Willowbrook Post Acute
707 SW 37TH STREET, Pendleton, OR, 97801
Yes. Federal inspectors cited 18 deficiencies against Willowbrook Post Acute in Pendleton, Oregon at its most recent standard inspection on 2025-08-22, 7 of them arising from complaints. 3 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $80,796. Medicare rates it 1 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2026-04-21 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2026-03-19 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · F0757 · 2026-03-19 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · F0725 · 2025-08-22 · from a complaint · No actual harm, potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · F0761 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · F0554 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2025-08-22 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0602 · 2025-08-22 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0604 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0605 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · F0756 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · F0825 · 2025-08-22 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · F0732 · 2025-08-22 · standard survey · No actual harm, potential for minimal harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · F0688 · 2024-05-17 · standard survey · Actual harm to a resident
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-05-17 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Willowbrook Post Acute
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| TRUIST BANK | Organization | NOT APPLICABLE | since 09/01/2024 |
| APT, FREDERICK | Individual | NOT APPLICABLE | since 05/10/2024 |
| BAKER, NICHOLAS | Individual | NOT APPLICABLE | since 09/19/2024 |
| JERGENSEN, JOSHUA | Individual | NOT APPLICABLE | since 05/10/2024 |
| MITCHELL, JOHN | Individual | NOT APPLICABLE | since 05/10/2024 |
| MORRIS, CHRISTOPHER | Individual | NOT APPLICABLE | since 09/01/2024 |
| TOWNSEND, DEBORAH | Individual | NOT APPLICABLE | since 02/17/2025 |
| DEH ENTERPRISES LLC | Organization | NOT APPLICABLE | since 09/01/2024 |
| PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC | Organization | NOT APPLICABLE | since 09/01/2024 |
| BAKER, NICHOLAS | Individual | NOT APPLICABLE | since 01/23/2026 |
| MORRIS, CHRISTOPHER | Individual | NOT APPLICABLE | since 01/23/2026 |
Part of the PACS GROUP group.
Ask Willowbrook Post Acute a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 385201.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction