Willowbrook Post Acute

Federal health inspectors cited WILLOWBROOK POST ACUTE in PENDLETON, OR for a deficiency under regulatory tag F-F0554 during a standard health inspection conducted on 2025-08-22.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Allow residents to self-administer drugs if determined clinically appropriate.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of WILLOWBROOK POST ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

Federal health inspectors cited WILLOWBROOK POST ACUTE in PENDLETON, OR for a deficiency under regulatory tag F-F0600 during a complaint investigation conducted on 2025-08-22.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of WILLOWBROOK POST ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

Federal health inspectors cited WILLOWBROOK POST ACUTE in PENDLETON, OR for a deficiency under regulatory tag F-F0602 during a complaint investigation conducted on 2025-08-22.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Protect each resident from the wrongful use of the resident's belongings or money.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of WILLOWBROOK POST ACUTE.

Correction Status: Past Non-Compliance.

The facility reported correction as of 2024-11-21.

Federal health inspectors cited WILLOWBROOK POST ACUTE in PENDLETON, OR for a deficiency under regulatory tag F-F0604 during a standard health inspection conducted on 2025-08-22.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of WILLOWBROOK POST ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

Federal health inspectors cited WILLOWBROOK POST ACUTE in PENDLETON, OR for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2025-08-22.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of WILLOWBROOK POST ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

Federal health inspectors cited WILLOWBROOK POST ACUTE in PENDLETON, OR for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-08-22.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of WILLOWBROOK POST ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

Federal health inspectors cited WILLOWBROOK POST ACUTE in PENDLETON, OR for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-08-22.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of WILLOWBROOK POST ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

Federal health inspectors cited WILLOWBROOK POST ACUTE in PENDLETON, OR for a deficiency under regulatory tag F-F0725 during a complaint investigation conducted on 2025-08-22.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: 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 Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of WILLOWBROOK POST ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

Federal health inspectors cited WILLOWBROOK POST ACUTE in PENDLETON, OR for a deficiency under regulatory tag F-F0732 during a standard health inspection conducted on 2025-08-22.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Post nurse staffing information every day.

Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of WILLOWBROOK POST ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

Federal health inspectors cited WILLOWBROOK POST ACUTE in PENDLETON, OR for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-08-22.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: 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 Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of WILLOWBROOK POST ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

Federal health inspectors cited WILLOWBROOK POST ACUTE in PENDLETON, OR for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-08-22.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of WILLOWBROOK POST ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

Federal health inspectors cited WILLOWBROOK POST ACUTE in PENDLETON, OR for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-22.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: 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 Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of WILLOWBROOK POST ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

Federal health inspectors cited WILLOWBROOK POST ACUTE in PENDLETON, OR for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-22.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of WILLOWBROOK POST ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

Federal health inspectors cited WILLOWBROOK POST ACUTE in PENDLETON, OR for a deficiency under regulatory tag F-F0825 during a complaint investigation conducted on 2025-08-22.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide or get specialized rehabilitative services as required for a resident.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of WILLOWBROOK POST ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.

Federal health inspectors cited WILLOWBROOK POST ACUTE in PENDLETON, OR for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-22.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 15 deficiencies cited during this inspection of WILLOWBROOK POST ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-29.