Nursing homes › Washington › Three Creeks Post Acute
Northwest 1310 Deane, Pullman, WA 99163 · 5093321566 · 48 certified beds
Per CMS filings, this facility is affiliated with Kalesta Healthcare Group, a group operating 18 facilities in 3 states. Group record: average rating 2.4/5, 2 abuse citation icons, 3 facilities on the Special Focus list, $671,289 in federal fines. This facility rates below its group average (2.4/5).
Total nurse staffing: 3.75 (Washington median: 4.15). RN hours: 0.86. Weekend total: 3.28. Nursing staff turnover: 57%.
All-time on record: 43 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-03 | PASARR screening for Mental disorders or Intellectual Disabilities | E | complaint | corrected 2026-05-01 |
| 2026-03-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2026-05-01 |
| 2026-03-03 | Ensure that residents are free from significant medication errors. | E | Health | corrected 2026-05-01 |
| 2026-03-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-05-01 |
| 2026-03-03 | 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. | E | Health | corrected 2026-05-01 |
| 2026-03-03 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Health | corrected 2026-05-01 |
| 2026-03-03 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2026-05-01 |
| 2026-03-03 | 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. | D | Health | corrected 2026-05-01 |
| 2026-03-03 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2026-05-01 |
| 2026-03-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2026-05-01 |
| 2026-03-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2026-05-01 |
| 2026-03-03 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2026-05-01 |
| 2026-03-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-05-01 |
| 2026-03-03 | 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. | D | Health | corrected 2026-05-01 |
| 2026-02-26 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | complaint | corrected 2026-03-20 |
| 2025-12-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | L | complaint | corrected 2026-01-28 |
| 2025-12-22 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | complaint | corrected 2026-01-28 |
| 2025-12-22 | 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. | C | complaint | corrected 2026-01-28 |
| 2025-11-10 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-12-17 |
| 2025-11-10 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2026-02-09 |
| 2025-01-10 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2025-02-14 |
| 2024-11-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-12-23 |
| 2024-11-17 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Health | corrected 2024-12-23 |
| 2024-11-17 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2024-12-23 |
| 2024-11-17 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Health | corrected 2024-12-23 |
| 2024-11-17 | 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 2024-12-23 |
| 2024-11-17 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-12-23 |
| 2024-11-17 | 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. | D | Health | corrected 2024-12-23 |
| 2024-05-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2024-06-19 |
| 2024-05-24 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-06-19 |
| 2024-05-24 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-06-19 |
| 2024-05-24 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-06-19 |
| 2024-05-01 | 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 2024-06-19 |
| 2024-05-01 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | complaint | corrected 2024-06-19 |
| 2023-12-05 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2023-12-15 |
| 2023-12-05 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2023-12-15 |
| 2023-11-09 | Provide and implement an infection prevention and control program. | F | complaint | corrected 2023-12-07 |
| 2023-10-02 | Prepare residents for a safe transfer or discharge from the nursing home. | D | complaint | corrected 2023-10-17 |
| 2023-08-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2023-09-13 |
| 2023-08-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-09-13 |
| Date | Type | Amount |
|---|---|---|
| 2025-11-10 | Fine | $18,675 |
| 2025-11-10 | Payment Denial | 3 days payment denial |
| 2024-05-01 | Fine | $32,175 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| KALESTA HEALTHCARE GROUP, LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 06/01/2025 |
| CLAWSON, SCOTT | 5% Or Greater Indirect Ownership Interest | Individual | 44% | since 06/01/2025 |
| WILLIAMS, RYAN | 5% Or Greater Indirect Ownership Interest | Individual | 44% | since 06/01/2025 |
| CLAWSON, SCOTT | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 06/01/2025 |
| BERG, TRACY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2025 |
| CLAWSON, SCOTT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2025 |
| DURHAM, CANDICE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2025 |
| PASKUS, ELLIOTT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2025 |
| WILLIAMS, RYAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 505246. Corrections: data@carerecords.org.