Three Creeks Post Acute
Three Creeks Post Acute in PULLMAN, WA — inspection on December 22, 2025.
Found 3 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
heat, if another power outage occurred.
Reference: WAC 388-97-0880 (3)
minimal harm
505246 12/22/2025
Three Creeks Post Acute Northwest 1310 Deane Pullman, WA 99163
During an interview on 12/16/2025 at 12:45 PM, Resident 1 was in their room finishing their lunch.
They stated that they believed the year was 1974 and they had just been discharged from the military to the current facility.
They further stated that they did take medication for depression daily.
During an interview on 12/22/2025 at 1:20 PM, Staff J, Admissions Director, stated that Resident 1 had not been admitted to the facility through the standard process.
They stated that the resident had transferred from a sister facility after the directors of the current facility and the former facility had discussed the transfer.
They further stated that prior to a resident being admitted they, or social services, would review the resident record to see if a PASRR Level I had been completed and if a Level II was needed.
They stated that if a Level II was needed it should occur prior to the resident having admitted to the facility.
Staff J further stated that they did not review this resident's records prior to admission and were not aware that the resident had a need for a Level II to be completed, nor that the Level I was filled out incorrectly.
During an interview on 12/22/2025 at 2:05 PM, Staff A, Administrator In Training, stated that they had accepted the transfer of Resident 1 from their sister facility.
They further stated that they were not aware that prior to their admission to the facility, Resident 1 had a Level I PASRR which indicated they needed a PASRR Level II completed, and they had not reviewed the resident's PASRR prior to admission.
Reference: WAC 388-97-1915(4)
505246 12/22/2025
Three Creeks Post Acute Northwest 1310 Deane Pullman, WA 99163
Review of the Refrigerator/Freezer Temperature logs for December 2025 showed the refrigerator temperature for the identified refrigerator as 40 degrees F on the morning (identified as Temp AM freezer/fridge).
The line for recording temperatures for 12/17/2025 was lined out with red marker and a comment was written, OO service, under the section titled If temperature is outside of specification, what was done about it? For the second refrigerator a line was drawn through 12/17/2025 and a comment was written in, OO service.
The freezer temperature log for 12/17/2025 for AM was recorded as -10.
The line for recording temperatures for 12/17/2025 was lined out with red marker and a comment was written, OO service. In an interview with Staff C, Dietary Manager, on 12/18/2025 at 11:40 AM, they stated that they were aware of the power outage on 12/17/2025 that started at 5:10 AM and ended at 3:30 PM.
They further stated that they came to work that day at 2:00 PM and they did not check the temperatures in the refrigerators or freezer during their shift or when the power came back on.
They stated that Staff D had texted them that the temperature in the one refrigerator was 50 degrees F and there was milk in that refrigerator.
They stated that they served the milk for dinner that night and for breakfast on 12/18/2025.
They stated that they knew what items were in the refrigerators because they dated them when they came into the building.
They further stated that no food was thrown away after the power outage, that they did notice that the freezer items were frozen solid after the power outage, and they thought the other refrigerator was in the safe zone because the door was not opened. In an interview with Staff A, Administrator In Training, on 12/18/2025 at 10:45 AM, they stated that the generator in the building was old and did not provide power for the kitchen or heat during the power outage on 12/17/2025.
They stated that a new generator was on the list of things to purchase after a change in ownership in June of 2025. At 1:00 PM on 12/18/2025, Staff A, stated that they were not aware that temperatures in the one refrigerator were above 45 degrees F on 12/17/2025 and that no food was discarded. In an Interview with Staff B, Director of Nursing, on 12/18/2025 at 2:25PM, they stated that they would monitor residents in the building for signs or symptoms of food borne illness.
During an interview on 12/22/2025 at 12:10 PM they stated that all residents in the building on 12/17/2025 were monitored for signs and symptoms of food borne illness and no concerns were identified.
Reference: WAC 388-97-1100 (3)
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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.