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South Creek Post Acute

917 South Scheuber Road, Centralia, WA 98531 · Lewis County · (360) 736-9384

128 certified beds, about 101 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 505373 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 11, 2026, inspectors cited 7 health deficiencies (the Washington average is 15.8, the national average 9.2).

Of 42 health citations since May 2024, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $8,278 in the last three years; the largest was $8,278, and the latest is dated December 29, 2025.

Nurses and nurse aides worked 4.23 hours per resident per day, against 4.36 across Washington and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.

55.0% of nursing staff left within the year CMS measured (Washington average 45.1%).

CMS links it to PACS Group, an affiliated group of 275 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 42 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
34D
4E
1F
Potential for minimal harm
0A
0B
2C
April 30, 2026Complaint inspection · 2 citations
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 11, 2026
    Inspectors wroteBased on interview and record review, the facility failed to develop and implement a care plan for a resident assessed to be a high elopement risk for 1 of 3 sampled residents (Resident 2) reviewed for care plans. This failure placed residents at risk of elopement, unmet care needs, and a diminished quality of life.
  2. D
    Honor each resident's preferences, choices, values and beliefs.
    F675 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 11, 2026
    Inspectors wroteBased on interview and record review, the facility failed to answer a call light in a timely manner for 1 of 3 sampled residents (Resident 1) reviewed for call light response time. This failure placed residents at risk of unmet care needs and a diminished quality of life.
February 20, 2026Complaint inspection · 2 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 9, 2026
    Inspectors wroteBased on interview and record review, the facility failed to report an allegation of abuse and/or neglect to the State Survey Agency within required timeframes. This allegation involved 1 of 1 sample resident (Resident 1) reviewed for reporting requirements. This failure placed residents at risk for unassessed and unaddressed potential abuse and neglect.
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 9, 2026
    Inspectors wroteBased on interview and record review, the facility failed to initiate and complete a thorough investigation of an allegation of abuse and/or neglect within required timeframes. This allegation involved 1 of 1 sample resident (Resident 1) reviewed for investigative requirements. This failure placed residents at risk for unassessed and unaddressed allegations of abuse and potential ongoing harm.
February 11, 2026Standard inspection · 7 citations
  1. E
    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
    F728 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 9, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure facility staff received dementia training for 5 of 28 sampled staff (Staff H, I, J, K & L) reviewed for staff in-service trainings. This failure placed residents at risk of receiving care from untrained staff.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 9, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to discard expired food items for 1 of 1 meal preparation (lunch) observed and failed to ensure resident refrigerator temperatures were checked and/or logged daily for 1 of 3 resident snack refrigerators (North Refrigerator) reviewed for food services. These failures placed residents at risk of consuming expired food goods, food-borne illness, and a diminished quality of life.
  3. D
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    F569 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2026
    Inspectors wroteBased on interview and record review, the facility failed to convey the trust account funds for 1 of 4 residents (Resident 115) reviewed for trust funds. This failure placed the residents and/or their representatives at risk for loss of funds.
  4. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure 1 of 2 residents (Resident 20) were free from physical restraints. This failure placed residents at risk of injury and a decreased quality of life.
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2026
    Inspectors wroteBased on interview and record review, the facility failed to initiate bowel interventions for 1 of 5 residents (Resident 8) reviewed for constipation. This failure to initiate interventions placed residents at risk of discomfort, experiencing health complications and a diminished quality of life.
  6. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to secure medications in 2 of 2 residents' rooms (Resident 50 & 67) reviewed for medication access and storage. This failure placed residents, staff, and visitors at risk for accessing unauthorized medication, negative outcomes, and a diminished quality of life.
  7. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) March 9, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure nursing hours were accurately posted and updated daily for 4 of 31 days (01/08/2026, 01/11/2026, 01/13/2026 & 01/15/2026) reviewed for nurse staff postings and failed to provide accurate identifiers on daily postings, to include the facility name, census and date. These failures placed residents, resident representatives, and visitors at risk of not being fully informed of the current staffing levels and census information.
December 29, 2025Complaint inspection · 1 citation
  1. G
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 11, 2026
