Salmon Creek Post Acute & Rehabilitation

    2811 NE 139th St, Vancouver, WA, 98686
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Excellent therapy, chronic staffing problems

    I found the facility clean, modern and bright, with outstanding PT/OT and many genuinely caring nurses and CNAs. However, chronic understaffing meant long call-button waits, delayed or missed medications, inconsistent hygiene/housekeeping (missed showers/soiled sheets) and some safety incidents. Dining and laundry were hit-or-miss, and administration/communication (and billing) felt disorganized and defensive. For short-term rehab I'd consider it for the therapy; for long-term or high-risk care I would be very cautious.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.12 · 178 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.9
    • Staff

      3.1
    • Meals

      2.4
    • Amenities

      3.8
    • Value

      1.3

    Pros

    • Top-notch physical therapy and occupational therapy
    • Effective speech therapy available
    • Many compassionate, hardworking CNAs and nurses noted
    • Clean, bright, and well-maintained facility (relatively new building)
    • Private, spacious rooms and comfortable common areas
    • Helpful and supportive admissions and social work staff
    • Rehab-focused interdisciplinary team that helps many patients recover
    • Frequent therapy sessions and positive rehab outcomes reported
    • Convenient location near hospital/clinic
    • Welcoming therapy and relaxation/game rooms
    • Activities and communal spaces described as open and pleasant
    • Occasional strong clinical follow-through (on-time IV antibiotics, timely meds reported by some)
    • Laundry and housekeeping praised in multiple accounts
    • Some night and day shift staff consistently responsive and attentive
    • Administration or directors sometimes hands-on and supportive

    Cons

    • Chronic understaffing and high patient-to-staff ratios
    • Long call-light response times frequently 30–90+ minutes
    • Medication errors, missed doses, delayed administration, and withheld meds
    • Poor or inconsistent wound care including reports of Stage 3 pressure injuries
    • Multiple reports of falls, rough handling, and patient injuries (fractures, head wounds, rib injuries)
    • Neglect of basic hygiene: skipped showers, patients left in urine/soiled sheets
    • Dining problems: cold, tasteless food; late meals; reports of food poisoning
    • Inconsistent quality between shifts and weekends (B-team/night issues)
    • Management problems: poor communication, lack of accountability, broken promises
    • Allegations reported to authorities, state investigations, and APS complaints
    • Lack of essential supplies and equipment at times
    • Falsified/poor charting and broken follow-up on incidents
    • Variable cleanliness in some reports (mold, dirty rooms, soiled linens)
    • Billing disputes, surprise charges, and administrative friction
    • Occasional unsafe clinical practices (PICC failures, catheter mismanagement, overdosing/under-dosing concerns)

    Summary review

    Overall impression Reviews for Salmon Creek Post Acute & Rehabilitation are strongly polarized but lean toward a mixed-to-concerning overall picture. Many families and patients praise the facility's rehabilitation services, individual caregivers, and the physical environment; however an almost equal number of reviews report serious care failures tied to chronic understaffing and inconsistent clinical oversight. The aggregate voice of reviewers is: excellent therapy and many caring employees, but real safety and reliability problems that create risk for vulnerable patients.

    Clinical care and rehabilitation The most consistent positive theme is excellence in therapy services. Physical therapy (PT), occupational therapy (OT), and speech therapy are repeatedly described as top-notch, frequent, and effective — frequently credited with prompt recoveries and safe discharges home. Multiple reviewers called the therapy team the facility's strength and reported that therapy staff are knowledgeable, hands-on, and communicative. At the same time, numerous clinical concerns appear repeatedly: medication errors and delays (including missed antibiotics via PICC lines, withheld meds, wrong dosing, and delayed pain control), inconsistent administration of physician orders, and reports of inadequate physician oversight. Several reviews cite very serious wound-care failures, including Stage 3 pressure wounds, and others describe failed or delayed interventions that resulted in emergency transfers. These are not isolated minor mistakes in the reviews — they are recurrent themes tied to clinical staffing, poor follow-up, or documentation problems.

    Staffing, safety, and patient handling Understaffing is the central negative driver in most reviews. Families cite high patient-to-nurse ratios, long call-light response times (often 30–90+ minutes), skipped showers, and basic hygiene neglect (patients left in urine or soiled sheets). That understaffing also appears to cause inconsistent care across shifts: day-shifts and therapy teams are frequently praised while nights, weekends, or B-teams are often described as hurried, inexperienced, or nonresponsive. Safety incidents are reported across many accounts: falls with broken bones, rough handling by CNAs resulting in injuries, dropped feeding trays, delayed 911 calls, alleged improper restraint or coercion, and in some instances death or hospitalization after perceived neglect. Because these events relate to both training and staffing, reviewers frequently urge caution for those with high medical or safety needs.

