With a score of 32/100, Three Creeks Post Acute ranks in the bottom tier of Washington nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at Three Creeks Post Acute is near the national average, with 3.86 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 39 deficiencies at Three Creeks Post Acute, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.86 | 3.8 | Average |
| Registered Nurses (RN) | 1.32 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.25 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.29 | 2.4 | Average |
| Weekend Total Nursing | 3.36 | 3.8 | Below Average |
| Weekend RN Hours | 0.97 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity LProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 21, 2025 · Nutrition and Dietary Deficiencies
- Tag 0644 Severity DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Dec 21, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0600 Severity DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Nov 9, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0760 Severity DEnsure that residents are free from significant medication errors.Nov 9, 2025 · Pharmacy Service Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jan 9, 2025 · Infection Control Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.5% | 4.5% | Better |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 22.1% | 14.5% | Worse |
| Urinary tract infections | 2.5% | 2.5% | Average |
| ADL decline (daily activities) | 22.5% | 14.0% | Worse |
| Excessive weight loss | 10.5% | 7.5% | Worse |
| New/worsened incontinence | 10.8% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $60,385
How This Grade Was Calculated
This facility's grade of F is based on a score of 32 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -6 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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