Federal inspection record · CMS data as of October 1, 2026
The Creston Health & Rehabilitation
3320 Se Holgate Blvd, Portland, OR · (503) 231-1411
- Special Focus Facility
- Certified beds
- 100
- Residents per day
- 53
- Ownership
- Non-Profit
- Chain
- Lyon Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 12, 1973
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oregon.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Oregon homes
The Creston Health & Rehabilitation carries 169.25 inspection points. That is fewer than 3% of Oregon's 126 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oregon: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–41 pts
- 3★ 41–65 pts
- 2★ 65–95.25 pts
- 1★ over 95.25 pts
Bars show every rated home in Oregon by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
55 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide or get specialized rehabilitative services as required for a resident.
-
G
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Everything else, by area of care
Quality of Life and Care17E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide activities to meet all resident's needs.
- E
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- D
Provide or obtain dental services for each resident.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights14E
- E
Reasonably accommodate the needs and preferences of each resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
- E
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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
- E
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.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning6E
- E
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service6E
- E
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.
- E
Ensure medication error rates are not 5 percent or greater.
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
Nursing and Physician Services4E
- E
Observe each nurse aide's job performance and give regular training.
- E
Post nurse staffing information every day.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Administration1F
- F
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-02-27
11 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-10-15
28 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
2023-06-30
16 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 50 min of nursing staff time a day, 47 min of it from a registered nurse.
This home
4 h 50 min
Oregon average
5 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 100% of nursing staff and 100% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$122,699 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-06 | Fine | $19,135 |
| 2024-10-15 | Fine | $94,744 |
| 2024-07-30 | Fine | $8,820 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 98.9% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.2 pts better | 96.2% | 94.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better | 2.1% | 2.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms11 pts worse | 15.9% | 4.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts better | 4.1% | 4.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.7 pts better | 7.5% | 12.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.1 pts better | 10.2% | 14.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.3 pts better | 18.3% | 18.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.3 pts worse | 24.5% | 14.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.8% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts worse | 2.1% | 2.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.7 pts worse | 26.5% | 20.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers5.7 pts worse | 11.3% | 5.6% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts better | 92.1% | 85.8% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4 pts better | 84.9% | 80.9% | 80.1% |
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Who owns and runs it
24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Botwinick, Michael | Indirect Ownership Interest · Individual | 0% | 9 facilities |
| Botwinick, Michael | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Botwinick, Michael | Adp Of The SNF · Individual | 0% | 9 facilities |
| Btf Tn Holdings LLC | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Btf Tn Holdings LLC | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Btf Tn Holdings LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Dunham, Sarah | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Dunham, Sarah | Adp Of The SNF · Individual | 0% | 5 facilities |
| Hitn Trust | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Hitn Trust | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Holgate Opco Holdco LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Holgate Opco Holdco LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Holgate Opco Holdco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Icontrust, LLC | Trustee Of The SNF · Organization | 0% | 4 facilities |
| Idels, Shimon | Corporate Officer · Individual | 0% | 49 facilities |
| Idels, Shimon | Operational/Managerial Control · Individual | 0% | 49 facilities |
| Idels, Shimon | Adp Of The SNF · Individual | 0% | 49 facilities |
| Lion Tn Holdings LLC | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Lion Tn Holdings LLC | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Lion Tn Holdings LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Soysa, Grenika | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Soysa, Grenika | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sstn Trust | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Sstn Trust | Operational/Managerial Control · Organization | 0% | 3 facilities |
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Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous3F
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
- D
Have restrictions on the use of highly flammable decorations.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress3E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Emergency Preparedness2F
- F
Develop Emergency Preparedness policies and procedures.
- F
Establish policies and procedures for volunteers.
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Other homes nearby
-
Reedwood Post Acute
Portland, OR · Pacs Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 2 min
- Fines
- $0
-
Laurelhurst Post Acute & Rehabilitation
Portland, OR · Hill Valley Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 18 min
- Fines
- $33,319
-
Mirabella Portland
Portland, OR · Pacific Retirement Services
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 5 h 15 min
- Fines
- $0