| Willowbrook Post Acute | |
| 707 Sw 37th Street, Pendleton, Oregon 97801 | |
| (541) 276-3374 | |
| Name | Willowbrook Post Acute |
|---|---|
| Location | 707 Sw 37th Street, Pendleton, Oregon |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 59 |
| Occupancy Rate | 89.15% |
| Medicare ID (CCN) | 385201 |
| Legal Business Name | Willowbrook SNF Healthcare LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Pacs Group (274 nursing homes) |
| Chain Average Overall Rating | 2.9 out of 5 |
| NPI Number | 1386483709 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Willowbrook SNF Healthcare LLC |
| Doing Business As | Willowbrook Post Acute |
| Address | 707 Sw 37th St, Pendleton, OR 97801 |
| Phone Number | 541-276-3374 |
| NPI Number | 1144216367 |
| Match | Possible same name, address or phone number |
| Organization Name | Care Center (willowbrook) Inc. |
| Doing Business As | Willowbrook Terrace |
| Address | 707 Sw 37th St, Pendleton, OR 97801 |
| Phone Number | 541-276-3374 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 5.03 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.58 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.77 | 0.86 |
| Nurse aide hours per resident per day | 3.68 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.59 | 3.42 |
| RN hours per resident per day on the weekend | 0.34 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 52.9% | 45.8% |
| Registered nurse turnover | 54.5% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $80,796 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 21, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Mar 19, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Apr 6, 2026 |
| Mar 19, 2026 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Apr 13, 2026 |
| Aug 22, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Sep 29, 2025 |
| Aug 22, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Sep 29, 2025 |
| Aug 22, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Sep 29, 2025 |
| Aug 22, 2025 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 29, 2025 |
| Aug 22, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Sep 29, 2025 |
| Aug 22, 2025 | Protect each resident from the wrongful use of the resident's belongings or money. F0602, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Aug 22, 2025 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Sep 29, 2025 |
| Aug 22, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Sep 29, 2025 |
| Aug 22, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 29, 2025 |
| Aug 22, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 29, 2025 |
| Aug 22, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Sep 29, 2025 |
| Aug 22, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Sep 29, 2025 |
| Aug 22, 2025 | Provide or get specialized rehabilitative services as required for a resident. F0825, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Sep 29, 2025 |
| Aug 22, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Sep 29, 2025 |
| Aug 22, 2025 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, pattern | Corrected by Sep 29, 2025 |
| May 17, 2024 | Provide 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. F0688, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Jun 20, 2024 |
| May 17, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jun 20, 2024 |
| May 17, 2024 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jun 20, 2024 |
| May 17, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jun 20, 2024 |
| May 17, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 20, 2024 |
| May 17, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 20, 2024 |
| May 17, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 20, 2024 |
| May 17, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 20, 2024 |
| May 17, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 20, 2024 |
| May 17, 2024 | 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 20, 2024 |
| Dec 7, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Immediate jeopardy, isolated | Corrected by Dec 8, 2023 |
| Dec 7, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Immediate jeopardy, isolated | Corrected by Dec 8, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.6 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.1 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.47 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 10.16 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.16 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.28 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.27 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.57 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 24.21 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.39 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.37 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.94 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 1.97 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.23 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 29.41 | 15.38 |