GoodStanding

Nursing home report

Three Creeks Post Acute

PULLMAN, WA · Medicare-certified · 48 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Three Creeks Post Acute in Pullman, WA has a 1-star overall rating, with a 1-star health inspection rating, 3-star staffing, and 4-star quality measures. It reported 3.75 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $18,675 in fines in the last 24 months including a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.7516 hrs/resident/day

Quality measures

Last inspection: March 3, 2026Penalties, last 24 months: $18,675recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7516.

Staffing detail

Registered nurses
0.86
Licensed practical nurses
0.64
Nurse aides
2.24
Weekend nursing
3.28

Hours per resident per day.

Total staff turnover: 57%
Registered nurse turnover: 29%

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).

Long-stay residents on antipsychotic medication

18.2%

Residents with a fall causing major injury

0%0%No change

Residents with pressure ulcers (bedsores)

0%2.7%Worsening

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

0%

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

4.2%

Residents whose ability to walk got worse

16.2%

Long-stay residents on antianxiety or sleep medication

20%12%Improving

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%

Residents with new or worsening incontinence

17.5%

Residents with depressive symptoms

3.8%

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

93.3%

Long-stay residents given the pneumonia vaccine

85.7%96.3%Improving

Short-stay residents given the seasonal flu vaccine

50%

Short-stay residents given the pneumonia vaccine

67.3%78.8%Improving

What the inspectors found

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, immediate jeopardy to residents.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: L

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: F

The nursing home failed to properly screen residents for mental health or intellectual disability needs before or during admission. Cited March 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 645 — 42 CFR §483.20 — S/S: E

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $18,675 was recorded.

  6. PENALTY

    A federal payment denial was recorded.

  7. PENALTY

    A federal fine of $18,337 was recorded.

  8. PENALTY

    A federal fine of $32,175 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $50,850 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Nov 10, 2025

    3 days
  • Federal fine

    Nov 10, 2025

    $18,675
  • Federal fine

    May 1, 2024

    $32,175

Operator & ownership

Recent ownership change · Jun 1, 2025

Now operated by Three Creeks Post Acute, previously Pullman Care.

Ownership
For profit - Limited Liability company
Chain
Part of KALESTA HEALTHCARE GROUP · 18 homes · 2.4 stars avg
Occupancy
39.4 residents on an average day (82% of 48 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 46 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.