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Data / Nursing homes / Washington / Three Creeks Post Acute

Three Creeks Post Acute, Pullman, WA: 1 star rating, fined $50,850 across 2 fines and had 1 payment denial

Three Creeks Post Acute in Pullman, WA is owned by Kalesta Healthcare Group, LLC, is rated 1 of 5 stars by Medicare, and was fined $50,850 across 2 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 41 health citations from inspections in that time, the latest survey on August 19, 2026, and 2 of them found actual harm or immediate jeopardy.

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Address
Northwest 1310 Deane, Pullman, WA 99163
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measure rating
4 of 5
Certified beds
48
Residents per day
44 on average
Ownership type
For profit, limited liability company
Legal business name
Westwards Beach, LLC
Chain
Kalesta Healthcare Group, 19 facilities
Fines
$50,850 across 2 fines, three years to October 1, 2026
Payment denials
1
Health citations
41, of which 2 with actual harm or immediate jeopardy
Latest survey
August 19, 2026
CMS Certification Number
505246
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
November 10, 2025Fine$18,675Not listeddata.cms.gov
November 10, 2025Payment denialNot listedFebruary 6, 20263data.cms.gov
May 1, 2024Fine$32,175Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 19, 2026F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmPlan of correctionSeptember 18, 2026data.cms.gov
August 19, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmPlan of correctionSeptember 18, 2026data.cms.gov
August 19, 2026F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmPlan of correctionSeptember 18, 2026data.cms.gov
March 3, 2026F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
March 3, 2026F887Educate 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: pattern, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
March 3, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
March 3, 2026F801Employ 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: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
March 3, 2026F760Ensure that residents are free from significant medication errors.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
March 3, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
March 3, 2026F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
March 3, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
March 3, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
March 3, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
March 3, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
March 3, 2026F645PASARR screening for Mental disorders or Intellectual DisabilitiesE: pattern, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
March 3, 2026F584Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
March 3, 2026F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
February 26, 2026F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 20, 2026data.cms.gov
December 22, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.L: widespread, immediate jeopardyCorrectedJanuary 28, 2026data.cms.gov
December 22, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 28, 2026data.cms.gov
December 22, 2025F584Honor 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: widespread, minimal harm potentialCorrectedJanuary 28, 2026data.cms.gov
November 10, 2025F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 9, 2026data.cms.gov
November 10, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 17, 2025data.cms.gov
January 10, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2025data.cms.gov
November 17, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 23, 2024data.cms.gov
November 17, 2024F801Employ 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: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 23, 2024data.cms.gov
November 17, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 23, 2024data.cms.gov
November 17, 2024F625Notify 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: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 23, 2024data.cms.gov
November 17, 2024F622Not 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: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 23, 2024data.cms.gov
November 17, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 23, 2024data.cms.gov
November 17, 2024F578Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 23, 2024data.cms.gov
May 24, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedJune 19, 2024data.cms.gov
May 24, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 19, 2024data.cms.gov
May 24, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 19, 2024data.cms.gov
May 24, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 19, 2024data.cms.gov
May 1, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 19, 2024data.cms.gov
May 1, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 19, 2024data.cms.gov
December 5, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 15, 2023data.cms.gov
December 5, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 15, 2023data.cms.gov
November 9, 2023F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 7, 2023data.cms.gov
October 2, 2023F624Prepare residents for a safe transfer or discharge from the nursing home.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 17, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 11 individual or personal trusts (3 owners, 5 managers, 3 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Kalesta Healthcare Group, LLCDirect owner100%June 1, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.