# The Creston Health & Rehabilitation

The Creston Health & Rehabilitation is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Portland, OR, CMS Certification Number 385121, with 100 certified beds and about 53 residents per day. CMS rates it 1/5 overall (health inspections 1/5, staffing 3/5, quality measures 2/5).

## Key facts
- Status: Active CMS certification
- Address: 3320 SE Holgate Blvd, Portland, OR 97202 (Multnomah County)
- Ownership type: Non profit - Corporation

- Operator (legal business name): [Friendship Health SNF Operations LLC](https://carefield.site/operator/op-friendship-health-snf-operations-llc)
- CMS chain: [Lyon Healthcare](https://carefield.site/chain/cms-chain-837) — 13 facilities
- CMS Special Focus program: SFF Candidate

- Phone: 5032311411
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/385121

## Inspection record
10 inspections in the CMS window (latest 2026-06-18); 73 citations (55 health, 18 fire safety); 3 at actual harm and 1 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2024-10-15 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected
- 2026-02-27 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2024-10-15 — [F-0825](https://carefield.site/deficiency/cms-f0825) Provide or get specialized rehabilitative services as required for a resident. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2024-07-30 — [F-0661](https://carefield.site/deficiency/cms-f0661) Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2026-06-18 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-02-27 — [E-0013](https://carefield.site/deficiency/cms-e0013) Develop Emergency Preparedness policies and procedures. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-02-27 — [E-0024](https://carefield.site/deficiency/cms-e0024) Establish policies and procedures for volunteers. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-02-27 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-02-27 — [F-0558](https://carefield.site/deficiency/cms-f0558) Reasonably accommodate the needs and preferences of each resident. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-02-27 — [F-0582](https://carefield.site/deficiency/cms-f0582) Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-02-27 — [F-0640](https://carefield.site/deficiency/cms-f0640) Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-02-27 — [F-0677](https://carefield.site/deficiency/cms-f0677) Provide care and assistance to perform activities of daily living for any resident who is unable. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-02-27 — [F-0679](https://carefield.site/deficiency/cms-f0679) Provide activities to meet all resident's needs. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-02-27 — [F-0685](https://carefield.site/deficiency/cms-f0685) Assist a resident in gaining access to vision and hearing services. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-02-27 — [F-0730](https://carefield.site/deficiency/cms-f0730) Observe each nurse aide's job performance and give regular training. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-02-27 — [F-0732](https://carefield.site/deficiency/cms-f0732) Post nurse staffing information every day. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-02-27 — [F-0761](https://carefield.site/deficiency/cms-f0761) 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. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2025-02-28 — [F-0686](https://carefield.site/deficiency/cms-f0686) Provide appropriate pressure ulcer care and prevent new ulcers from developing. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-10-30 — [K-0741](https://carefield.site/deficiency/cms-k0741) Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-10-15 — [K-0345](https://carefield.site/deficiency/cms-k0345) Have approved installation, maintenance and testing program for fire alarm systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- …and 53 more on the source page.

## Penalties
- 2026-01-06 — Civil money penalty (fine): $19,135
- 2024-10-15 — Civil money penalty (fine): $94,744
- 2024-07-30 — Civil money penalty (fine): $8,820

## Staffing (PBJ, hours per resident per day)
- Total nurse: 4.83274 (state avg 5.12557, US 3.90085)
- RN: 0.78609
- Nursing staff turnover: 100%

## Owners and managers of record (CMS disclosures)
- [Holgate Opco Holdco LLC](https://carefield.site/owner/org-holgate-opco-holdco-llc) — Direct owner, since 2026-01-26
- [Btf Tn Holdings LLC](https://carefield.site/owner/org-btf-tn-holdings-llc) — Indirect owner, since 2026-01-26
- [Hitn Trust](https://carefield.site/owner/org-hitn-trust) — Indirect owner, since 2026-01-26
- [Lion Tn Holdings LLC](https://carefield.site/owner/org-lion-tn-holdings-llc) — Indirect owner, since 2026-01-26
- [Sstn Trust](https://carefield.site/owner/org-sstn-trust) — Indirect owner, since 2026-01-26
- Michael Botwinick — Indirect owner, since 2026-04-01
- [Btf Tn Holdings LLC](https://carefield.site/owner/org-btf-tn-holdings-llc) — Operational / managerial control, since 2026-01-26
- [Hitn Trust](https://carefield.site/owner/org-hitn-trust) — Operational / managerial control, since 2026-01-26
- [Holgate Opco Holdco LLC](https://carefield.site/owner/org-holgate-opco-holdco-llc) — Operational / managerial control, since 2026-01-26
- [Lion Tn Holdings LLC](https://carefield.site/owner/org-lion-tn-holdings-llc) — Operational / managerial control, since 2026-01-26
- [Sstn Trust](https://carefield.site/owner/org-sstn-trust) — Operational / managerial control, since 2026-01-26
- Michael Botwinick — Operational / managerial control, since 2026-04-01
- Sarah Dunham — Operational / managerial control, since 2026-04-01
- Shimon Idels — Operational / managerial control, since 2026-01-26
- Grenika Soysa — Operational / managerial control, since 2026-04-01

## Nearby nursing homes
- [Reedwood Post Acute](https://carefield.site/facility/cms-385055) — 0.5 km, CMS overall 5/5
- [Laurelhurst Post Acute & Rehabilitation](https://carefield.site/facility/cms-385010) — 3.2 km, CMS overall 2/5
- [Mirabella Portland](https://carefield.site/facility/cms-385274) — 3.2 km, CMS overall 5/5
- [Belmont Care and Rehabilitation](https://carefield.site/facility/cms-385277) — 3.3 km, CMS overall 3/5
- [Mt. Tabor Health & Rehabilitation](https://carefield.site/facility/cms-385141) — 3.7 km, CMS overall 3/5
- [Providence Child Center](https://carefield.site/facility/cms-38a001) — 4.6 km, CMS overall 5/5
- [Holladay Park Plaza](https://carefield.site/facility/cms-385259) — 4.9 km, CMS overall 5/5
- [Secora Rehabilitation of Cascadia](https://carefield.site/facility/cms-385264) — 5.5 km, CMS overall 3/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=385121&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=385121&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=385121&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=385121&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=385121&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=385121&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-385121 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.