Willow Creek Post Acute
Nursing Home · Madras, OR
CMS certification number385181
Contact & location
175 NE 16Th StreetMadras, OR 97741
Jefferson County
- Phone
- (541) 475-2273
- ZIP code
- 97741 – all care providers
Facility details
- Certified beds
- 20
- Residents per day
- 17.6 (88% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Sand Hollow, LLC
- Chain
- Kalesta Healthcare Group (19 facilities, avg 2.4★)
- Medicare certified since
- May 19, 1988
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- —
- Registered nurses (RN)
- —
- Licensed practical nurses
- —
- Nurse aides
- —
- Weekend total
- —
- Nursing staff turnover
- —
- RN turnover
- —
Inspections
- Last standard inspection
- February 12, 2026
- Health deficiencies (last cycle)
- 0.0 (state 9.3 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 17 health · 21 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2024-10-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-11-01 |
| 2024-10-09 | 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 Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-01 |
| 2024-07-11 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-02 |
| 2023-06-30 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2023-07-19 |
| 2023-06-30 | 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. F0727 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-10 |
| 2023-06-30 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-09-27 |
| 2023-06-30 | Put firmly secured handrails on each side of hallways. F0924 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-10 |
| 2023-06-30 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-10 |
| 2023-06-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-10 |
| 2023-06-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-10 |
| 2023-06-30 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. F0691 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-10 |
| 2023-06-30 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-10 |
| 2023-06-30 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-10 |
| 2023-06-30 | 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 Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-10 |
| 2023-06-30 | 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 Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-10 |
| 2023-06-30 | 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. F0803 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-10 |
| 2023-06-30 | 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. F0808 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-10 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Kalesta Healthcare Group, LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Clawson, Scott (individual) | 5%+ Indirect Ownership Interest · 44% | |
| Williams, Ryan (individual) | 5%+ Indirect Ownership Interest · 44% | |
| Clawson, Scott (individual) | Administrator · NOT APPLICABLE | |
| Delamarter, Kristine (individual) | Administrator · NOT APPLICABLE | |
| Huls, Eric (individual) | Administrator · NOT APPLICABLE | |
| Williams, Ryan (individual) | Administrator · NOT APPLICABLE | |
| Clawson, Scott (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Clawson, Scott (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Delamarter, Kristine (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Huls, Eric (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Williams, Ryan (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Willow Creek Post Acute?
Willow Creek Post Acute has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Oregon.
How many beds does Willow Creek Post Acute have?
It has 20 certified beds and cares for about 18 residents per day.
Has Willow Creek Post Acute been fined?
CMS lists no federal fines or payment denials in the last three years.
Who owns Willow Creek Post Acute?
It is part of Kalesta Healthcare Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Willow Creek Post Acute?
(541) 475-2273. The facility is located at 175 NE 16Th Street, Madras, OR 97741.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.