Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 555652

Willow Creek Healthcare Center

61 federal citations on record , and 3 federal enforcement actions totaling $25,045.

Record summary

Federal record · Q1 2026
61
Total citations
37
Last 3 years
7
Actual harm+
3
Federal penalties
$25,045
Total fines
3
Overall ★ rating

Most common violation categories here

Care Planning13 Resident Rights11 Quality of Care11 Nutrition & Dietary10 Infection Control4

Most common F-tags at this facility

F6585 F5804 F8804 F8123 F6862

Citation history

61 on record
SurveyF-TagViolationSeveritySource
Jan 5, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint
Sep 24, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Jun 2, 2025F760Ensure that residents are free from significant medication errors.DComplaint
May 7, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint
Apr 4, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Apr 4, 2025F814Dispose of garbage and refuse properly.EStandard
Apr 4, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 4, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Apr 4, 2025F761Ensure 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.EStandard
Apr 4, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 4, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Apr 4, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 4, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Apr 4, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Apr 4, 2025F641Ensure each resident receives an accurate assessment.DStandard
Apr 4, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Apr 4, 2025F584Honor 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.EStandard
Apr 4, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard
Dec 26, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint
Oct 1, 2024F880Provide and implement an infection prevention and control program.EComplaint
Jun 21, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jun 21, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jun 7, 2024F880Provide and implement an infection prevention and control program.DComplaint
Jun 7, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint
May 14, 2024F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DComplaint
Apr 29, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Mar 7, 2024F814Dispose of garbage and refuse properly.FStandard
Mar 7, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 7, 2024F803Ensure 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.DStandard
Mar 7, 2024F679Provide activities to meet all resident's needs.DStandard
Mar 7, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Oct 6, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Aug 30, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Aug 9, 2023F880Provide and implement an infection prevention and control program.DComplaint
Aug 9, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
Aug 9, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
May 3, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
May 17, 2019F908Keep all essential equipment working safely.EStandard
May 17, 2019F880Provide and implement an infection prevention and control program.FStandard
May 17, 2019F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
May 17, 2019F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
May 17, 2019F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard
May 17, 2019F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 17, 2019F808Ensure 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.DStandard
May 17, 2019F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
May 17, 2019F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard
May 17, 2019F791Provide or obtain dental services for each resident.DStandard
May 17, 2019F761Ensure 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.DStandard
May 17, 2019F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard
May 17, 2019F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
May 17, 2019F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
May 17, 2019F692Provide enough food/fluids to maintain a resident's health.HStandard
May 17, 2019F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
May 17, 2019F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.HStandard
May 17, 2019F679Provide activities to meet all resident's needs.DStandard
May 17, 2019F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
May 17, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
May 17, 2019F641Ensure each resident receives an accurate assessment.DStandard
May 17, 2019F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
May 17, 2019F584Honor 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.DStandard
May 17, 2019F583Keep residents' personal and medical records private and confidential.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $25,045 and 1 payment-denial actions spanning 6 days.

DateTypeFinePayment denial
Jan 5, 2026Fine$15,935—
Sep 24, 2025Fine$9,110—
May 7, 2025Payment Denial—Jun 12, 2025 · 6 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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