Inspection Reports for Creswell Post Acute
735 South 2nd Street, Creswell, OR, 97426
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
17 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
154% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Complaint Investigation
Capacity: 76
Deficiencies: 6
Dec 12, 2025
Visit Reason
3 deficiencies noted including initial comments, reporting of alleged violations, comprehensive assessments & timing, and sufficient nursing staff. None of the deficiencies were corrected at the time of visit.
Findings
3 deficiencies noted including initial comments, reporting of alleged violations, comprehensive assessments & timing, and sufficient nursing staff. None of the deficiencies were corrected at the time of visit.
Deficiencies (6)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0609 - Reporting of Alleged Violations |
| F0636 - Comprehensive Assessments & Timing |
| F0725 - Sufficient Nursing Staff |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 76
Deficiencies: 2
Oct 23, 2025
Visit Reason
No deficiencies noted but citations for initial comments and state administrative rules were not corrected.
Findings
No deficiencies noted but citations for initial comments and state administrative rules were not corrected.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 76
Deficiencies: 2
Jan 8, 2025
Visit Reason
No deficiencies noted but citations for initial comments and state administrative rules were not corrected.
Findings
No deficiencies noted but citations for initial comments and state administrative rules were not corrected.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 76
Deficiencies: 4
Oct 9, 2024
Visit Reason
1 deficiency noted related to discharge summary. Some deficiencies were not corrected on revisit. Findings included failure to complete discharge summaries for sampled residents placing them at risk for unsafe discharge.
Findings
1 deficiency noted related to discharge summary. Some deficiencies were not corrected on revisit. Findings included failure to complete discharge summaries for sampled residents placing them at risk for unsafe discharge.
Deficiencies (4)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0661 - Discharge Summary |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 76
Deficiencies: 22
Aug 30, 2024
Visit Reason
19 deficiencies noted with multiple citations including resident rights, informed consent, notification of changes, privacy, grievances, discharge planning, quality of care, treatment to prevent pressure ulcers, medication errors, and staffing. Many deficiencies were corrected at revisit but some remained not corrected.
Findings
19 deficiencies noted with multiple citations including resident rights, informed consent, notification of changes, privacy, grievances, discharge planning, quality of care, treatment to prevent pressure ulcers, medication errors, and staffing. Many deficiencies were corrected at revisit but some remained not corrected.
Deficiencies (22)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0550 - Resident Rights/Exercise of Rights |
| F0552 - Right to be Informed/Make Treatment Decisions |
| F0580 - Notify of Changes (Injury/Decline/Room, etc.) |
| F0583 - Personal Privacy/Confidentiality of Records |
| F0585 - Grievances |
| F0625 - Notice of Bed Hold Policy Before/Upon Trnsfr |
| F0655 - Baseline Care Plan |
| F0660 - Discharge Planning Process |
| F0677 - ADL Care Provided for Dependent Residents |
| F0684 - Quality of Care |
| F0685 - Treatment/Devices to Maintain Hearing/Vision |
| F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer |
| F0688 - Increase/Prevent Decrease in ROM/Mobility |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0759 - Free of Medication Error Rts 5 Prcnt or More |
| F0761 - Label/Store Drugs and Biologicals |
| F0847 - Entering into Binding Arbitration Agreements |
| M0000 - Initial Comments |
| M0143 - Employees: Criminal Record Checks |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 76
Deficiencies: 2
May 23, 2024
Visit Reason
No deficiencies corrected; citations for initial comments and state administrative rules noted.
Findings
No deficiencies corrected; citations for initial comments and state administrative rules noted.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Capacity: 76
Deficiencies: 1
Jan 30, 2024
Visit Reason
1 deficiency related to failure to report complete COVID-19 information to CDC's NHSN. Deficiency not corrected at time of visit.
Findings
1 deficiency related to failure to report complete COVID-19 information to CDC's NHSN. Deficiency not corrected at time of visit.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Complaint Investigation
Capacity: 76
Deficiencies: 10
Sep 15, 2023
Visit Reason
7 deficiencies noted including failure to prevent abuse, failure to provide ADL care, failure to follow physician orders, catheter care deficiencies, insufficient nursing staff, failure to monitor dementia behaviors, and medication errors. Some deficiencies corrected on revisit but many remained not corrected.
Findings
7 deficiencies noted including failure to prevent abuse, failure to provide ADL care, failure to follow physician orders, catheter care deficiencies, insufficient nursing staff, failure to monitor dementia behaviors, and medication errors. Some deficiencies corrected on revisit but many remained not corrected.
Deficiencies (10)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0600 - Free from Abuse and Neglect |
| F0677 - ADL Care Provided for Dependent Residents |
| F0684 - Quality of Care |
| F0690 - Bowel/Bladder Incontinence, Catheter, UTI |
| F0725 - Sufficient Nursing Staff |
| F0744 - Treatment/Service for Dementia |
| F0760 - Residents are Free of Significant Med Errors |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Capacity: 76
Deficiencies: 1
Aug 28, 2023
Visit Reason
1 deficiency related to failure to report complete COVID-19 information to CDC's NHSN. Deficiency not corrected at time of visit.
Findings
1 deficiency related to failure to report complete COVID-19 information to CDC's NHSN. Deficiency not corrected at time of visit.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Capacity: 76
Deficiencies: 1
Jul 24, 2023
Visit Reason
1 deficiency related to failure to report complete COVID-19 information to CDC's NHSN. Deficiency not corrected at time of visit.
Findings
1 deficiency related to failure to report complete COVID-19 information to CDC's NHSN. Deficiency not corrected at time of visit.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
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