# Willowbrook Post Acute

Willowbrook Post Acute is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Pendleton, OR, CMS Certification Number 385201, with 59 certified beds and about 56 residents per day. CMS rates it 1/5 overall (health inspections 1/5, staffing 3/5, quality measures 3/5).

## Key facts
- Status: Active CMS certification
- Address: 707 SW 37th Street, Pendleton, OR 97801 (Umatilla County)
- Ownership type: For profit - Limited Liability company

- Operator (legal business name): [Willowbrook SNF Healthcare LLC](https://carefield.site/operator/op-willowbrook-snf-healthcare-llc)
- CMS chain: [Pacs Group](https://carefield.site/chain/cms-chain-690) — 277 facilities

- CMS abuse icon: yes (cited for abuse in the recent window)

- Phone: 5412763374
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/385201

## Inspection record
9 inspections in the CMS window (latest 2026-04-21); 47 citations (43 health, 4 fire safety); 1 at actual harm and 3 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2023-12-07 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2023-12-07 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2023-12-07 — [F-0658](https://carefield.site/deficiency/cms-f0658) Ensure services provided by the nursing facility meet professional standards of quality. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2024-05-17 — [F-0688](https://carefield.site/deficiency/cms-f0688) 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. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected
- 2026-04-21 — [F-0580](https://carefield.site/deficiency/cms-f0580) Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident. — scope/severity D (No actual harm, potential for more than minimal harm); Past non-compliance; complaint survey
- 2026-03-19 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-03-19 — [F-0757](https://carefield.site/deficiency/cms-f0757) Ensure each resident’s drug regimen must be free from unnecessary drugs. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-08-22 — [F-0554](https://carefield.site/deficiency/cms-f0554) Allow residents to self-administer drugs if determined clinically appropriate. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-22 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-08-22 — [F-0602](https://carefield.site/deficiency/cms-f0602) Protect each resident from the wrongful use of the resident's belongings or money. — scope/severity D (No actual harm, potential for more than minimal harm); Past non-compliance; complaint survey
- 2025-08-22 — [F-0604](https://carefield.site/deficiency/cms-f0604) Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-22 — [F-0605](https://carefield.site/deficiency/cms-f0605) Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-22 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-22 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-22 — [F-0725](https://carefield.site/deficiency/cms-f0725) Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-08-22 — [F-0756](https://carefield.site/deficiency/cms-f0756) Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-22 — [F-0759](https://carefield.site/deficiency/cms-f0759) Ensure medication error rates are not 5 percent or greater. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-22 — [F-0761](https://carefield.site/deficiency/cms-f0761) 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. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-22 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-22 — [F-0825](https://carefield.site/deficiency/cms-f0825) Provide or get specialized rehabilitative services as required for a resident. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- …and 27 more on the source page.

## Penalties
- 2024-05-17 — Civil money penalty (fine): $61,458
- 2023-12-07 — Civil money penalty (fine): $19,338

## Staffing (PBJ, hours per resident per day)
- Total nurse: 4.33667 (state avg 5.12557, US 3.90085)
- RN: 0.46075
- Nursing staff turnover: 55.1%

## Owners and managers of record (CMS disclosures)
- Frederick Apt — Operational / managerial control, since 2024-05-10
- Nicholas Baker — Operational / managerial control, since 2024-09-19
- Joshua Jergensen — Operational / managerial control, since 2024-05-10
- John Mitchell — Operational / managerial control, since 2024-05-10
- Christopher Morris — Operational / managerial control, since 2024-09-01
- Deborah Townsend — Operational / managerial control, since 2025-02-17

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=385201&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=385201&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=385201&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=385201&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=385201&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=385201&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-385201 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.