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Complaint Investigation

South Creek Post Acute

Inspection Date: December 29, 2025
Total Violations 1
Facility ID 505373
Location CENTRALIA, WA
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Inspection Findings

F-Tag F0770

Administration Deficiencies
Harm Level: Actual Harm

F 0770 Level of Harm - Actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

aware.In an interview on 12/23/2025 at 10:50 AM, Staff D, Medical Doctor, said Resident 1's labs were ordered on 11/02/2025. Staff D said he saw the note from the weekend supervisor that documented the blood draw was unsuccessful. Staff D said he wanted Resident 1's blood drawn on 11/03, the day after the unsuccessful blood draw by the weekend supervisor. Staff D said he gave a verbal order for the blood draw

on 11/03/2025. Staff D said the order for blood labs was given on a Sunday, and if staff were having issues obtaining the blood the staff should have communicated with the MD on Sunday. Staff D said he did not know why the labs were not obtained. Staff D said the CBC and BMP labs were not obtained, and if the labs were obtained as planned, the resident may have been transferred out of the facility earlier, or given a sodium supplement, depending on the results of the blood labs.In an interview on 12/29/2025 at 10:43 AM, Staff B, Director of Nursing/Registered Nurse, said Resident 1 did have orders for a CBC and BMP that were ordered on 11/02/2025. Staff B said after reviewing Resident 1's electronic medical record that she could not see any results for the labs. Staff B said there was a progress note on 11/02/2025 documenting

an unsuccessful blood draw. Staff B said the physician should be notified of the unsuccessful lab draw and orders moved so that the order did not expire in the electronic medical record. After reviewing the MAR, Staff B said the CBC and BMP labs were not obtained on 11/02/2025, 11/03/2025, and 11/04/2025. The resident was then sent to the hospital on [DATE REDACTED].Reference WAC 388-97 -1620(2)(b)(i)(ii)

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📋 Inspection Summary

SOUTH CREEK POST ACUTE in CENTRALIA, WA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CENTRALIA, WA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SOUTH CREEK POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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