WILLOW CREEK POST ACUTE
WILLOW CREEK POST ACUTE is a 20-bed nursing home in MADRAS, Oregon. CMS has certified it for Medicare and Medicaid since 1988-05-19. It averages 17.6 residents a day.
What harm was found in the violations cited at WILLOW CREEK POST ACUTE?
CMS lists 17 health-inspection deficiencies for WILLOW CREEK POST ACUTE since 2023-06-30, 3 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2024-10-09.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2024-10-09 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-10-09 | 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. | E |
| 2024-07-11 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2023-06-30 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2023-06-30 | F0727, F0919, F0924 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Make sure that a working call system is available in each resident's bathroom and bathing area. / Put firmly secured handrails on each side of hallways. | E |
| 2023-06-30 | F0584, F0677, F0684, F0691, F0695, F0732, F0756, F0758, F0803, F0808 | 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Provide safe and appropriate respiratory care for a resident when needed. / Post nurse staffing information every day. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / 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. / 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 |
How is WILLOW CREEK POST ACUTE staffed?
| Measure | This facility | OR average |
|---|---|---|
| Average number of residents per day | 17.6 | 58.1 |
Who owns WILLOW CREEK POST ACUTE, and what chain is it in?
WILLOW CREEK POST ACUTE is registered with CMS as For profit - Limited Liability company, operates under the legal business name SAND HOLLOW, LLC and belongs to the KALESTA HEALTHCARE GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | KALESTA HEALTHCARE GROUP, LLC | since 12/18/2025 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | CLAWSON, SCOTT, WILLIAMS, RYAN | since 03/01/2026 |
| INDIRECT OWNERSHIP INTEREST | CLAWSON, SCOTT | since 03/01/2026 |
| OPERATIONAL/MANAGERIAL CONTROL | CLAWSON, SCOTT, DELAMARTER, KRISTINE, HULS, ERIC, WILLIAMS, RYAN | since 03/01/2026 |
| ADP OF THE SNF | CLAWSON, SCOTT, DELAMARTER, KRISTINE, HULS, ERIC, WILLIAMS, RYAN | since 03/01/2026 |
Were you or a family member harmed at WILLOW CREEK POST ACUTE?