The home failed to provide safe, appropriate pain management for a resident who needed it. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Nursing home report
WILLOW CREEK POST ACUTE
MADRAS, OR · Medicare-certified · 20 beds
In good standing
For-profit
3 of 5 overall
WILLOW CREEK POST ACUTE (Madras, OR) has a 3 out of 5 overall rating. Its staffing is above the federal benchmark (6.33 vs 4.1 hours per resident day), health inspection and staffing are both 4 stars, quality measures are low at 1 star, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
6.3304 hrs/resident/day
Quality measures
Last inspection: February 12, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 6.3304.
Staffing detail
- Registered nurses
- 1.31
- Licensed practical nurses
- 1.04
- Nurse aides
- 3.99
- Weekend nursing
- 5.29
Hours per resident per day.
Total staff turnover: 97%
Registered nurse turnover: 80%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
42.9%Steady
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
7.5%Steady
Residents with a urinary tract infection
9.5%Steady
Residents who lost too much weight
4.1%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
15.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
22.4%Steady
Short-stay residents newly given an antipsychotic
2.4%Steady
Residents with a long-term catheter
3.8%Steady
Residents with new or worsening incontinence
22.9%Steady
Residents with depressive symptoms
3.4%Steady
Long-stay residents given the pneumonia vaccine
96.8%Steady
Short-stay residents given the seasonal flu vaccine
90.5%Steady
Short-stay residents given the pneumonia vaccine
94.5%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited October 2024 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited June 2023 — limited pattern, potential for harm.
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F-Tag 727 — 42 CFR §483.35 — S/S: E
The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 919 — 42 CFR §483.90 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $69,901 in total fines.
- $69,901
Federal fine
Jun 30, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 16.6 residents on an average day (83% of 20 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.