Oregon › Umatilla County › Pendleton
Willowbrook Post Acute
707 Sw 37th Street, Pendleton, OR 97801
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 59 beds, Willowbrook Post Acute serves Pendleton in Umatilla County, Oregon and has taken Medicare and Medicaid residents since 1989.
CMS gives it 1 of 5 stars overall, below the Oregon median of 3; the health inspection rating is 1, staffing 4 and quality measures 3.
Inspectors recorded 43 health deficiencies across the three most recent survey cycles (18, 10, 15 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 72.9 per 100 beds, more than the state median of 40.0.
CMS lists 2 penalties in the period covered: fines totalling $81K.
Reported nurse staffing is 5.0 hours per resident per day (0.6 RN), close to the Oregon median of 5.0; nursing staff turnover is 52.9%.
Compared with county, state and nation
| Measure | This facility | Umatilla Co. median | Oregon median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 43 | 26 | 32 | 28.7 |
| Citations per 100 beds | 72.9 | 37.1 | 40.0 | 26.8 |
| Total nurse hours per resident day | 5.0 | 5.0 | 5.0 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 52.9% | 44.7% | 45.9% | 45.8% |
| Fines listed | $80,796 | $46,907 | $4,194 | — |
County and state figures are medians across facilities (3 in the county, 128 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Oregon average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Aug 2025, 17 May 2024.
Severity mix: J ×3 G ×1 D ×29 E ×6 F ×3 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 Apr 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 30 Mar 2026 |
| 19 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 6 Apr 2026 |
| 19 Mar 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 13 Apr 2026 |
| 22 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Sep 2025 |
| 22 Aug 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 29 Sep 2025 |
| 22 Aug 2025 | 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 | Standard survey | 29 Sep 2025 |
| 22 Aug 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 29 Sep 2025 |
| 22 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 29 Sep 2025 |
| 22 Aug 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 21 Nov 2024 |
| 22 Aug 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 29 Sep 2025 |
| 22 Aug 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 29 Sep 2025 |
| 22 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 29 Sep 2025 |
| 22 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Sep 2025 |
| 22 Aug 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 29 Sep 2025 |
| 22 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 29 Sep 2025 |
| 22 Aug 2025 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 29 Sep 2025 |
| 22 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Sep 2025 |
| 22 Aug 2025 | F0732 | Post nurse staffing information every day. | B | Standard survey | 29 Sep 2025 |
| 17 May 2024 | F0688 | 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. | G | Standard survey | 20 Jun 2024 |
| 17 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 20 Jun 2024 |
| 17 May 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 20 Jun 2024 |
| 17 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 20 Jun 2024 |
| 17 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 20 Jun 2024 |
| 17 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 20 Jun 2024 |
| 17 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 Jun 2024 |
| 17 May 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 20 Jun 2024 |
| 17 May 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 20 Jun 2024 |
| 17 May 2024 | F0758 | 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 | Standard survey | 20 Jun 2024 |
| 7 Dec 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 8 Dec 2023 |
| 7 Dec 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Complaint investigation | 8 Dec 2023 |
| 7 Dec 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | J | Complaint investigation | 8 Dec 2023 |
| 7 Dec 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Complaint investigation | 8 Dec 2023 |
| 7 Dec 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint investigation | 8 Dec 2023 |
| 7 Dec 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 8 Dec 2023 |
| 13 Dec 2019 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 10 Jan 2020 |
| 13 Dec 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Jan 2020 |
| 13 Dec 2019 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 10 Jan 2020 |
| 13 Dec 2019 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 10 Jan 2020 |
| 13 Dec 2019 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 10 Jan 2020 |
| 13 Dec 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Jan 2020 |
| 13 Dec 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 10 Jan 2020 |
| 13 Dec 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 10 Jan 2020 |
| 13 Dec 2019 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Jan 2020 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 17 May 2024 | Fine | $61,458 | |
| 7 Dec 2023 | Fine | $19,338 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Oregon average. Turnover: nursing staff 52.9%, RNs 54.5%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Oregon median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.6% | 14.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 1.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.2% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.2% | 19.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 29.4% | 13.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Willowbrook Snf Healthcare Llc. Chain: Pacs Group (274 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Truist Bank | 5% or greater security interest | NOT APPLICABLE | 09/01/2024 |
| Deh Enterprises LLC | Adp of the snf | NOT APPLICABLE | 09/01/2024 |
| Providence Administrative Consulting Services Inc | Adp of the snf | NOT APPLICABLE | 09/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Umatilla County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Milton Freewater Health and Rehabilitation | Milton Freewater | 70 | 5 | 4 | 5 | 26 | 37.1 | $8K | 15 Jan 2026 |
| Regency Hermiston Nursing & Rehab Center | Hermiston | 105 | 3 | 3 | 4 | 26 | 24.8 | $47K | 11 Apr 2025 |
All 3 facilities in Umatilla County
Questions and answers
How many deficiencies has Willowbrook Post Acute been cited for?
43 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Oregon median is 32 per facility.
Has Willowbrook Post Acute been fined?
Yes. CMS lists fines totalling $81K in the period covered.
How does staffing at Willowbrook Post Acute compare?
Reported total nurse staffing is 5.0 hours per resident per day against a Oregon median of 5.0 and a national average of 3.9.
Who operates Willowbrook Post Acute?
It is part of the Pacs Group chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Willowbrook Post Acute last inspected?
The most recent survey or investigation in the CMS record is dated 21 Apr 2026; the most recent standard health survey was 22 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.