Nursing homes › Oregon › Willow Creek Post Acute
175 Ne 16Th Street, Madras, OR 97741 · 5414752273 · 20 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Limited Liability company.
All-time on record: 17 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2024-10-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-11-01 |
| 2024-10-09 | 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. | E | Health | corrected 2024-11-01 |
| 2024-07-11 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2024-08-02 |
| 2023-06-30 | Provide safe, appropriate pain management for a resident who requires such services. | G | Health | corrected 2023-07-19 |
| 2023-06-30 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Health | corrected 2023-08-10 |
| 2023-06-30 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Health | corrected 2022-09-27 |
| 2023-06-30 | Put firmly secured handrails on each side of hallways. | E | Health | corrected 2023-08-10 |
| 2023-06-30 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Health | corrected 2023-08-10 |
| 2023-06-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-08-10 |
| 2023-06-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2023-08-10 |
| 2023-06-30 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Health | corrected 2023-08-10 |
| 2023-06-30 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-08-10 |
| 2023-06-30 | Post nurse staffing information every day. | D | Health | corrected 2023-08-10 |
| 2023-06-30 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2023-08-10 |
| 2023-06-30 | 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. | D | Health | corrected 2023-08-10 |
| 2023-06-30 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Health | corrected 2023-08-10 |
| 2023-06-30 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Health | corrected 2023-08-10 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BROWNOR ENTERPRISES INC | 5% Or Greater Direct Ownership Interest | Organization | 6% | since 02/27/2007 |
| CDK, LLC | 5% Or Greater Direct Ownership Interest | Organization | 32% | since 02/27/2007 |
| GILL FAMILY TRUST | 5% Or Greater Direct Ownership Interest | Organization | 9% | since 02/27/2007 |
| BRAAKSMA, JUDY | 5% Or Greater Direct Ownership Interest | Individual | 7% | since 02/27/2022 |
| BROWN, JANA | 5% Or Greater Direct Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 02/27/2007 |
| BUNZA, GEOFFREY | 5% Or Greater Direct Ownership Interest | Individual | 6% | since 02/27/2007 |
| JUDY, RONALD | 5% Or Greater Direct Ownership Interest | Individual | 7% | since 02/27/2022 |
| MASON, CHRISTIAN | 5% Or Greater Direct Ownership Interest | Individual | 9% | since 02/27/2007 |
| NG, KELVIN | 5% Or Greater Direct Ownership Interest | Individual | 5% | since 02/27/2007 |
| NG, PETER | 5% Or Greater Direct Ownership Interest | Individual | 8% | since 02/27/2007 |
| AIDAN HEALTH SERVICES INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 11/01/2020 |
| REMLEY, MARK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2020 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 385181. Corrections: data@carerecords.org.