Nursing homes › Oregon › Creswell Post Acute
735 South 2Nd Street, Creswell, OR 97426 · 5418953333 · 76 certified beds
Per CMS filings, this facility is affiliated with Pacs Group, a group operating 281 facilities in 16 states. Group record: average rating 2.8/5, 26 abuse citation icons, 13 facilities on the Special Focus list, $8,841,332 in federal fines. This facility rates below its group average (2.8/5).
Total nurse staffing: 5.04 (Oregon median: 4.96). RN hours: 0.38. Weekend total: 4.66. Nursing staff turnover: 44%.
All-time on record: 50 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-01-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-03-06 |
| 2026-01-30 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-03-06 |
| 2026-01-30 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2026-03-06 |
| 2026-01-30 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2026-03-06 |
| 2026-01-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-03-06 |
| 2026-01-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-03-06 |
| 2026-01-30 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-03-06 |
| 2026-01-30 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Health | corrected 2026-03-06 |
| 2026-01-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-03-06 |
| 2026-01-30 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2026-03-06 |
| 2026-01-30 | 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. | D | Health | corrected 2026-03-06 |
| 2025-12-11 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-12-04 |
| 2025-12-11 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | complaint | corrected 2026-01-12 |
| 2025-12-11 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | complaint | corrected 2026-01-12 |
| 2025-12-11 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2026-01-12 |
| 2025-12-11 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | complaint | corrected 2026-01-12 |
| 2024-10-09 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | E | complaint | corrected 2024-10-17 |
| 2024-08-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2024-10-17 |
| 2024-08-30 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Health | corrected 2024-10-17 |
| 2024-08-30 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-10-17 |
| 2024-08-30 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2024-10-17 |
| 2024-08-30 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2024-10-17 |
| 2024-08-30 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2024-10-17 |
| 2024-08-30 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Health | corrected 2024-10-17 |
| 2024-08-30 | 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 | Health | corrected 2024-10-17 |
| 2024-08-30 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2024-10-17 |
| 2024-08-30 | Plan the resident's discharge to meet the resident's goals and needs. | D | Health | corrected 2024-10-17 |
| 2024-08-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-10-17 |
| 2024-08-30 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2024-10-17 |
| 2024-08-30 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2024-10-17 |
| 2024-08-30 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Health | corrected 2024-10-17 |
| 2024-08-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-10-17 |
| 2024-08-30 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-10-17 |
| 2024-08-30 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Health | corrected 2024-10-17 |
| 2023-09-15 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2023-10-25 |
| 2023-09-15 | 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 | corrected 2023-10-25 |
| 2023-09-15 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2023-10-25 |
| 2023-09-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2023-10-25 |
| 2023-09-15 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2023-10-25 |
| 2023-09-15 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | complaint | corrected 2023-10-25 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| APT, FREDERICK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/10/2024 |
| BOOKOUT, JESSICA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2024 |
| HOLMAN, RICK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2024 |
| JERGENSEN, JOSHUA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/10/2024 |
| MITCHELL, JOHN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/10/2024 |
| WALLENKAMPF, VICTOR | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 385182. Corrections: data@carerecords.org.