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.
January 10, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 14, 2025.
November 17, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 23, 2024.
November 17, 2024
Tag F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 23, 2024.
November 17, 2024
Tag F0625Notify 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 23, 2024.
November 17, 2024
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 December 23, 2024.
November 17, 2024
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 December 23, 2024.
November 17, 2024
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 December 23, 2024.
November 17, 2024
Tag F0578Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 23, 2024.
May 24, 2024
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 19, 2024.
May 24, 2024
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 19, 2024.
May 24, 2024
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 19, 2024.
May 24, 2024
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity G: isolated, actual harm. Corrected June 19, 2024.
May 1, 2024
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 19, 2024.
May 1, 2024
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 19, 2024.
December 5, 2023
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 15, 2023.
December 5, 2023
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 15, 2023.
November 9, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 7, 2023.
October 2, 2023
Tag F0624Prepare residents for a safe transfer or discharge from the nursing home.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 17, 2023.
August 19, 2023
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 13, 2023.
August 19, 2023
Tag F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 13, 2023.
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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