About Willowbrook Post Acute
Willowbrook Post Acute, located in PENDLETON, OR, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Willowbrook Post Acute
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours N/A
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the PACS GROUP network. This chain operates 279 facilities.
Chain Performance Overview
For AI Users, Agents, and Developers
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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).
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 3 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 84 | Aug 22, 2025 |
| Weighted Average | 138 | 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) | 21.8% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 22.7% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 0.9% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 5.4% |
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) | 19.5% |
| Percentage of long-stay residents who lose too much weight (QM404) | 4.0% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 1.5% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 7.2% |
| 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) | 2.2% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 98.6% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 89.4% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.5% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 35.2% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 11.6% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 97.4% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 77.9% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 3.4% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 31.0% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 27.1% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 6 complaints
- 2024: 2 complaints
- 2025: 3 complaints
- 2026: 2 complaints
- Total: 13 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Apr 13, 2026 | Ensure each resident?s drug regimen must be free from unnecessary drugs. |
| Apr 06, 2026 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Sep 29, 2025 | Provide or get specialized rehabilitative services as required for a resident. |
| Sep 29, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Sep 29, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Nov 21, 2024 | Protect each resident from the wrongful use of the resident's belongings or money. |
| Jun 20, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Dec 08, 2023 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. |
| Dec 08, 2023 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly |
| Dec 08, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Dec 08, 2023 | Respond appropriately to all alleged violations. |
| Dec 08, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Dec 08, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
Nearby Hospitals
ST ANTHONY HOSPITAL
PENDLETON, OR
GOOD SHEPHERD MEDICAL CENTER
HERMISTON, OR
Owner & Operator Information
Business Entity
WILLOWBROOK SNF HEALTHCARE LLC
Ownership Structure
Management & Direction
- FREDERICK APT OPERATIONAL/MANAGERIAL CONTROL
- NICHOLAS BAKER OPERATIONAL/MANAGERIAL CONTROL
- NICHOLAS BAKER ADP OF THE SNF
- DEH ENTERPRISES LLC ADP OF THE SNF
- JOSHUA JERGENSEN OPERATIONAL/MANAGERIAL CONTROL
- JOHN MITCHELL OPERATIONAL/MANAGERIAL CONTROL
- CHRISTOPHER MORRIS OPERATIONAL/MANAGERIAL CONTROL
- CHRISTOPHER MORRIS ADP OF THE SNF
- PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC ADP OF THE SNF
- DEBORAH TOWNSEND OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Milton Freewater Health and Rehabilitation Center | N/A | 3 |
| Regency Hermiston Nursing and Rehab Center | N/A | 3 |
| Willowbrook Post Acute | N/A | 1 |
Related Analysis
Best Nursing Homes in PENDLETON, OR
Compare Willowbrook 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 Willowbrook Post Acute directly at 5412763374. 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.