Skilled nursing · Portland, OR

The Creston Health & Rehabilitation

3320 SE HOLGATE BLVD, Portland, OR 97202

1 / 5CMS 100 bedsCapacity May 2026Inspected
PALMELLE

12

Below median

Federal · State

Serious issues

The Palmelle read

Worth a closer look. The Creston Health & Rehabilitation carries a Palmelle Clarity Score of 12 out of 100, derived from federal CMS Care Compare data plus Oregon state records. Health inspection rating sits at 1-star, staffing at 4-star, quality measures at 3-star. Long-stay antipsychotic prescribing is at 10.7 percent, below the 14 percent national median. Long-stay sedative prescribing is at 9.9 percent, below the 15 percent national median. RN coverage is 1.02 hours per resident per day. Nurse turnover 94 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Oregon DPH

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In their own words

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

Low rate of falls with major injury

This
1.2%
National
1.6%

Below national median. Suggests careful fall-risk assessment and active monitoring.

High registered-nurse coverage

This
1.02
National
0.78

More RN time per resident than national average. Earlier catch on medical issues.

Worth asking about

Pressure ulcer rate

Above national median. Often signals understaffing — ask about repositioning schedules and wound care.

Decline in mobility

Above national median. Ask about activity programs, physical therapy frequency, and resident engagement.

Federal CMS + Oregon state data

The full inspection record.

Federal CMS ratings

Overall★★★★1 / 5
Health inspection★★★★1 / 5
Staffing★★★★4 / 5
Quality measures★★★★★3 / 5

Staffing

RN hours per resident, daily

This
1.02
Nat
0.78

Total nurse hours / resident, daily

This
5.62
Nat
3.62

Annual nurse turnover

This
94%
Nat
53%

Annual RN turnover

This
88%
Nat
47%

Quality measures · long-stay residents

Antipsychotic

This
10.7%
Nat
14%

Sedative / sleep med

This
9.9%
Nat
15%

Physical restraint

This
0.0%
Nat
1.1%

Falls with major injury

This
1.2%
Nat
1.6%

Penalties & status

No abuse iconNot special focusInspection current$103,564 in fines (2)

Identity & licensing

CMS ID385121
OwnershipNon profit - Corporation
ChainIndependent
Beds100
Avg residents58

Citations · last 36 months

  • Flagged by CMS data

    Annual nursing staff turnover is 94%. High turnover means residents frequently interact with unfamiliar staff, which research links to lower quality of care. Industry average is around 50-60%.

    From the latest CMS Care Compare reconcile

  • Flagged by CMS data

    Pressure ulcer (bedsore) rate is 11.6% — well above the national median of about 7%. Pressure ulcers form when staff don't reposition residents every two hours. This is a staffing-and-attention signal as much as a clinical one. Worth asking what the repositioning schedule looks like.

    From the latest CMS Care Compare reconcile

  • Flagged by CMS data

    Mobility-decline rate is 22.0% — meaning that share of long-stay residents lost ability to move between measurements (above the national median of about 17%). High decline suggests no PT/OT program or no daily walking — residents are being allowed to become bed-bound. Worth asking what the rehab and activities calendar actually looks like.

    From the latest CMS Care Compare reconcile

  • Flagged by CMS data

    Falls with major injury rate is 1.2% — well below the national median. Call lights are getting answered fast and aides are present during transfer-heavy hours. This is a hard number to keep low.

    From the latest CMS Care Compare reconcile

  • Flagged by CMS data

    Registered nurse coverage is 1.02 hours per resident per day — well above the recommended minimum of 0.75 and on par with high-end facilities. More RN time means complex medical changes get caught before they become emergency room trips.

    From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Oregon DPH · Last reconciled Jun 3, 2026

Questions families ask

Common questions.

What is the CMS rating for The Creston Health & Rehabilitation?

The Creston Health & Rehabilitation has an overall CMS Care Compare rating of 1 out of 5 stars. It scores 1 of 5 on health inspection, 4 of 5 on staffing, and 3 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has The Creston Health & Rehabilitation been cited for resident harm?

It has $103,564 in federal fines across 2 penalties on record in the last 36 months. CMS data flagged 5 concerns on the latest reconcile. The full record for The Creston Health & Rehabilitation appears in the record section above.

Does The Creston Health & Rehabilitation use antipsychotic medications?

10.7 percent of long-stay residents at The Creston Health & Rehabilitation are on antipsychotic medications, below the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is near the national median at 9.9 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is The Creston Health & Rehabilitation's Palmelle Clarity Score?

The Creston Health & Rehabilitation has a Palmelle Clarity Score of 12 out of 100, putting it below the national median. The score is a composite of federal CMS and Oregon state inspection data. Higher is better.

How can I tour or contact The Creston Health & Rehabilitation?

The Creston Health & Rehabilitation is located at 3320 SE HOLGATE BLVD, Portland, OR 97202. Phone: (503) 231-1411. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is The Creston Health & Rehabilitation a special focus facility?

The Creston Health & Rehabilitation is not on the federal Special Focus Facility list, but it does have $103,564 in federal fines on record. See the penalties and status section above.

What does F-689 mean on The Creston Health & Rehabilitation's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If The Creston Health & Rehabilitation has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does The Creston Health & Rehabilitation compare to other Portland skilled nursing facilities?

The Creston Health & Rehabilitation holds a Palmelle Clarity Score of 12. Browse the full Portland directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at The Creston Health & Rehabilitation?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on The Creston Health & Rehabilitation and two other facilities on your shortlist.

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