Willow Springs Care and Rehabilitation

CMS star ratings

Overall★★★★★ 4/5

State avg 3.2

Health inspections★★★★★ 4/5

State avg 2.8

Staffing★★★★★ 3/5

State avg 3.6

Quality measures★★★★★ 4/5

State avg 4.0

Long-stay quality★★★★★ 4/5

Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 4.15 (state 4.37 · U.S. 3.86)
Registered nurses (RN): 0.95 (state 0.94 · U.S. 0.69)
Licensed practical nurses: 0.61 (state 0.77 · U.S. 0.86)
Nurse aides: 2.59 (state 2.66 · U.S. 2.32)
Weekend total: 3.50 (state 3.81 · U.S. 3.42)
Nursing staff turnover: 55.7 (state 45.1 · U.S. 45.8)%
RN turnover: 56.3 (state 45.4 · U.S. 42.9)%
Administrators who left: 1 in the last year

Inspections

Last standard inspection: July 25, 2025
Health deficiencies (last cycle): 6.0 (state 16.1 · U.S. 9.3)
From complaints: 1
Citations on record (3 years): 38 health · 42 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2026-05-26	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 2026-07-02
2025-07-25	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 2025-09-03
2025-07-25	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-25	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	D No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-25	PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-09-03
2025-07-25	Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies	C No actual harm, potential for minimal harm	Corrected 2025-09-03
2024-09-10	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-10-12
2024-09-10	PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-10-12
2024-09-10	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 2024-10-12
2024-09-10	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-10-12
2024-09-10	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-12
2024-09-10	Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-12
2024-09-10	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 2024-10-12
2024-08-14	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-09-06
2024-08-14	Plan the resident's discharge to meet the resident's goals and needs. F0660 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-09-06
2023-07-22	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	J Immediate jeopardy to resident health or safety	Corrected 2023-08-18
2023-07-22	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-08-18
2023-07-22	Give residents a notice of rights, rules, services and charges. F0572 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-08-18
2023-07-22	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-08-18
2023-07-22	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-08-18
2023-07-22	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	E No actual harm, potential for more than minimal harm	Corrected 2023-08-18
2023-07-22	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	E No actual harm, potential for more than minimal harm	Corrected 2023-08-18
2023-07-22	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	E No actual harm, potential for more than minimal harm	Corrected 2023-08-18
2023-07-22	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 2023-08-18
2023-07-22	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-08-18
2023-07-22	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-08-18
2023-07-22	Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-08-18
2023-07-22	Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-08-18
2023-07-22	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-08-18
2023-07-22	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-08-18
2023-07-22	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-08-18
2023-07-22	PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-08-18
2023-07-22	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 2023-08-18
2023-07-22	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-08-18
2023-07-22	Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-08-18
2023-07-22	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 2023-08-18
2023-07-22	Assist a resident in gaining access to vision and hearing services. F0685 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-08-18
2023-07-22	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 2023-08-18

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
Hyatt Family Facilities LLC (organization)	5%+ Direct Ownership Interest
Hyatt, Jeffrey (individual)	5%+ Direct Ownership Interest
Hyatt, Norman (individual)	5%+ Direct Ownership Interest
Cleveland, Michael (individual)	Corporate Director · NOT APPLICABLE
Berk, Heidi (individual)	W-2 Managing Employee · NOT APPLICABLE
Repp, Rebecca (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Willow Springs Care and Rehabilitation?

Willow Springs Care and Rehabilitation has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Washington.

How many beds does Willow Springs Care and Rehabilitation have?

It has 75 certified beds and cares for about 58 residents per day.

Has Willow Springs Care and Rehabilitation been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Willow Springs Care and Rehabilitation?

(509) 966-4500. The facility is located at 4007 Tieton Drive, Yakima, WA 98908.

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Contact & location

Facility details