WILLOWBROOK POST ACUTE

CCN 385201 · WILLOWBROOK SNF HEALTHCARE LLC · For profit - Limited Liability company · PACS GROUP chain · 59 certified beds · Umatilla · OR


WILLOWBROOK POST ACUTE is a 59-bed nursing home in PENDLETON, Oregon. CMS has certified it for Medicare and Medicaid since 1989-05-18. It averages 52.6 residents a day.

What harm was found in the violations cited at WILLOWBROOK POST ACUTE?

CMS lists 43 health-inspection deficiencies for WILLOWBROOK POST ACUTE since 2019-12-13, 34 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-04-21.

Survey dateTagDeficiencySeverity
2026-04-21F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2026-03-19F0684, F0757Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2025-08-22F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-08-22F0725, F0761Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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
2025-08-22F0554, F0600, F0602, F0604, F0605, F0656, F0689, F0756, F0759, F0825, F0880Allow residents to self-administer drugs if determined clinically appropriate. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Protect each resident from the wrongful use of the resident's belongings or money. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater. / Provide or get specialized rehabilitative services as required for a resident. / Provide and implement an infection prevention and control program.D
2025-08-22F0732Post nurse staffing information every day.B
2024-05-17F0688Provide 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.G
2024-05-17F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-05-17F0759Ensure medication error rates are not 5 percent or greater.E
2024-05-17F0656, F0677, F0684, F0689, F0695, F0756, F0758Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / 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.D
2023-12-07F0600, F0609, F0658Protect 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. / Ensure services provided by the nursing facility meet professional standards of quality.J
2023-12-07F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF
2023-12-07F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.E
2023-12-07F0610Respond appropriately to all alleged violations.D
2019-12-13F0725, F0812Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2019-12-13F0552, F0636, F0655, F0656, F0657, F0686, F0695Ensure that residents are fully informed and understand their health status, care and treatments. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed.D

Why was WILLOWBROOK POST ACUTE fined 2 times?

DateTypeAmount
2024-05-17Fine$61,458
2023-12-07Fine$19,338

How is WILLOWBROOK POST ACUTE staffed?

MeasureThis facilityOR average
Total nurse staffing hours per resident per day5.032865.03143
Total nursing staff turnover (%)52.947.4
Average number of residents per day52.658.1

Who owns WILLOWBROOK POST ACUTE, and what chain is it in?

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

RoleOwnerAssociation date
5% OR GREATER SECURITY INTERESTTRUIST BANKsince 09/01/2024
OPERATIONAL/MANAGERIAL CONTROLAPT, FREDERICK, BAKER, NICHOLAS, JERGENSEN, JOSHUA, MITCHELL, JOHN, MORRIS, CHRISTOPHER, TOWNSEND, DEBORAHsince 02/17/2025
ADP OF THE SNFDEH ENTERPRISES LLC, PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC, BAKER, NICHOLAS, MORRIS, CHRISTOPHERsince 01/23/2026

Were you or a family member harmed at WILLOWBROOK POST ACUTE?