Willow Creek Lodge

Inspection history (23)

• November 19, 2025 · C

  Citation F0732

  Federal surveyors cited this nursing home on 2025-11-19 under CMS tag F0732 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2025-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-11-19.GOV

• July 17, 2025 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2025-07-17 under CMS tag F0684 (CMS scope/severity D: isolated, 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 2025-08-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-17.GOV

• July 17, 2025 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2025-07-17 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 2025-08-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-17.GOV

• July 17, 2025 · D

  Citation F0580

  Federal surveyors cited this nursing home on 2025-07-17 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 2025-08-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-17.GOV

• July 17, 2025 · D

  Citation F0645

  Federal surveyors cited this nursing home on 2025-07-17 under CMS tag F0645 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. The deficiency was recorded as corrected on 2025-08-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-17.GOV

• July 17, 2025 · D

  Citation F0550

  Federal surveyors cited this nursing home on 2025-07-17 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-08-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-17.GOV

• July 17, 2025 · D

  Citation F0742

  Federal surveyors cited this nursing home on 2025-07-17 under CMS tag F0742 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. The deficiency was recorded as corrected on 2025-08-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-17.GOV

• July 17, 2025 · D

  Citation F0655

  Federal surveyors cited this nursing home on 2025-07-17 under CMS tag F0655 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2025-08-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-17.GOV

• July 17, 2025 · D

  Citation F0693

  Federal surveyors cited this nursing home on 2025-07-17 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. The deficiency was recorded as corrected on 2025-08-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-17.GOV

• July 17, 2025 · E

  Citation F0656

  Federal surveyors cited this nursing home on 2025-07-17 under CMS tag F0656 (CMS scope/severity E: pattern, 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 2025-08-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-17.GOV

• July 17, 2025 · E

  Citation F0641

  Federal surveyors cited this nursing home on 2025-07-17 under CMS tag F0641 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2025-08-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-17.GOV

• July 2, 2025 · E

  Citation F0656

  Federal surveyors cited this nursing home on 2025-07-02 under CMS tag F0656 (CMS scope/severity E: pattern, 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 2025-07-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-02.GOV

• June 13, 2024 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2024-06-13 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-06-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-13.GOV

• June 13, 2024 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2024-06-13 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 2024-06-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-13.GOV

• June 13, 2024 · D

  Citation F0710

  Federal surveyors cited this nursing home on 2024-06-13 under CMS tag F0710 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. The deficiency was recorded as corrected on 2024-06-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-13.GOV

• September 20, 2023 · D

  Citation F0755

  Federal surveyors cited this nursing home on 2023-09-20 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2023-10-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-20.GOV

• September 20, 2023 · D

  Citation F0622

  Federal surveyors cited this nursing home on 2023-09-20 under CMS tag F0622 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. The deficiency was recorded as corrected on 2023-10-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-20.GOV

• March 24, 2023 · F

  Citation F0922

  Federal surveyors cited this nursing home on 2023-03-24 under CMS tag F0922 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have enough backup water supply for essential areas of the nursing home. The deficiency was recorded as corrected on 2023-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-24.GOV

• March 24, 2023 · E

  Citation F0607

  Federal surveyors cited this nursing home on 2023-03-24 under CMS tag F0607 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2023-04-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-24.GOV

• March 24, 2023 · D

  Citation F0582

  Federal surveyors cited this nursing home on 2023-03-24 under CMS tag F0582 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2023-04-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-24.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 3.34 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: West Coke County Hospital District

   parent · PAC 2860676509