Nursing HomeInspections

Willowbrook Post Acute

Nursing home in Pendleton, OR

Medicare & Medicaid certified1★ overall (CMS)

Call (541) 276-3374Send a messageMap ↗

Public-record details

Address
707 Sw 37th Street, Pendleton, OR 97801
Phone
(541) 276-3374
Listed under
For-profit
Medicare CCN
385201
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
59
Average residents per day
53
Ownership
For-profit, limited Liability company
Legal business name
Willowbrook SNF Healthcare LLC
Chain
Pacs Group (274 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 18, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 385201. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 22, 2025. CMS lists 43 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 13, 2019 to Apr 21, 2026): 14 from complaint inspections, 4 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
Apr 21, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 19, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 19, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 22, 2025Post nurse staffing information every day.
Nursing and Physician Services		B
Potential for minimal harm, pattern
Aug 22, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 22, 2025Protect 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 22, 2025Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 22, 2025Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Aug 22, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Aug 22, 2025Develop 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		D
Potential for more than minimal harm, isolated
Aug 22, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 22, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 43. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $80,796 in the last three years.

May 17, 2024Fine: $61,458
Dec 7, 2023Fine: $19,338

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
5.03 hours
Registered nurse (RN) time per resident per day
0.58 hours
Nurse aide time per resident per day
3.68 hours
Total nurse staffing on weekends
4.59 hours
Nursing staff turnover (yearly)
53%
RN turnover (yearly)
55%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.