Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Creekside Health And Rehab Of Cascadia during CMS and state inspections, most recent first.
A resident with anxiety who required moderate assistance for transfers and toileting was subjected to inappropriate and disrespectful behavior by a CNA, including profane language, rough handling, and dismissive comments when requesting a female caregiver. Multiple grievances were filed, and staff interviews corroborated concerns about the CNA's conduct, leading to the identification of a deficiency in upholding resident dignity and respect.
A resident with congestive heart failure received Enestro, a heart and blood pressure medication, despite physician orders to withhold it if the systolic blood pressure (SBP) was below 120. The medication was administered on three occasions when the resident's SBP was below the threshold, as acknowledged by various staff members, including a DNS, LPN, RN, and CMA.
A resident with hand tremors was not provided with adaptive eating utensils as recommended by the RD. Despite an order for adaptive flatware, observations showed the resident's meal trays lacked these utensils. Staff interviews revealed the order was not included on tray tickets, resulting in the oversight.
Failure to Ensure Resident Dignity and Respect During Care
Penalty
Summary
A deficiency occurred when a resident, admitted with anxiety and cognitively intact, was not treated with dignity and respect by a CNA. The resident required moderate assistance for transfers and toileting and had interventions in place for anxiety, including one-on-one support. On the evening or night shift, the resident requested a female CNA for assistance with a shower, but was told by the male CNA that none was available and was met with an inappropriate comment. During toileting and transfer assistance, the CNA reportedly used profane language, handled the resident roughly by grabbing and tossing their legs onto the bed, and threw the resident's walker into the corner. The resident reported feeling frightened and cried during the incident, while the CNA continued to use inappropriate language and displayed aggressive behavior. Multiple grievances were filed against the CNA by residents, and staff interviews confirmed that the CNA was perceived as gruff and rough around the edges. The CNA admitted to possibly using profanity and moving equipment roughly, though he denied intentional harm. The facility's Director of Nursing and Regional RN Consultant stated that they ruled out abuse and neglect, citing inconsistencies in the resident's account, but the incident was substantiated through resident and staff interviews and the facility's investigation.
Failure to Follow Physician Orders for Medication Administration
Penalty
Summary
The facility failed to adhere to physician orders for a resident diagnosed with congestive heart failure, leading to the administration of unnecessary medication. The resident was prescribed Enestro, a heart and blood pressure medication, with specific instructions to withhold the medication if the resident's systolic blood pressure (SBP) was below 120. Despite this, the medication was administered on three separate occasions when the resident's SBP was below the specified threshold: on January 2nd with an SBP of 118, on January 4th with an SBP of 110, and on February 1st with an SBP of 104. Staff members, including a DNS, LPN, RN, and CMA, acknowledged the error in administering the medication contrary to the physician's orders, which placed the resident at risk for adverse side effects.
Failure to Provide Adaptive Eating Utensils
Penalty
Summary
The facility failed to provide assistive devices for a resident who required them for eating due to hand tremors. The resident was admitted with a diagnosis of anxiety and had difficulty grasping a fork, as noted in a nutrition evaluation. The registered dietitian recommended adaptive flatware to be used for all meals, and an order was placed accordingly. However, observations on multiple occasions revealed that the resident's meal trays did not include the adaptive flatware. Staff interviews indicated that the adaptive ware was supposed to be added during the tray line process in the kitchen, but the order was not reflected on the tray tickets, leading to the oversight.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Eugene
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| South Hills Rehabilitation Center | 0.6 mi | — | 6 | 0 |
| Cascade Manor | 0.6 mi | — | 0 | 0 |
| Hillside Heights Rehabilitation Center | 1.6 mi | — | 14 | 0 |
| Avamere Rehabilitation Of Eugene | 2.2 mi | — | 17 | 1 |
| Valley West Health Care Center | 3.6 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.