Willow Creek Health Care

Inspection history (12)

• December 11, 2024 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2024-12-11 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-12-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-11.GOV

• September 27, 2023 · D

  Citation F0697

  Federal surveyors cited this nursing home on 2023-09-27 under CMS tag F0697 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2023-10-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-27.GOV

• November 9, 2022 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2022-11-09 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2022-12-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-09.GOV

• November 9, 2022 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2022-11-09 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2022-12-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-09.GOV

• November 9, 2022 · E

  Citation F0758

  Federal surveyors cited this nursing home on 2022-11-09 under CMS tag F0758 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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 l…. The deficiency was recorded as corrected on 2022-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-09.GOV

• November 9, 2022 · D

  Citation F0578

  Federal surveyors cited this nursing home on 2022-11-09 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. The deficiency was recorded as corrected on 2022-12-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-09.GOV

• November 9, 2022 · D

  Citation F0580

  Federal surveyors cited this nursing home on 2022-11-09 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2022-12-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-09.GOV

• November 9, 2022 · E

  Citation F0657

  Federal surveyors cited this nursing home on 2022-11-09 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2022-12-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-09.GOV

• November 9, 2022 · E

  Citation F0684

  Federal surveyors cited this nursing home on 2022-11-09 under CMS tag F0684 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2022-12-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-09.GOV

• November 9, 2022 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2022-11-09 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2022-12-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-09.GOV

• November 9, 2022 · D

  Citation F0741

  Federal surveyors cited this nursing home on 2022-11-09 under CMS tag F0741 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. The deficiency was recorded as corrected on 2022-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-09.GOV

• November 9, 2022 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2022-11-09 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2022-12-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-09.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 3.91 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: Coles Nursing Home

   parent · PAC 4385553106