About Willow Creek Post Acute
Willow Creek Post Acute, located in MADRAS, OR, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Willow Creek Post Acute
- More Nursing Time: Staff spends 6.33 hours per resident daily (National Avg: 3.87).
Key Performance Indicators
- CMS Overall Rating 3 Stars
- Nursing Hours 6.33 hrs
- Safety Record Clean
Chain Affiliations & Network
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Above Average Staffing
Willow Creek Post Acute provides more care hours than the state average and more than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 3 |
|
| Health Inspection | 4 |
|
| Quality Measures | 1 |
|
| Staffing | 4 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Weighted Average | 28 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | N/A |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | N/A |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | N/A |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | N/A |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 15.2% |
| Percentage of long-stay residents who lose too much weight (QM404) | 4.1% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 3.8% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 9.5% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 3.4% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 0.0% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 96.8% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 94.5% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 2.4% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | N/A |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 22.4% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | N/A |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 90.5% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 7.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 22.9% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 42.9% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2022: 1 complaint
- 2023: 13 complaints
- 2024: 1 complaint
- Total: 15 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Aug 02, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Aug 10, 2023 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. |
| Aug 10, 2023 | Provide safe and appropriate respiratory care for a resident when needed. |
| Aug 10, 2023 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. |
| Aug 10, 2023 | Post nurse staffing information every day. |
| Aug 10, 2023 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. |
| Aug 10, 2023 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. |
| Aug 10, 2023 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. |
| Aug 10, 2023 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. |
| Aug 10, 2023 | Put firmly secured handrails on each side of hallways. |
| Aug 10, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Aug 10, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Aug 10, 2023 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. |
| Jul 19, 2023 | Provide safe, appropriate pain management for a resident who requires such services. |
Nearby Hospitals
ST CHARLES MEDICAL CENTER PRINEVILLE
PRINEVILLE, OR
ST CHARLES MADRAS
MADRAS, OR
Owner & Operator Information
Business Entity
EAST CASCADE RETIREMENT COMMUNITY LLC
Ownership Structure
- JUDY BRAAKSMA Direct: 7%
- JANA BROWN Direct: NO PERCENTAGE PROVIDED
- BROWNOR ENTERPRISES INC Direct: 6%
- GEOFFREY BUNZA Direct: 6%
- CDK LLC Direct: 32%
- GILL FAMILY TRUST Direct: 9%
- RONALD JUDY Direct: 7%
- CHRISTIAN MASON Direct: 9%
- KELVIN NG Direct: 5%
- PETER NG Direct: 8%
Management & Direction
- AIDAN HEALTH SERVICES INC OPERATIONAL/MANAGERIAL CONTROL
- MARK REMLEY CONTRACTED MANAGING EMPLOYEE
- MARK REMLEY OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Regency Prineville Rehabilitation and Nursing Center | N/A | 5 |
| Willow Creek Post Acute | N/A | 3 |
Related Analysis
Best Nursing Homes in MADRAS, OR
Compare Willow Creek Post Acute to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Willow Creek Post Acute directly at 5414752273. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.