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Nursing homeFAID #10647

Willowbrook Post Acute

707 SW 37TH STREET, PENDLETON, OR, 97801
(541) 276-3374
willowbrookpa.com
59 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing3/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
59
State license
385201
CMS facility ID
385201
Care type
Nursing home
Facility name
Willowbrook Post Acute
Street address
707 SW 37TH STREET
City / state / ZIP
Pendleton, OR 97801
Phone
(541) 276-3374
Website
willowbrookpa.com
State license #
385201

About this facility — Willowbrook Post Acute

Willowbrook Post Acute is a Medicare/Medicaid-certified skilled nursing facility in Pendleton, Oregon. It is licensed for 59 beds — below the median for skilled nursing facilities in Oregon (80 beds).

It is one of 9 senior care facilities in Pendleton and 128 skilled nursing facilities across Oregon. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Willowbrook Post Acute 47 times across 11 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $80,796 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Pacs Group
Ownership type
For profit - Limited Liability company

Registered owners & officers

Apt, Frederick
Operational control — since 2024
Baker, Nicholas
Operational control · Additional disclosable party — since 2024
Deh Enterprises Llc
Additional disclosable party — since 2024
Jergensen, Joshua
Operational control — since 2024
Mitchell, John
Operational control — since 2024
Morris, Christopher
Operational control · Additional disclosable party — since 2024
Providence Administrative Consulting Services Inc
Additional disclosable party — since 2024
Townsend, Deborah
Operational control — since 2025
Truist Bank
Security-interest holder — since 2024

Regulatory standing

Federal court records
6 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1989-05-18
CMS overall rating
1 of 5 stars
Health deficiencies
18 at the last standard inspection
Federal fines
$80,796 total
Last standard inspection
2025-08-22
Nurse staffing
5.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$705 per day (≈ $21,430/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
64% Medicaid · 22% Medicare · 14% private/other
Occupancy
61% (fiscal year 2023)
Vs. state median
16% above the OR median of $607/day — full state cost breakdown

Services & coverage

Licensed beds
59
Licensed as
NF
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-04-21Health inspectionComplaint-triggered1 citation
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-03-30
2026-03-19Health inspectionComplaint-triggered2 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-04-06
F-0757
D · No harm foundFrom a complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-04-13
6 earlier / fire-safety inspections (44 citations)
2025-08-22Health inspectionComplaint-triggered15 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-09-29
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-09-29
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-11-21
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-09-29
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-09-29
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-29
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-29
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-09-29
F-0732
B · No harm found
Post nurse staffing information every day.
Corrected 2025-09-29
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-09-29
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-09-29
F-0761
E · No harm found
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.
Corrected 2025-09-29
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-29
F-0825
D · No harm foundFrom a complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-09-29
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-09-29
2024-05-17Health inspectionComplaint-triggered10 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-20
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-20
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-20
F-0688
G · Actual 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.
Corrected 2024-06-20
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-20
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-06-20
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-06-20
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-06-20
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-06-20
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-20
2023-12-07Health inspectionComplaint-triggered6 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-12-08
F-0609
J · Immediate jeopardyFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-08
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2023-12-08
F-0658
J · Immediate jeopardyFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-08
F-0835
E · No harm foundFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-12-08
F-0868
F · No harm foundFrom a complaint
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-12-08
2019-12-13Health inspection9 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2020-01-10
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2020-01-10
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2020-01-10
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-01-10
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2020-01-10
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2020-01-10
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-01-10
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2020-01-10
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-01-10
2024-05-17Fire-safety inspection2 citations
K-0341
D · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-06-20
K-0372
D · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-06-20
2019-12-13Fire-safety inspection2 citations
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-01-10
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2020-01-10

Federal penalties

2024-05-17Fine$61,458
2023-12-07Fine$19,338
Total fines$80,796
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 385201.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 47 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered