53

registered nurses only

Contract (agency) staff

28%

share of all nursing hours

Nursing staff turnover

57%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $50,850 in fines.

Date	Type	Amount
2025-11-10	Fine	$18,675
2025-11-10	Payment Denial	payment denial
2024-05-01	Fine	$32,175

Ownership

Ownership type: For profit - Limited Liability company. Part of the KALESTA HEALTHCARE GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

RIVER VIEW POST ACUTE (MODESTO, CA) — CMS overall2 of 5
Los Banos Post Acute (LOS BANOS, CA) — CMS overall2 of 5
THE VILLAS AT SARATOGA SKILLED NSG & ASSISTED LVG (SARATOGA, CA) — CMS overall1 of 5
VALLEY SKILLED NURSING CENTER (MODESTO, CA) — CMS overall4 of 5
HARVEST CROSSING POST ACUTE (MANTECA, CA) — CMS overall2 of 5
SAINT HELENS POST ACUTE (SAINT HELENS, OR) — CMS overall2 of 5
Bremerton Trails Post Acute (BREMERTON, WA) — CMS overall1 of 5
SEQUIM BAY POST ACUTE (SEQUIM, WA) — CMS overall4 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 1 · Potential for more than minimal harm: 40 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-03-03	F0582	Resident Rights Deficiencies	D	not recorded
2026-03-03	F0584	Resident Rights Deficiencies	D	not recorded
2026-03-03	F0645	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-03-03	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-03-03	F0684	Quality of Life and Care Deficiencies	D	not recorded
2026-03-03	F0686	Quality of Life and Care Deficiencies	D	not recorded
2026-03-03	F0689	Quality of Life and Care Deficiencies	E	not recorded
2026-03-03	F0699	Quality of Life and Care Deficiencies	D	not recorded
2026-03-03	F0755	Pharmacy Service Deficiencies	D	not recorded
2026-03-03	F0760	Pharmacy Service Deficiencies	E	not recorded
2026-03-03	F0801	Nutrition and Dietary Deficiencies	D	not recorded
2026-03-03	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2026-03-03	F0887	Infection Control Deficiencies	E	not recorded
2026-03-03	F0921	Environmental Deficiencies	E	not recorded
2026-02-26	F0740	Quality of Life and Care Deficiencies	D	not recorded
2025-12-22	F0584	Resident Rights Deficiencies	C	not recorded
2025-12-22	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-12-22	F0812	Nutrition and Dietary Deficiencies	L	not recorded
2025-11-10	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-11-10	F0760	Pharmacy Service Deficiencies	D	not recorded
2025-01-10	F0880	Infection Control Deficiencies	E	not recorded
2024-11-17	F0578	Resident Rights Deficiencies	D	not recorded
2024-11-17	F0582	Resident Rights Deficiencies	D	not recorded
2024-11-17	F0622	Resident Rights Deficiencies	D	not recorded
2024-11-17	F0625	Resident Rights Deficiencies	D	not recorded
2024-11-17	F0695	Quality of Life and Care Deficiencies	D	not recorded
2024-11-17	F0801	Nutrition and Dietary Deficiencies	D	not recorded
2024-11-17	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2024-05-24	F0580	Resident Rights Deficiencies	D	not recorded
2024-05-24	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-05-24	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-05-24	F0684	Quality of Life and Care Deficiencies	G	not recorded
2024-05-01	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2024-05-01	F0804	Nutrition and Dietary Deficiencies	D	not recorded
2023-12-05	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-12-05	F0677	Quality of Life and Care Deficiencies	D	not recorded
2023-11-09	F0880	Infection Control Deficiencies	F	not recorded
2023-10-02	F0624	Resident Rights Deficiencies	D	not recorded
2023-08-19	F0684	Quality of Life and Care Deficiencies	E	not recorded
2023-08-19	F0698	Quality of Life and Care Deficiencies	D	not recorded
2023-08-19	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2023-07-24	F0622	Resident Rights Deficiencies	D	not recorded
2023-07-24	F0756	Pharmacy Service Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Three Creeks Post Acute, PULLMAN” at medicare.gov/care-compare.