    Inspectors wroteBased on interview and record review, the facility failed to obtain ordered laboratory services for 1 of 4 sampled residents (Resident 1) reviewed for laboratory services. Resident 1 experienced harm when physician ordered CBC (complete blood count, a lab used in part to determine levels of red blood cells in blood) and BMP labs (basic metabolic panel, a blood test that checks the levels of different substances in your blood including sodium) were not obtained timely for physician evaluation and the resident required transport to the hospital and admission to the intensive care unit where they were diagnosed with profound anemia (low red blood cells) and hyponatremia (low levels of sodium in the blood).
December 2, 2025Complaint inspection · 1 citation
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 22, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure resident medications ordered by a provider were administered for 1 of 5 sampled residents (Resident 1) reviewed for medication administration. This failure placed residents at risk of delayed healing, unmet care needs, and a diminished quality of life.
September 9, 2025Complaint inspection · 1 citation
  1. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 12, 2025
    Inspectors wroteBased on interview and record review, the facility failed to thoroughly investigate a fall for 1 of 3 sampled residents (Resident 1) reviewed for facility investigations. This failure placed residents at risk of unmet care needs and a diminished quality of life.
July 24, 2025Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 15, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure vital signs were obtained upon admission to the facility and before administration of a blood pressure medication for 1 of 4 sampled residents (Resident 1) reviewed for vital signs monitoring. This failure placed residents at risk of unmet care needs and a diminished quality of life.
July 1, 2025Complaint inspection · 1 citation
  1. E
    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
    F836 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 14, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure it was in compliance with state and local laws and regulations when the facility allowed 2 of 2 sampled Nurse Technicians (Staff D and Staff E) to administer scheduled medications and IV (intravenous) medications. This failure placed residents at risk of medication errors, injury, and a diminished quality of life.
April 17, 2025Complaint inspection · 1 citation
  1. C
    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.
    F801 · Nutrition and Dietary · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) May 16, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure the Dietary Manager (Staff C) had the required qualifications/certification to perform their duties for 1 of 1 facility kitchens. The failure placed residents at risk of receiving a menu prepared by staff without the required competencies and skills to provide the necessary food and nutrition services.
April 11, 2025Standard inspection · 14 citations
  1. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2025
    Inspectors wroteBased on interview and record review, the facility failed to obtain and/or maintain Advance Directives (AD) for 2 of 20 sampled residents (59 & 65) reviewed for AD. This failure placed residents at risk for losing their right to have their healthcare preferences and/or decisions honored.
  2. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain an assessment, consent, and/or physician's order regarding bed rails for 2 of 3 sampled residents (264 & 50) reviewed for physical restraints. This failure placed residents at risk of injury, unmet needs, and a diminished quality of life.
  3. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2025
    Inspectors wroteBased on interview and record review, the facility failed to coordinate the Preadmission Screen and Resident Review (PASARR) for Level II services for 2 of 7 sampled residents (36 & 54) reviewed for PASARR. This failure placed residents at risk of not receiving the necessary mental health services and diminished quality of life.
  4. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a Pre-admission Screening and Resident Review (PASARR) assessment was completed to reflect accurate mental health diagnoses for 1 of 7 sampled residents (94) reviewed for PASARR. This failure placed residents at risk of not receiving mental health services and a diminished quality of life.
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to develop a person-centered activities care plan for 1 of 6 sampled residents (97) reviewed for activities. This failure placed residents at risk for unmet care needs and a diminished quality of life.
  6. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure services provided met professional standards of practice with inaccurate enteral nutrition (method of providing nutrition directly into the gastrointestinal tract via a feeding tube) pump settings and not documenting medication administration for 1 of 1 sampled residents (101) reviewed for professional standards of practice. These failures placed residents at risk for unmet care needs and a diminished quality of life.
  7. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure assistance was provided with shaving for 1 of 3 sampled residents (59) reviewed for Activities of Daily Living (ADL) for Dependent Residents. This failure placed residents at risk for unmet care needs, decreased self-esteem, and a diminished quality of life.
  8. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide resident centered activities incorporating the resident's preferences for 1 of 1 sampled resident (97) reviewed for activities. This failure placed residents at risk of a decreased quality of life.
  9. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2025
    Inspectors wroteBased on interview and record review, the facility failed to initiate bowel interventions for 6 of 7 sampled residents (37, 50, 86, 92, 102 & 105) reviewed for quality of care related to bowel management. This failure placed residents at risk for health complications and a diminished quality of life.
  10. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure continuous supplemental oxygen (O2) was provided for 1 of 4 sampled residents (97) reviewed for respiratory care and services. This failure placed residents at risk of discomfort, medical decline and a diminished quality of life.
