Willow Creek Healthcare Center

Nursing Home · Clovis, CA

CMS overall rating 3/5 For profit - Limited Liability company

CMS certification number555652

Contact & location

650 W. Alluvial
Clovis, CA 93611
Fresno County
Phone
(559) 323-6200
ZIP code
93611 – all care providers

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Facility details

Certified beds
159
Residents per day
152.8 (96% occupied)
Ownership
For profit - Limited Liability company
Legal name
Willow Creek Post Acute, LLC
Chain
Pacs Group (274 facilities, avg 2.9★)
Medicare certified since
February 8, 1996
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 3.2
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.3
Quality measures★★★★★ 5/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 5/5

Staffing

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

Total nurse staffing
4.18 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.46 (state 0.67 · U.S. 0.69)
Licensed practical nurses
1.03 (state 1.20 · U.S. 0.86)
Nurse aides
2.70 (state 2.65 · U.S. 2.32)
Weekend total
3.88 (state 4.09 · U.S. 3.42)
Nursing staff turnover
59.7 (state 36.7 · U.S. 45.8)%
RN turnover
42.9 (state 38.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
April 4, 2025
Health deficiencies (last cycle)
18.0 (state 15.7 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
60 health · 20 fire safety · includes actual harm
DateCitationSeverityStatus
2026-05-14 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-05
2026-05-14 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 · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-05
2026-01-05 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
G
Actual harm
Corrected 2026-01-16
2025-09-24 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-10-06
2025-06-02 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-18
2025-05-07 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
G
Actual harm
Corrected 2025-06-04
2025-04-04 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 2025-05-01
2025-04-04 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
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-01
2025-04-04 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-01
2025-04-04 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 2025-05-01
2025-04-04 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 2025-05-01
2025-04-04 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-01
2025-04-04 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-01
2025-04-04 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
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-01
2025-04-04 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 2025-05-01
2025-04-04 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 2025-05-01
2025-04-04 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 2025-05-01
2025-04-04 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 2025-05-01
2025-04-04 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-01
2025-04-04 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-01
2024-12-26 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-01-10
2024-10-01 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-10-16
2024-06-21 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 2024-07-25
2024-06-21 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
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-25
2024-06-07 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
G
Actual harm
Corrected 2024-07-31
2024-06-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-31
2024-05-14 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
F0700 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-20
2024-04-29 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-17
2024-03-07 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 2024-03-25
2024-03-07 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-03-25
2024-03-07 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 2024-03-25
2024-03-07 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 2024-03-25
2024-03-07 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 2024-03-25
2023-10-06 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-22
2023-08-30 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 2023-09-16
2023-08-09 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-20
2023-08-09 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-20
2023-08-09 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-20
2019-05-17 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
H
Actual harm
Corrected 2019-08-07
2019-05-17 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
H
Actual harm
Corrected 2019-08-07
2019-05-17 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2019-08-07
2019-05-17 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 2019-08-07
2019-05-17 Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F0838 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2019-08-07
2019-05-17 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2019-08-07
2019-05-17 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2019-08-07
2019-05-17 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
E
No actual harm, potential for more than minimal harm
Corrected 2019-08-07
2019-05-17 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
E
No actual harm, potential for more than minimal harm
Corrected 2019-08-07
2019-05-17 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F0802 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2019-08-07
2019-05-17 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2019-08-07
2019-05-17 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2019-08-07

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

3 penalties in the last three years, including $25,045 in fines.

DateTypeAmount
2026-01-05Fine$15,935
2025-09-24Fine$9,110
2025-05-07Payment Denial6 days payment denial

Ownership & management

NameRoleSince
Providence Group INC (organization)5%+ Direct Ownership Interest · 100%
Sood, Pawan (individual)Contracted Managing Employee · NOT APPLICABLE
Apt, Frederick (individual)Corporate Officer · NOT APPLICABLE
Mitchell, John (individual)Corporate Officer · NOT APPLICABLE
Cantwell, Kalan (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Willow Creek Healthcare Center?

Willow Creek Healthcare Center has a 3-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 California.

How many beds does Willow Creek Healthcare Center have?

It has 159 certified beds and cares for about 153 residents per day.

Has Willow Creek Healthcare Center been fined?

Yes. CMS lists 3 penalties totaling $25,045 in the last three years.

Who owns Willow Creek Healthcare Center?

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 Willow Creek Healthcare Center?

(559) 323-6200. The facility is located at 650 W. Alluvial, Clovis, CA 93611.

Other nursing homes in Clovis

Compare all nursing homes in Clovis, CA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.