Nursing Homes · Medicare certified
Three Creeks Post Acute
Northwest 1310 Deane · Pullman, WA 99163 · 48 certified beds
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About Three Creeks Post Acute
Three Creeks Post Acute is a nursing home in Pullman, Washington. Its capacity is 48 beds, below the Washington median of 97 for nursing homes. It is run by a for-profit operator and is part of Kalesta Healthcare Group. It is Medicare certified. Its public inspection record shows 43 citations, the most recent on March 3, 2026. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 3.30 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
3.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (43)
Records from July 2023 to March 2026.
March 3, 2026
Tag F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2026.
March 3, 2026
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2026.
March 3, 2026
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2026.
March 3, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 1, 2026.
March 3, 2026
Tag F0645PASARR screening for Mental disorders or Intellectual Disabilities.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 1, 2026.
March 3, 2026
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2026.
March 3, 2026
Tag F0760Ensure that residents are free from significant medication errors.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 1, 2026.
March 3, 2026
Tag F0887Educate 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 1, 2026.
March 3, 2026
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2026.
March 3, 2026
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 1, 2026.
March 3, 2026
Tag F0699Provide care or services that was trauma informed and/or culturally competent.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2026.
March 3, 2026
Tag F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 1, 2026.
March 3, 2026
Tag F0584Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2026.
March 3, 2026
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2026.
February 26, 2026
Tag F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 20, 2026.
December 22, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity L: widespread, immediate jeopardy. Corrected January 28, 2026.
December 22, 2025
Tag F0584Honor 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.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected January 28, 2026.
December 22, 2025
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 28, 2026.
November 10, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 17, 2025.
November 10, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 9, 2026.
Penalties (3)
Total fines: $50,850
November 10, 2025 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting February 6, 2026, lasting 3 days (triggered by inspection on November 10, 2025).
November 10, 2025 · Fine
CMS recorded a civil money penalty of $18,675 against this nursing home on November 10, 2025.
May 1, 2024 · Fine
CMS recorded a civil money penalty of $32,175 against this nursing home on May 1, 2024.
Staffing
3.30 nurse hours per resident per day in Q2 2026, down from 3.40 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Kalesta Healthcare Group, a chain of 19 nursing homes.
Average CMS star ratings across the chain: 2.6 overall, 2.2 for health inspections, 3.0 for staffing, 4.1 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Washington.
What Medicaid pays nursing homes
This is what Washington Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Day-weighted mean daily rate
$404.31per day
About $12,291 a month.
Median we calculated from the state's own facility rate file, July 1, 2026. Based on 183 facilities.
Median facility daily rate
$389.86per day
About $11,852 a month.
Median we calculated from the state's own facility rate file, July 1, 2026. Based on 183 facilities.
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