  11. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to complete behavior monitoring and intervention assessments for 1 of 5 sampled residents (36) reviewed for psychotropic medications. This failure placed residents at risk for receiving unnecessary medications and a diminished quality of life.
  12. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were properly stored and labeled in 1 of 4 medication carts (Middle South) reviewed for medication storage. This failure placed residents at risk for receiving the wrong medication, adverse outcome, and a diminished quality of life.
  13. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure they were compliant with infection prevention and control guidelines and practices when staff did not clean and disinfect shared medical equipment between resident use on 2 of 2 hallways (North & South) reviewed for infection prevention and control. This failure placed residents, staff and visitors at risk for potential infection.
  14. D
    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
    F909 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2025
    Inspectors wroteBased on observation and interview, the facility failed to ensure bed rails were securely fastened to the bed and without gaps between the mattress and bed rail for 1 of 3 sampled resident (264) reviewed for physical restraints. This failure placed residents at risk for injury and/or entrapment.
March 11, 2025Complaint inspection · 1 citation
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure resident care plans were updated after a change in condition for 1 of 3 sampled residents (Resident 1) reviewed for care plan revisions. This failure placed residents at risk for unmet care needs and a decreased quality of life.
February 19, 2025Complaint inspection · 1 citation
  1. D
    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
    F626 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 11, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure, after a planned hospitalization, the resident was readmitted to the facility for 1 of 1 sampled residents (Resident 1) reviewed for permitting residents to return to the facility. This failure placed residents at risk for increased anxiety related to being placed in an unfamiliar environment, and a diminished quality of life.
January 17, 2025Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 6, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident was assessed after an unwitnessed fall for 1 of 2 sampled residents (Resident 1) reviewed for quality of care related to falls. This failure placed residents at risk of undiagnosed injuries, increased pain, and a decreased quality of life.
January 7, 2025Complaint inspection · 2 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 6, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure foods were stored in a clean, dry and sanitary manner and in accordance with professional standards of cleanliness and food safety for 1 of 1 dry storage rooms and 1 of 1 juice dispensing areas reviewed for cleanliness and food safety. The failure placed residents at risk for food borne illness, ingestion of contaminated food or beverages, cross contamination, and a diminished quality of life.
  2. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 6, 2025
    Inspectors wroteBased on observation and interview, the facility failed to provide repair and maintenance services for a safe and sanitary environment in 1 of 1 kitchen floors reviewed for safe and functional environment. This failure placed residents at risk for infection by not having cleanable and maintained surfaces.
May 24, 2024Standard inspection · 5 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 17, 2024
    Inspectors wroteBased on observation and interview, the facility failed to maintain the cleanliness of the kitchen ice machine and vent fan covers; and failed to ensure stored food and reusable items in the refrigerator, freezers and dry storage were labeled and dated when opened. These failures placed residents at risk for foodborne illness and a diminished quality of life.
  2. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 17, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain a consent, evaluation assessment and physician order for 1 of 3 sampled residents (17) reviewed for physical restraints. This failure placed residents at risk for injury, unmet needs, and a diminished quality of life.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 17, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to develop a comprehensive care plan for 1 of 3 sampled residents (17) reviewed for physical restraints. This failure placed residents at risk for unmet care needs and a diminished quality of life.
  4. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 17, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure preventative measures for contractures were provided, and failed to provide consistent restorative services for 2 of 3 sampled residents (30 & 17) reviewed for maintaining activities of daily living (ADLs) These failures placed residents at risk for further decline and a diminished quality of life.
  5. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 17, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide follow-up education for the Pneumococcal Conjugate Vaccine (PCV13) for 1 of 5 sampled resident (45) reviewed for immunizations. This failure placed resident at risk of exposure to contagious diseases and an increased risk of respiratory complications.
May 2, 2024Complaint inspection · 1 citation
  1. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 13, 2024
    Inspectors wroteBased on interview and record review, the facility failed to initiate a facility investigation after a resident was sent to the emergency room (ER) and was later admitted with a diagnosis of narcotic overdose for 1 of 4 sampled residents (1) reviewed for facility investigations. This failure placed residents at risk of medication errors, medication side effects, and a decreased quality of life.

