Salmon Creek Post Acute & Rehabilitation
2811 Ne 139th Street · Vancouver, WA · 98686 · 3605745247
120 certified beds For profit - Corporation Chain: Hill Valley Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.93 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.67 | 0.55–0.75 |
| Weekend hours / resident-day | 3.47 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (49 in the current record)
-
Potential for harm · E April 9, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 15, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D April 9, 2026 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 15, 2026 · Quality of Life and Care
-
Potential for harm · E April 9, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 15, 2026 · Pharmacy Service
-
Potential for harm · D January 9, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 20, 2026 · Resident Rights
-
Potential for harm · D January 9, 2026
Honor the resident's right to manage his or her financial affairs.
Corrected February 20, 2026 · Resident Rights
-
Potential for harm · D January 9, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected February 20, 2026 · Resident Rights
-
Potential for harm · D January 9, 2026
Honor 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.
Corrected February 20, 2026 · Resident Rights
-
Potential for harm · D January 9, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected February 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 9, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 20, 2026 · Resident Rights
-
Potential for harm · D January 9, 2026
Ensure each resident receives an accurate assessment.
Corrected February 20, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 9, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 20, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 9, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 20, 2026 · Quality of Life and Care
-
Potential for harm · D January 9, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 20, 2026 · Quality of Life and Care
-
Potential for harm · D January 9, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 20, 2026 · Quality of Life and Care
-
Potential for harm · D January 9, 2026
Post nurse staffing information every day.
Corrected February 20, 2026 · Nursing and Physician Services
-
Potential for harm · E January 9, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected February 20, 2026 · Pharmacy Service
-
Potential for harm · E January 9, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 20, 2026 · Nutrition and Dietary
-
Potential for harm · D January 9, 2026
Provide and implement an infection prevention and control program.
Corrected February 20, 2026 · Infection Control
-
Potential for harm · D January 5, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 23, 2026 · Resident Rights
-
Potential for harm · E January 5, 2026 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected January 23, 2026 · Quality of Life and Care
-
Potential for harm · E January 5, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 23, 2026 · Pharmacy Service
-
Potential for harm · D November 18, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 12, 2025 · Pharmacy Service
-
Potential for harm · D July 31, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 26, 2025 · Resident Rights
-
Potential for harm · D July 31, 2025 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected September 26, 2025 · Quality of Life and Care
-
Potential for harm · D July 31, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 26, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505522 · certified since October 26, 2011. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.