The nursing home failed to protect residents from abuse and neglect by others. Cited December 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
WILLOWBROOK POST ACUTE
PENDLETON, OR · Medicare-certified · 59 beds
Needs attention
Abuse citationFor-profitChain member
Data as of September 1, 2026
1 of 5 overall
WILLOWBROOK POST ACUTE in Pendleton, OR has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating, a recent abuse citation, and no fines in the last 24 months. Staffing is rated 4 stars, with reported nurse staffing of 5.03 hours per resident day, above the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
5.0329 hrs/resident/day
Quality measures
Last inspection: April 21, 2026Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.0329.
Staffing detail
- Registered nurses
- 0.58
- Licensed practical nurses
- 0.77
- Nurse aides
- 3.68
- Weekend nursing
- 4.59
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 55%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
32%32.1%No change
Residents with a fall causing major injury
3%2.8%No change
Residents with pressure ulcers (bedsores)
2.7%5.2%Worsening
Residents with a urinary tract infection
3%0%Improving
Residents who lost too much weight
3.1%3.3%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.6%22.6%Worsening
Residents whose ability to walk got worse
—24.2%—
Long-stay residents on antianxiety or sleep medication
9.4%15.6%Worsening
Short-stay residents newly given an antipsychotic
2.2%4.1%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
27%26.7%No change
Residents with depressive symptoms
10%14.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.4%—
Long-stay residents given the pneumonia vaccine
100%97.2%Worsening
Short-stay residents given the seasonal flu vaccine
—77.9%—
Short-stay residents given the pneumonia vaccine
94%71.9%Worsening
What the inspectors found
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited December 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: J
The nursing home failed to provide services that met professional standards of quality. Cited December 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: J
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 688 — 42 CFR §483.25(c) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $61,458 was recorded.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $80,796 in total fines.
- $61,458
Federal fine
May 17, 2024
- $19,338
Federal fine
Dec 7, 2023
Operator & ownership
Recent ownership change · Sep 1, 2024
Now operated by Willowbrook Post Acute, previously Willowbrook Terrace.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 275 homes · 2.9 stars avg
- Occupancy
- 52.6 residents on an average day (89% of 59 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.