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
For-profitChain member
1 of 5 overall
Willowbrook Post Acute in Pendleton, OR has an overall 1-star rating, with 1-star health inspection and staffing ratings and 3-star quality measures. It has had $61,458 in fines in the last 24 months and a recent federal penalty; recent citations included abuse/neglect reporting and quality-of-care concerns.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $61,458recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Staffing detail
Total staff turnover: 48%
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
22.7%28%Worsening
Residents with a fall causing major injury
2.9%2.9%No change
Residents with pressure ulcers (bedsores)
10.5%0%Improving
Residents with a urinary tract infection
0%2.9%Worsening
Residents who lost too much weight
2.9%3.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.7%34.5%Worsening
Residents whose ability to walk got worse
—35.2%—
Long-stay residents on antianxiety or sleep medication
8.8%13.3%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
38%24.7%Improving
Residents with depressive symptoms
3.2%15.2%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
94.3%100%Improving
Short-stay residents given the seasonal flu vaccine
—77.9%—
Short-stay residents given the pneumonia vaccine
85.1%86.1%Improving
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
- 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 279 homes · 3 stars avg
- Occupancy
- 52.5 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.