    Facility, cleanliness, and amenities The physical facility receives many compliments: reviewers repeatedly describe Salmon Creek as clean, bright, well-appointed, modern, and newer than many local competitors. Private rooms, wide doors, and pleasant common areas are frequently cited. That said, a notable subset of reviews report inconsistent housekeeping — dirty rooms, soiled linens, mold in bathrooms, and outdoor furniture neglect — indicating variability in maintenance and turnover practices. Laundry and housekeeping are praised by some families and criticized by others, suggesting uneven performance across time or units.

    Dining and supplies Dining gets mixed-to-poor reviews overall. Many reviewers find meals bland, cold, or of low quality, with some reporting food service problems such as late dinners or missing trays; a few even allege food poisoning. Conversely, a number of families praised hot meals and attentive dining service. Several reviews mention shortages of basic supplies (urinals, ice packs, wet wipes) and penny-pinching behavior by management, which contributes to perceptions of inadequate resources.

    Communication, management, and administration A major recurring complaint centers on management, communication, and responsiveness. Families report broken promises (for private rooms, follow-up, or investigations), poor discharge coordination, billing disputes, and alleged gaslighting or lack of transparency. Positive accounts exist where admissions staff, social workers, or directors were responsive and supportive, but criticisms of accountability and follow-up are frequent and sometimes escalated to reported complaints to state regulators or adult protective services. A number of reviewers explicitly state they filed reports with authorities, and at least one review references a state investigation.

    Variability and recommendations The dominant pattern is variability: the facility can deliver excellent rehab outcomes, compassionate caregiving, and a pleasant environment when staffing and oversight align. However, there is a persistent and significant risk of neglectful care tied to chronic understaffing, inconsistent night/weekend coverage, and management gaps. Given that variability, reviewers generally fall into two groups: those who recommend Salmon Creek specifically for short-term, therapy-focused stays with close family oversight, and those who warn others to avoid the facility for long-term care or for residents with complex medical needs.

    If you are considering Salmon Creek Ask specific, concrete questions before placement: current RN-to-patient and CNA-to-patient staffing ratios across day/night/weekend shifts; wound care protocols and contingency plans for pressure injuries; medication administration auditing and how missed doses are handled; weekend and night supervisory coverage; incident reporting and follow-up procedures; and recent state inspection results or complaints. Visit during evenings and weekends to observe staffing and responsiveness in those weaker periods reported by families. Keep expectations aligned: strong therapy offerings and a pleasant building are real strengths, but systemic staffing and management issues reported in multiple reviews have led to medication errors, hygiene neglect, wounds, falls, and emergency transfers in numerous accounts. Proceed with caution, close monitoring, and clear escalation paths if you accept placement.

    Location

    Map showing location of Salmon Creek Post Acute & Rehabilitation

    About Salmon Creek Post Acute & Rehabilitation

    Salmon Creek Post Acute & Rehabilitation sits at 2811 N.E 139th Street in Vancouver, Washington, and the place goes big on care for folks who need help recovering or living with long-term health problems, and you'll find everything from nursing and rehab to hospice and respite care under one roof, so the team covers all those needs for short-term recovery after surgery or longer times if someone's quite frail, and you know, the staff includes a Master of Occupational Therapy Student, a Director of Rehabilitation who's a COTA/L, and a bunch of licensed folks like PTAs and physical therapists, so there's plenty of know-how for people getting physical, occupational, or speech therapy. There's always skilled nursing on hand, day and night, with special help for folks who might need wound care or insulin, plus there's care for dementia and Alzheimer's, oncology, bariatric needs, pulmonary treatments, post-surgery, orthopedic rehabilitation, tracheostomy, and even hospice and palliative care, and the team can handle two-person transfers and Hoyer lifts, which not every place does. With a good-sized team that gets support for growing their careers, flexible work schedules, and what they describe as a friendly, supportive atmosphere, the idea is to keep the caregivers sharp and happy. The facility has 120 licensed and 120 WHCA beds, and you can pick private or semi-private rooms, all with private phone lines and flat screens, and folks can use free Wi-Fi throughout, and even hang out at the internet cafes, beauty shop, barber, or kick back in the outdoor recreation areas, patio garden, or the library. There's a rehab gym with the latest therapy equipment, and all the rooms and spaces feel up-to-date, and the staff says they follow a "People First" care approach, where everyone tries to be attentive, and patients are encouraged to regain independence when recovering from injury or illness. Salmon Creek Post Acute & Rehabilitation offers support for the LGBT+ community and can help with referrals for other care if someone needs it at home later on, and some people stay long-term, while others rest up for a short time before going home. It's recognized for its services, having made the U.S. News & World Report list for best short-term rehabilitation in 2024, and everything's managed by Hill Valley Healthcare, LLC, and Medicare is accepted, making access a bit easier for those who need it. The place keeps a team available 24/7 to help with questions or to set up tours, and with hospice, home health, home care, and specialized dementia services, there's something for many different needs, so it's a spot that tries to cover most situations seniors and their families may face.

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