Willowbrook Post Acute

707 SW 37th Street, Pendleton, OR 97801 · (541) 276-3374
For profit - Limited Liability company · 59 certified beds

Willowbrook Post Acute has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 14 citations (the Oregon average is 9.2). It was fined 2 times in the last three years, $80,796 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on August 22, 2025 found 14 citations. What an inspection citation means

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 22, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.August 22, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.August 22, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Allow residents to self-administer drugs if determined clinically appropriate.August 22, 2025 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.August 22, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.August 22, 2025 · F0604 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.August 22, 2025 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.August 22, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 22, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.August 22, 2025 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure medication error rates are not 5 percent or greater.August 22, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide or get specialized rehabilitative services as required for a resident.August 22, 2025 · F0825 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.August 22, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Post nurse staffing information every day.August 22, 2025 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Some

Complaint inspections, last three years

Inspections after complaints found 14 citations.

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.April 21, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 19, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.March 19, 2026 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.August 22, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from the wrongful use of the resident's belongings or money.August 22, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.August 22, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide or get specialized rehabilitative services as required for a resident.August 22, 2025 · F0825 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 17, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.December 7, 2023 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.December 7, 2023 · F0609 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Respond appropriately to all alleged violations.December 7, 2023 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.December 7, 2023 · F0658 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Administer the facility in a manner that enables it to use its resources effectively and efficiently.December 7, 2023 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDecember 7, 2023 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many

Fines and payment denials

• Fine of $61,458May 17, 2024
• Fine of $19,338December 7, 2023

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home