South Creek Post Acute
South Creek Post Acute in CENTRALIA, WA — inspection on April 30, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Findings included.Resident 2 admitted to the facility on [DATE].
The Medicare 5-day Minimum Data Set, an assessment tool, dated 03/19/2026, documented the resident was cognitively intact.
Record review of Resident 2's elopement risk evaluation, dated 03/13/2026, documented the resident was at high risk of elopement.
Record review of Resident 2's physician notes, dated 03/15/2026, documented, [Resident 2] was considered an elopement risk.
Record review of Resident 2's facility investigation, dated 04/20/2026, documented the resident eloped from the facility and traveled to a relative's house.
Record review of Resident 2's comprehensive care plan documented an elopement care plan was initiated on 04/21/2026, 39 days after the resident was assessed to be a high elopement risk and 1 day after the resident eloped from the facility. In an interview on 04/30/2026 at 12:44 PM, Staff C, Residential Care Manager/Registered Nurse, said residents were assessed for elopement risk upon admission and if there was a change in behavior such as exit seeking.
Staff C said usually an elopement care plan was triggered by a positive elopement risk assessment.
Staff C said Resident 2 was assessed to be a high elopement risk on 03/13/2026.
Staff C said it did not look like an elopement care plan was initiated after the assessment on 03/13/2026. In an interview on 04/30/2026 at 1:18 PM, Staff A, Administrator, said she would expect an elopement care plan to be initiated when a resident was assessed to be a high elopement risk.
Reference WAC 388-97 -1020(1)(2)(a)(b).
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
505373 04/30/2026
South Creek Post Acute 917 South Scheuber Road Centralia, WA 98531
sampled residents (Resident 1) reviewed for call light response time.
This failure placed residents at
the facility on [DATE].
The discharge minimum data set, an assessment tool, dated 04/15/2026, documented the resident was cognitively intact.
Record review of Resident 1's facility investigation, dated 04/10/2026, documented, The resident reported that his call light was not answered for approximately 1.5 to 2 hours.
The resident expressed concern regarding the delay in response to his request for assistance.
The resident statement documented, Pushed my call light during breakfast to get assistance for toileting and it took 1.5 to 2 hours to come assist me.
Record review of facility's call light report, dated 04/10/2026, documented Resident 1's call light was activated on 04/10/2026 at 6:22 AM.
The report documented the call light was answered 2 hours and 23 minutes later. In an interview on 04/30/2026 at 12:33 PM, Staff D, Certified Nursing Assistant, said facility staff just had a meeting about call light wait times, and Staff D was told by management the facility expectation for answering call lights was about 15 minutes. In an interview on 04/30/2026 at 1:03 PM, Staff A, Administrator, said Resident 1's long call light time prompted the facility to review the whole call light system.
Staff A said there had been recent meetings to educate staff on call light expectations, and that staff should ideally be answering call lights within 20 minutes of activation.
Reference WAC 388-97 -1060(1).
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.