nursing home in Pendleton, OR
Willowbrook Post Acute
707 SW 37th Street, Pendleton, OR 97801 · (541) 276-3374
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★3
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Willowbrook Post Acute at a glance
Willowbrook Post Acute is a 59-bed for-profit nursing home in Pendleton, Oregon (Umatilla County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Oregon average of 3.1.
Residents receive about 5 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 5 hours.
Its most recent standard health inspection (August 22, 2025) found 17 health citations. The Oregon average is 9.2.
Federal regulators fined it 2 times in the past three years, totaling $80,796.
Nursing staff turnover is 52.9% per year (state average 47.4%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 59
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Pacs Group
- Medicare-certified since
- May 18, 1989
- Resident/family council
- Resident
- County
- Umatilla County
- CMS Certification Number
- 385201
Ratings
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.9 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.5 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.7 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.03 hrs | 5.03 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.58 hrs | 0.72 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 3.68 hrs | 3.40 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.59 hrs | 4.51 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 52.9% | 47.4% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 54.5% | 51.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 17 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 6 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 139 | 71.8 | 80.6 | Worse |
Penalties
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $80,796 | $27,522 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 59 | 83 | 107 | |
| Average residents per day | 53 | 58 | 86 | |
| Occupancy | 89.2% | 71.9% | 80.9% |
Long-stay residents
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.2% | 2.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2% | 5.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 29.4% | 13.9% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.5% | 2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 21.6% | 14.9% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 24.2% | 20.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.1% | 4.7% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 10.2% | 4.9% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 13.4% | 12.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 28.2% | 21.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 97.4% | 95.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.3% | 95.2% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.6% | 1.4% | 1.6% | Average |
| Short-stay residents given a flu vaccine (higher is better) | 77.9% | 81.2% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 85.3% | 85.6% | 82% | Average |
Inspection citations
State inspectors cited this home for 43 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 3 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 21, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected March 30, 2026 |
| March 19, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 6, 2026 |
| March 19, 2026 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected April 13, 2026 |
| August 22, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected September 29, 2025 |
| August 22, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected September 29, 2025 |
| August 22, 2025 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected September 29, 2025 |
| August 22, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected September 29, 2025 |
| August 22, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 29, 2025 |
| August 22, 2025 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected September 29, 2025 |
| August 22, 2025 Complaint | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | D Potential harm, isolated | Corrected September 29, 2025 |
| August 22, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected September 29, 2025 |
| August 22, 2025 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected September 29, 2025 |
| August 22, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 29, 2025 |
| August 22, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 29, 2025 |
| August 22, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected September 29, 2025 |
| August 22, 2025 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected September 29, 2025 |
| August 22, 2025 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected November 21, 2024 |
| August 22, 2025 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | B No harm, pattern | Corrected September 29, 2025 |
| May 17, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected June 20, 2024 |
| May 17, 2024 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | D Potential harm, isolated | Corrected June 20, 2024 |
| May 17, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | G Actual harm, isolated | Corrected June 20, 2024 |
| May 17, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 20, 2024 |
| May 17, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected June 20, 2024 |
| May 17, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 20, 2024 |
| May 17, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 20, 2024 |
| May 17, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 20, 2024 |
| May 17, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected June 20, 2024 |
| May 17, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected June 20, 2024 |
| May 17, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected June 20, 2024 |
| May 17, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected June 20, 2024 |
| December 7, 2023 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected December 8, 2023 |
| December 7, 2023 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | J Immediate jeopardy, isolated | Corrected December 8, 2023 |
| December 7, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | J Immediate jeopardy, isolated | Corrected December 8, 2023 |
| December 7, 2023 Complaint | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | F Potential harm, widespread | Corrected December 8, 2023 |
| December 7, 2023 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | E Potential harm, pattern | Corrected December 8, 2023 |
| December 7, 2023 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected December 8, 2023 |
| December 13, 2019 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected January 10, 2020 |
| December 13, 2019 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected January 10, 2020 |
| December 13, 2019 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected January 10, 2020 |
| December 13, 2019 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected January 10, 2020 |
| December 13, 2019 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected January 10, 2020 |
| December 13, 2019 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected January 10, 2020 |
| December 13, 2019 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected January 10, 2020 |
| December 13, 2019 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected January 10, 2020 |
| December 13, 2019 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected January 10, 2020 |
| December 13, 2019 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected January 10, 2020 |
| December 13, 2019 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected January 10, 2020 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $80,796 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 17, 2024 | Fine | $61,458 |
| December 7, 2023 | Fine | $19,338 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| TRUIST BANK Organization | 5% or greater security interest | NOT APPLICABLE | 09/01/2024 |
| BAKER, NICHOLAS Individual | adp of the snf | NOT APPLICABLE | 01/23/2026 |
| DEH ENTERPRISES LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2024 |
| MORRIS, CHRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 01/23/2026 |
| PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 09/01/2024 |
| APT, FREDERICK Individual | operational/managerial control | NOT APPLICABLE | 05/10/2024 |
| BAKER, NICHOLAS Individual | operational/managerial control | NOT APPLICABLE | 09/19/2024 |
| JERGENSEN, JOSHUA Individual | operational/managerial control | NOT APPLICABLE | 05/10/2024 |
| MITCHELL, JOHN Individual | operational/managerial control | NOT APPLICABLE | 05/10/2024 |
| MORRIS, CHRISTOPHER Individual | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| TOWNSEND, DEBORAH Individual | operational/managerial control | NOT APPLICABLE | 02/17/2025 |
Other nursing homes near Willowbrook Post Acute
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- CMS high performer
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- CMS high performer
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Frequently asked questions
What is Willowbrook Post Acute's rating?
Willowbrook Post Acute has 1 out of 5 stars on the CMS overall star rating. The average for Oregon nursing homes is 3.1 stars.
How many inspection citations did Willowbrook Post Acute receive?
Its most recent standard health inspection found 17 citations, compared with a Oregon average of 9.2. Every citation is listed on this page with its severity.
Does Willowbrook Post Acute accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Willowbrook Post Acute?
It is for profit - limited liability company and part of Pacs Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Willowbrook Post Acute and how do I contact it?
Willowbrook Post Acute is at 707 SW 37th Street, Pendleton, OR 97801. Phone: (541) 276-3374.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.