NURSING HOME PUBLIC RECORD
CMS lists this provider in Madras, OR, with 20 certified beds, an overall rating of 3/5, and 38 citation rows in the current August 2026 release.
175 Ne 16Th Street · Madras, OR 97741 · Jefferson County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
CMS supplies 3 survey-cycle rows for Willow Creek Post Acute in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-02-12 | 0 | 2026-02-12 | 2 |
| Cycle 2 | 2024-10-09 | 2 | 2024-10-09 | 13 |
| Cycle 3 | 2023-06-30 | 15 | 2023-06-30 | 6 |
CMS reports 38 citation rows, including 1 with G–L codes and 0 with J–L codes.
1 row carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Include a process for Emergency Preparedness collaboration.
Correction field: Deficient, Provider has date of correction · 2026-03-20Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-04-01Conduct risk assessment and an All-Hazards approach.
Correction field: Deficient, Provider has date of correction · 2024-11-28Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2024-11-28Establish policies and procedures including evacuation.
Correction field: Deficient, Provider has date of correction · 2024-11-28Establish roles under a Waiver declared by secretary.
Correction field: Deficient, Provider has date of correction · 2024-11-28Ensure 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.
Correction field: Deficient, Provider has date of correction · 2024-11-01Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-11-01Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-11-28Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-11-28Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-11-28Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-11-28To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2024-11-28Meet requirements for the installation and maintenance of electrical systems.
Correction field: Deficient, Provider has date of correction · 2024-11-28Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-11-28Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2024-11-28Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2024-11-28Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-08-02 · complaintConduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2023-08-10Honor 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.
Correction field: Deficient, Provider has date of correction · 2023-08-10Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2023-08-10Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2023-08-10Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2023-08-10Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2023-08-10The August 2026 file contains 0 penalty rows and $0 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
CMS matched 12 ownership disclosure rows to Willow Creek Post Acute; names and roles are reported fields, not independently verified identities.
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
Total nurse hours and RN hours per resident day are not reported for this provider in the August 2026 CMS release.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
No second published facility record in Madras, OR met the local peer rule in this release.
No second facility in the same city met the directory rule.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
