South Creek Post Acute

CMS star ratings

Overall★★★★★ 4/5

State avg 3.2

Health inspections★★★★★ 3/5

State avg 2.8

Staffing★★★★★ 3/5

State avg 3.6

Quality measures★★★★★ 5/5

State avg 4.0

Long-stay quality★★★★★ 5/5

Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 4.23 (state 4.37 · U.S. 3.86)
Registered nurses (RN): 0.59 (state 0.94 · U.S. 0.69)
Licensed practical nurses: 1.06 (state 0.77 · U.S. 0.86)
Nurse aides: 2.58 (state 2.66 · U.S. 2.32)
Weekend total: 3.65 (state 3.81 · U.S. 3.42)
Nursing staff turnover: 55.0 (state 45.1 · U.S. 45.8)%
RN turnover: 61.9 (state 45.4 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: February 11, 2026
Health deficiencies (last cycle): 14.0 (state 16.1 · U.S. 9.3)
From complaints: 7
Citations on record (3 years): 42 health · 19 fire safety · includes actual harm

Date	Citation	Severity	Status
2026-04-30	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-05-11
2026-04-30	Honor each resident's preferences, choices, values and beliefs. F0675 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-05-11
2026-02-20	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-03-09
2026-02-20	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-03-09
2026-02-11	Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. F0728 · Nursing and Physician Services Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-03-09
2026-02-11	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-03-09
2026-02-11	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-09
2026-02-11	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-09
2026-02-11	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-09
2026-02-11	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-09
2026-02-11	Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies	C No actual harm, potential for minimal harm	Corrected 2026-03-09
2025-12-29	Provide timely, quality laboratory services/tests to meet the needs of residents. F0770 · Administration Deficiencies · complaint inspection	G Actual harm	Corrected 2026-01-11
2025-12-02	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-12-22
2025-09-09	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-09-12
2025-07-24	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-08-15
2025-07-01	Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. F0836 · Administration Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-07-14
2025-04-17	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801 · Nutrition and Dietary Deficiencies · complaint inspection	C No actual harm, potential for minimal harm	Corrected 2025-05-16
2025-04-11	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. F0578 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-11	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-11	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-11	PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-11	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-11	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-11	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-11	Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-11	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-11	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-11	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-11	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-11	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-11	Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. F0909 · Environmental Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-03-11	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-03-21
2025-02-19	Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. F0626 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-03-11
2025-01-17	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-02-06
2025-01-07	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-02-06
2025-01-07	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-02-06
2024-05-24	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-06-17
2024-05-24	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-06-17
2024-05-24	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-06-17
2024-05-24	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-06-17
2024-05-24	Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-06-17
2024-05-02	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-05-13

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $8,278 in fines.

Date	Type	Amount
2025-12-29	Fine	$8,278

Ownership & management

Name	Role	Since
Apt, Frederick (individual)	Corporate Officer · NOT APPLICABLE
Jergensen, Joshua (individual)	Corporate Officer · NOT APPLICABLE
Mitchell, John (individual)	Corporate Officer · NOT APPLICABLE
Mitchell, John (individual)	Managing Control - Governing Body · NOT APPLICABLE
Attri, Priyanka (individual)	Operational/managerial Control · NOT APPLICABLE
Schneider, Brent (individual)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of South Creek Post Acute?

South Creek Post Acute has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Washington.

How many beds does South Creek Post Acute have?

It has 128 certified beds and cares for about 101 residents per day.

Has South Creek Post Acute been fined?

Yes. CMS lists 1 penalty totaling $8,278 in the last three years.

Who owns South Creek Post Acute?

It is part of Pacs Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of South Creek Post Acute?

(360) 736-9384. The facility is located at 917 South Scheuber Road, Centralia, WA 98531.

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Contact & location

Facility details