WILLOW CREEK HEALTHCARE CENTER

Fresno · CA · For profit - Limited Liability company · PACS GROUP chain · 159 certified beds · CCN 555652 · WILLOW CREEK POST ACUTE, LLC


WILLOW CREEK HEALTHCARE CENTER operates 159 certified beds in CLOVIS, California. Its Medicare and Medicaid certification dates to 1996-02-08. It averages 152.8 residents a day.

What harm was found in the violations cited at WILLOW CREEK HEALTHCARE CENTER?

CMS lists 62 health-inspection deficiencies for WILLOW CREEK HEALTHCARE CENTER since 2019-05-17, 38 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is H; the most recent health inspection was 2026-05-14.

Survey dateTagDeficiencySeverity
2026-05-14F0880Provide and implement an infection prevention and control program.E
2026-05-14F0584Honor 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
2026-01-05F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.G
2025-09-24F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-06-02F0760Ensure that residents are free from significant medication errors.D
2025-05-07F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.G
2025-04-04F0584, F0656, F0658, F0761, F0812, F0814Honor 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly.E
2025-04-04F0557, F0609, F0641, F0645, F0655, F0689, F0805, F0919Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2024-12-26F0919Make sure that a working call system is available in each resident's bathroom and bathing area.E
2024-10-01F0880Provide and implement an infection prevention and control program.E
2024-06-21F0600, F0609Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-06-07F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.G
2024-06-07F0880Provide and implement an infection prevention and control program.D
2024-05-14F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D
2024-04-29F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2024-03-07F0812, F0814Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly.F
2024-03-07F0645, F0679, F0803PASARR screening for Mental disorders or Intellectual Disabilities / Provide activities to meet all resident's needs. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.D
2023-10-06F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2023-08-30F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2023-08-09F0550, F0585, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Provide and implement an infection prevention and control program.D
2019-05-17F0684, F0692Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health.H
2019-05-17F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2019-05-17F0812, F0838, F0867, F0880Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program.F
2019-05-17F0623, F0656, F0802, F0842, F0908Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Keep all essential equipment working safely.E
2019-05-17F0583, F0584, F0641, F0658, F0679, F0698, F0700, F0711, F0761, F0791, F0805, F0808Keep residents' personal and medical records private and confidential. / 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. / Ensure each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide activities to meet all resident's needs. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. / 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. / Provide or obtain dental services for each resident. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D

Why was WILLOW CREEK HEALTHCARE CENTER fined 2 times?

DateTypeAmount
2026-01-05Fine$15,935
2025-09-24Fine$9,110

Has WILLOW CREEK HEALTHCARE CENTER had payment denied by Medicare?

Payment denial startLength in days
2025-06-126

How is WILLOW CREEK HEALTHCARE CENTER staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.184864.51570
Total nursing staff turnover (%)59.736.7
Average number of residents per day152.887.9

Who owns WILLOW CREEK HEALTHCARE CENTER, and what chain is it in?

WILLOW CREEK HEALTHCARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name WILLOW CREEK POST ACUTE, LLC and belongs to the PACS GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTPROVIDENCE GROUP INCsince 03/11/2019
CONTRACTED MANAGING EMPLOYEESOOD, PAWANsince 03/01/2020
W-2 MANAGING EMPLOYEECANTWELL, KALANsince 04/01/2024
CORPORATE OFFICERAPT, FREDERICK, MITCHELL, JOHNsince 01/01/2024

Were you or a family member harmed at WILLOW CREEK HEALTHCARE CENTER?