Willowbrook Post Acute
Nursing Home · Pendleton, OR
CMS certification number385201
Contact & location
707 SW 37Th StreetPendleton, OR 97801
Umatilla County
- Phone
- (541) 276-3374
- ZIP code
- 97801 – all care providers
Facility details
- Certified beds
- 59
- Residents per day
- 52.6 (89% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Willowbrook SNF Healthcare LLC
- Chain
- Pacs Group (274 facilities, avg 2.9★)
- Medicare certified since
- May 18, 1989
- 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
- 5.03 (state 5.03 · U.S. 3.86)
- Registered nurses (RN)
- 0.58 (state 0.72 · U.S. 0.69)
- Licensed practical nurses
- 0.77 (state 0.91 · U.S. 0.86)
- Nurse aides
- 3.68 (state 3.40 · U.S. 2.32)
- Weekend total
- 4.59 (state 4.51 · U.S. 3.42)
- Nursing staff turnover
- 52.9 (state 47.4 · U.S. 45.8)%
- RN turnover
- 54.5 (state 51.6 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- August 22, 2025
- Health deficiencies (last cycle)
- 18.0 (state 9.3 · U.S. 9.3)
- From complaints
- 7
- Citations on record (3 years)
- 43 health · 4 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-04-21 | 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 Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-03-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-06 |
| 2026-03-19 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-13 |
| 2025-08-22 | 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 2025-09-29 |
| 2025-08-22 | 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 Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-29 |
| 2025-08-22 | 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 2025-09-29 |
| 2025-08-22 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-29 |
| 2025-08-22 | 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 Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-29 |
| 2025-08-22 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-21 |
| 2025-08-22 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-29 |
| 2025-08-22 | 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 Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-29 |
| 2025-08-22 | 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 Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-29 |
| 2025-08-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-29 |
| 2025-08-22 | 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 2025-09-29 |
| 2025-08-22 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-29 |
| 2025-08-22 | Provide or get specialized rehabilitative services as required for a resident. F0825 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-29 |
| 2025-08-22 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-29 |
| 2025-08-22 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2025-09-29 |
| 2024-05-17 | 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 Deficiencies |
G Actual harm |
Corrected 2024-06-20 |
| 2024-05-17 | 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 2024-06-20 |
| 2024-05-17 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-05-17 | 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 Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-05-17 | 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 2024-06-20 |
| 2024-05-17 | 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 2024-06-20 |
| 2024-05-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-20 |
| 2024-05-17 | 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 2024-06-20 |
| 2024-05-17 | 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 2024-06-20 |
| 2024-05-17 | 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 2024-06-20 |
| 2023-12-07 | 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 Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-12-08 |
| 2023-12-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-12-08 |
| 2023-12-07 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-12-08 |
| 2023-12-07 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-12-07 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-12-07 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2019-12-13 | 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 Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2020-01-10 |
| 2019-12-13 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2020-01-10 |
| 2019-12-13 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2020-01-10 |
| 2019-12-13 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2020-01-10 |
| 2019-12-13 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2020-01-10 |
| 2019-12-13 | 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 Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2020-01-10 |
| 2019-12-13 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2020-01-10 |
| 2019-12-13 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2020-01-10 |
| 2019-12-13 | 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 2020-01-10 |
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
2 penalties in the last three years, including $80,796 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-05-17 | Fine | $61,458 |
| 2023-12-07 | Fine | $19,338 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Truist Bank (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Baker, Nicholas (individual) | Administrator · NOT APPLICABLE | |
| Deh Enterprises LLC (organization) | Administrator · NOT APPLICABLE | |
| Morris, Christopher (individual) | Administrator · NOT APPLICABLE | |
| Providence Administrative Consulting Services INC (organization) | Administrator · NOT APPLICABLE | |
| Apt, Frederick (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Baker, Nicholas (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Jergensen, Joshua (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Mitchell, John (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Morris, Christopher (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Townsend, Deborah (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Willowbrook Post Acute?
Willowbrook Post Acute has a 1-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 Willowbrook Post Acute have?
It has 59 certified beds and cares for about 53 residents per day.
Has Willowbrook Post Acute been fined?
Yes. CMS lists 2 penalties totaling $80,796 in the last three years.
Who owns Willowbrook Post Acute?
It is part of Pacs 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 Willowbrook Post Acute?
(541) 276-3374. The facility is located at 707 SW 37Th Street, Pendleton, OR 97801.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.