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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 79th out of 92 homes in Oregon. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 52m per day |
Higher than the Oregon average: 65.7%Willowbrook Post Acute is administrated by Nicholas Baker.
In Oregon, the Department of Human Services, Aging and People with Disabilities performs unannounced surveys and regular inspections to ensure resident safety in all care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Oregon state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 39 | 31 | This facility has 26% more total deficiencies than a typical Oregon nursing home (39 vs. OR avg 31).↑ 26% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 5.6 | 4.4 | This facility has 27% more deficiencies per year than a typical Oregon nursing home (5.6 vs. OR avg 4.4).↑ 27% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.9 | 4.4 | This facility has 11% fewer deficiencies per inspection than a typical Oregon nursing home (3.9 vs. OR avg 4.4).↓ 11% better |
Inspections
| This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 10 | 7 | This facility has 43% more total inspections than a typical Oregon nursing home (10 vs. OR avg 7).↑ 43% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on August 22, 2025, identified multiple deficiencies including issues with resident self-administration of medications, abuse and neglect, care planning, staffing, medication errors, food safety, therapy services, infection prevention, and reporting, with most deficiencies corrected by September 17, 2025. Earlier inspections showed a pattern of similar issues involving care planning, medication management, abuse prevention, and reporting, including repeated deficiencies related to failure to report complete COVID-19 information to the CDC’s NHSN. No fines, immediate jeopardy findings, or license actions were listed in the available reports. Complaint investigations were not substantiated or not noted in the reports. The facility’s record shows ongoing challenges in several areas, but some corrections have been made following inspections.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsOregon average 5.1
Last Health inspection on Aug 2025
Oregon average 34
Oregon average 6.86
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
29 of 40 citations resulted from standard inspections; 7 of 40 resulted from complaint investigations; and 4 of 40 came from combined inspections (standard and complaint).
500% worse than Oregon averageOregon average: 0.5
17% better than Oregon averageOregon average: 1.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
25% worse than Oregon average
0% compared with Oregon average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,748 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 34 | 15 | 49 | 11,598 | 92 | 100% | 7.5 |
| Registered Nurse | 7 | 0 | 7 | 2,555 | 92 | 100% | 9.8 |
| Licensed Practical Nurse | 5 | 1 | 6 | 2,369 | 87 | 95% | 10.2 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,788 | 92 | 100% | 8.7 |
| Nurse Aide in Training | 7 | 0 | 7 | 735 | 31 | 34% | 7.6 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 588 | 65 | 71% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 2 | 0 | 2 | 504 | 63 | 68% | 8 |
| Qualified Activities Professional | 1 | 0 | 1 | 483 | 67 | 73% | 7.2 |
| Dietitian | 1 | 0 | 1 | 482 | 62 | 67% | 7.8 |
| Speech Language Pathologist | 2 | 0 | 2 | 386 | 53 | 58% | 7.1 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 333 | 46 | 50% | 7 |
| Dental Services Staff | 2 | 0 | 2 | 278 | 36 | 39% | 7.7 |
| Physical Therapy Assistant | 1 | 0 | 1 | 31 | 9 | 10% | 3.4 |
| Qualified Social Worker | 2 | 0 | 2 | 20 | 10 | 11% | 2 |
| Other Physician | 0 | 1 | 1 | 8 | 2 | 2% | 4 |
Includes penalties issued in 2023-2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
35% higher than Oregon averageOregon average: $60K
18% more fines than Oregon averageOregon average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Oregon averageOregon average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 17, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 7, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.9
42% worse than Oregon averageOregon average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
32.7
55% worse than Oregon averageOregon average: 21.1
Percent of long-stay residents whose need for help with daily activities has increased
21.1%
29% worse than Oregon averageOregon average: 16.3%
Percent of long-stay residents whose ability to move independently worsened
42.7%
71% worse than Oregon averageOregon average: 24.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
34.2%
51% worse than Oregon averageOregon average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
24% worse than Oregon averageOregon average: 2.4%
Percent of long-stay high risk residents with pressure ulcers
4.9%
29% better than Oregon averageOregon average: 6.9%
Percent of long-stay residents with a urinary tract infection
2.2%
8% worse than Oregon averageOregon average: 2.1%
Percent of long-stay residents who lose too much weight
3.1%
42% better than Oregon averageOregon average: 5.3%
Percent of long-stay residents who have depressive symptoms
3.3%
30% better than Oregon averageOregon average: 4.6%
Percent of long-stay residents who received an antipsychotic medication
17.1%
29% worse than Oregon averageOregon average: 13.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
In line with Oregon averageOregon average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
In line with Oregon averageOregon average: 95.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.1%
5% better than Oregon averageOregon average: 86.2%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
37% better than Oregon averageOregon average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
77.9%
In line with Oregon averageOregon average: 81.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
61% of new residents, usually for short-term rehab.
18% of new residents, often for short stays.
20% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
42Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Willowbrook Post Acute based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #76 / 88Payroll — State benchmarkedThis home is ranked 76th out of 88 homes in Oregon. Shows total annual staff payroll benchmarked to the Oregon average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Pendleton's city center to Willowbrook Post Acute's address, calculated via Google Maps.
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Willowbrook Post Acute is located in Pendleton, Oregon.
Here are the financial assistance programs available to residents in Oregon.
The legal owner and operator of Willowbrook Post Acute is Willowbrook Snf Healthcare, LLC.
Willowbrook Post Acute has a walk score of 84. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Willowbrook Post Acute's occupancy is 90%.
The team at Willowbrook Post Acute can be reached at [email protected].
Nicholas Baker is the administrator of Willowbrook Post Acute.
Willowbrook Post Acute has 59 beds.
Willowbrook Post Acute has had 39 recently reported deficiencies.
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