The Creston Health & Rehabilitation in Portland, OR has a 1 out of 5 overall rating, with a 1-star health inspection score but stronger staffing at 4 stars and reported nurse staffing above the federal benchmark (5.62 vs. 4.1 hours per resident per day). It has had $103,564 in fines in the last 24 months and a recent federal penalty, with recent inspection concerns about treatment orders, accident hazards/supervision, and needed rehabilitative services.
Last inspection: February 27, 2026Penalties, last 24 months: $103,564recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.6197.
Staffing detail
Registered nurses
1.02
Licensed practical nurses
0.54
Nurse aides
4.06
Weekend nursing
5.14
Hours per resident per day.
Total staff turnover: 94%
Registered nurse turnover: 89%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
10.4%14.3%Worsening
Residents with a fall causing major injury
1.6%2%No change
Residents with pressure ulcers (bedsores)
12.9%12.4%Improving
Residents with a urinary tract infection
1.6%4%Worsening
Residents who lost too much weight
1.6%4.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.8%43.2%Worsening
Residents whose ability to walk got worse
—13.1%—
Long-stay residents on antianxiety or sleep medication
11.3%8.7%Improving
Short-stay residents newly given an antipsychotic
4.5%0%Improving
Residents with a long-term catheter
1.6%1.3%No change
Residents with new or worsening incontinence
22.7%33.7%Worsening
Residents with depressive symptoms
1.9%6.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—98.5%—
Long-stay residents given the pneumonia vaccine
96.8%98%Improving
Short-stay residents given the seasonal flu vaccine
—81.6%—
Short-stay residents given the pneumonia vaccine
95.2%89.5%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2026 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide or arrange the specialized rehabilitation services a resident needed. Cited October 2024 — isolated incident, actual harm.
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F-Tag 825 — 42 CFR §483.65 — S/S: G
The home failed to make sure important discharge information was shared with the resident and the next health care provider. Cited July 2024 — isolated incident, actual harm.
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F-Tag 661 — 42 CFR §483.21 — S/S: G
The home failed to clearly tell residents or their representatives that they could refuse a binding arbitration agreement. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 847 — 42 CFR §483.70 — S/S: F
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $94,744 was recorded.
INSPECTION
Health inspection found 27 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $8,820 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $103,564 in total fines.
Federal fine
Oct 15, 2024
$94,744
Federal fine
Jul 30, 2024
$8,820
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
57.9 residents on an average day (58% of 100 beds)
Resident voice
Resident council
Medicare history
Certified for 53 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.