Fire safety inspections

19 fire safety citations on file: 7 on February 11, 2026, 8 on April 11, 2025, 4 on May 24, 2024.

Every fire safety citation19 citations
  1. F
    Establish staff and initial training requirements.
    E 37 · February 11, 2026 · Corrected (the home has a date of correction)
  2. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · February 11, 2026 · Corrected (the home has a date of correction)
  3. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · February 11, 2026 · Corrected (the home has a date of correction)
  4. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · February 11, 2026 · Corrected (the home has a date of correction)
  5. E
    Ensure proper usage of power strips and extension cords.
    K 920 · February 11, 2026 · Corrected (the home has a date of correction)
  6. D
    Have simulated fire drills held at unexpected times.
    K 712 · February 11, 2026 · Corrected (the home has a date of correction)
  7. D
    Have proper medical gas storage and administration areas.
    K 923 · February 11, 2026 · Corrected (the home has a date of correction)
  8. F
    Establish procedures for tracking staff and patients during an emergency.
    E 18 · April 11, 2025 · Corrected (the home has a date of correction)
  9. F
    Establish policies and procedures including evacuation.
    E 20 · April 11, 2025 · Corrected (the home has a date of correction)
  10. F
    List the names and contact information of those in the facility.
    E 30 · April 11, 2025 · Corrected (the home has a date of correction)
  11. F
    Have simulated fire drills held at unexpected times.
    K 712 · April 11, 2025 · Corrected (the home has a date of correction)
  12. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · April 11, 2025 · Corrected (the home has a date of correction)
  13. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · April 11, 2025 · Corrected (the home has a date of correction)
  14. D
    Provide properly protected cooking facilities.
    K 324 · April 11, 2025 · Corrected (the home has a date of correction)
  15. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · April 11, 2025 · Corrected (the home has a date of correction)
  16. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 24, 2024 · Corrected (the home has a date of correction)
  17. D
    Install corridor and hallway doors that block smoke.
    K 363 · May 24, 2024 · Corrected (the home has a date of correction)
  18. D
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · May 24, 2024 · Corrected (the home has a date of correction)
  19. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · May 24, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
December 29, 2025Fine $8,278

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeWashingtonUnited States
All nursing staff (RN, LPN and aides)4.234.363.86
Registered nurses0.590.940.69
All nursing staff on weekends3.653.803.42
Nurse aides2.58
Licensed practical nurses1.06
Nursing staff turnover (share who left in a year)55.0%45.1%45.8%
Registered nurse turnover61.9%45.4%42.9%
Administrators who left0

CMS expects 3.79 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.46 on weekdays and 3.65 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.82 in April to June 2025 to 4.23 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.230.594.463.65 8.5%0 of 90101
Oct to Dec 20254.110.604.303.62 3.3%0 of 92103
Jul to Sep 20253.970.604.203.38 10.3%0 of 92110
Apr to Jun 20253.820.554.033.29 19.1%0 of 91116
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Washington, Jan to Mar 20264.210.904.443.663.7%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Washington

JobMedianMiddle halfEmployed
Washington, all employers
CNAs (nursing assistants)$23.65$22.59 to $27.8530,270
LPNs and LVNs$39.98$36.98 to $45.186,780
Registered nurses$59.71$49.57 to $64.5469,260
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeWashingtonUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
14.014.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.31.00.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.71.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.82.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.51.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
9.217.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.54.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.715.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
20.119.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.513.412.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.51.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.31.51.8

Owners and operators

Legal business name: SOUTH CREEK SNF HEALTHCARE LLC. CMS links this home to PACS Group, a group of 275 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Mitchell, JohnManaging control - governing bodyIndividual05/14/2024
Apt, FrederickCorporate officerIndividual08/01/2024
Jergensen, JoshuaCorporate officerIndividual08/01/2024
Mitchell, JohnCorporate officerIndividual08/01/2024
Attri, PriyankaOperational/managerial controlIndividual08/01/2024
Schneider, BrentOperational/managerial controlIndividual08/01/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on April 30, 2026: "Honor each resident's preferences, choices, values and beliefs."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on April 30, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 7 problems in this area, most recently on February 20, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on February 11, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.65 hours per resident per day, below the Washington average of 3.80.

Other nursing homes nearby

Washington contacts for a concern about a nursing home

These are the official offices in Washington. NursingHomeClear cannot take or act on complaints.

Common questions

What is South Creek Post Acute's Medicare star rating?
CMS rates South Creek Post Acute 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did South Creek Post Acute get at its last inspection?
7 health deficiencies at the standard inspection on February 11, 2026. The Washington average is 15.8.
Has South Creek Post Acute been fined?
Yes. CMS lists 1 fine totaling $8,278 in the last three years.
Does South Creek Post Acute accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns South Creek Post Acute?
CMS lists 6 owners and managers, and links the home to PACS Group. Legal business name: SOUTH CREEK SNF HEALTHCARE LLC.

Sources

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