Willowbrook Post Acute: Drug Storage Violations - OR
The deficiency fell under pharmacy services and covered two related failures: drugs and biologicals that were not labeled in accordance with accepted professional principles, and controlled substances that were not kept in the separately secured compartments required for that class of medication. Inspectors rated the violation at Scope/Severity Level E, meaning it represented a pattern of noncompliance, not an isolated lapse, and that while no resident was documented as harmed, the potential for more than minimal harm was present.
That distinction matters. Controlled substances in a nursing home include medications with serious abuse potential and narrow therapeutic windows. When they sit in compartments that are not separately locked, they are accessible in ways they should not be. The inspection report did not document a diversion event or a resident who received the wrong drug. But the conditions that would allow either were there, and they were not a one-time oversight.
The drug storage citation was one of 15 deficiencies inspectors cited at Willowbrook Post Acute during the same visit. The inspection report does not detail the other 14. What it records is a facility that, across a single complaint inspection, generated a list of violations long enough to span multiple regulatory categories.
Willowbrook Post Acute reported correcting the pharmacy deficiency by September 29, 2025, roughly five weeks after the inspection. Whether the correction addressed labeling, storage, or both, the report does not specify.
The facility has not been fined or placed under enforcement action based on the information contained in this inspection record. The deficiency stands as cited.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Willowbrook Post Acute from 2025-08-22 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 7, 2026 · Our methodology
WILLOWBROOK POST ACUTE in PENDLETON, OR was cited for violations during a health inspection on August 22, 2025.
Controlled substances in a nursing home include medications with serious abuse potential and narrow therapeutic windows.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.