The Creston Health & Rehabilitation

3320 Se Holgate Blvd · Portland, OR · 97202 · 5032311411

100 certified beds Non profit - Corporation

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $103,564 in fines in the last 24 months.
  • 3 citations involved actual harm to residents.
  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

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.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

$103,564 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

94% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 25
Serious harm & abuse 20% 76
Staffing 20% 82
Federal penalties 15% 47
Trend 10% 91
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day5.623.48 min · 4.1 strong
RN hours / resident-day1.020.55–0.75
Weekend hours / resident-day5.14≈ weekday level
Nursing turnover / year94%median 45%
Fines (3-yr window)2 · $103,564

Inspection citations (61 in the current record)

  • Actual harm · G February 27, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 31, 2026 · Quality of Life and Care

  • Potential for harm · E February 27, 2026

    Reasonably accommodate the needs and preferences of each resident.

    Corrected March 31, 2026 · Resident Rights

  • Potential for harm · D February 27, 2026

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected March 31, 2026 · Resident Rights

  • Potential for harm · E February 27, 2026

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected March 31, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 27, 2026

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 31, 2026 · Quality of Life and Care

  • Potential for harm · D February 27, 2026

    Provide activities to meet all resident's needs.

    Corrected March 31, 2026 · Quality of Life and Care

  • Potential for harm · D February 27, 2026

    Assist a resident in gaining access to vision and hearing services.

    Corrected March 31, 2026 · Quality of Life and Care

  • Potential for harm · E February 27, 2026

    Observe each nurse aide's job performance and give regular training.

    Corrected March 31, 2026 · Nursing and Physician Services

  • Potential for harm · E February 27, 2026

    Post nurse staffing information every day.

    Corrected March 31, 2026 · Nursing and Physician Services

  • Potential for harm · E February 27, 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 March 31, 2026 · Pharmacy Service

  • Potential for harm · D February 28, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected March 31, 2025 · Quality of Life and Care

  • Immediate jeopardy · J October 15, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 30, 2024 · Quality of Life and Care

  • Actual harm · G October 15, 2024 · found via complaint

    Provide or get specialized rehabilitative services as required for a resident.

    Corrected December 13, 2024 · Quality of Life and Care

  • Potential for harm · E October 15, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected November 30, 2024 · Resident Rights

  • Potential for harm · D October 15, 2024

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected November 30, 2024 · Resident Rights

  • Potential for harm · D October 15, 2024

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected November 30, 2024 · Resident Rights

  • Potential for harm · D October 15, 2024

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected November 30, 2024 · Resident Rights

  • Potential for harm · D October 15, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected November 30, 2024 · Resident Rights

  • Potential for harm · D October 15, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected November 30, 2024 · Resident Rights

  • Potential for harm · E October 15, 2024

    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 November 30, 2024 · Resident Rights

  • Potential for harm · D October 15, 2024

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected November 30, 2024 · Resident Rights

  • Potential for harm · E October 15, 2024

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected November 30, 2024 · Resident Rights

  • Potential for harm · D October 15, 2024

    Ensure each resident receives an accurate assessment.

    Corrected November 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E October 15, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected November 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 15, 2024

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected November 30, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 15, 2024Fine$94,744
July 30, 2024Fine$8,820

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385121 · certified since February 12, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.