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.
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
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-day | 5.62 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.02 | 0.55–0.75 |
| Weekend hours / resident-day | 5.14 | ≈ weekday level |
| Nursing turnover / year | 94% | median 45% |
| Fines (3-yr window) | 2 · $103,564 |
Inspection citations (61 in the current record)
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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
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Potential for harm · E February 27, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected March 31, 2026 · Resident Rights
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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
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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
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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
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Potential for harm · D February 27, 2026
Provide activities to meet all resident's needs.
Corrected March 31, 2026 · Quality of Life and Care
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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
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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
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Potential for harm · E February 27, 2026
Post nurse staffing information every day.
Corrected March 31, 2026 · Nursing and Physician Services
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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Potential for harm · D October 15, 2024
Ensure each resident receives an accurate assessment.
Corrected November 30, 2024 · Resident Assessment and Care Planning
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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
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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
| Date | Type | Amount / length |
|---|---|---|
| October 15, 2024 | Fine | $94,744 |
| July 30, 2024 | Fine | $8,820 |
Family & resident reviews — a separate signal, never mixed into the score
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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.