Willowbrook Terrace - Pendleton Nursing Home
General Information
UPDATEFederal Provider Number
385201
Provider Name
WILLOWBROOK TERRACE
Provider Address
707 SW 37TH STREET
PENDLETON, OR 97801
PENDLETON, OR 97801
Provider Phone Number
5412763374
Provider SSA County
290
Provider County Name
Umatilla
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE CENTER (WILLOWBROOK) INC.
Date First Approved to Provide Medicare and Medicaid services
1989-05-18
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.78929
Reported LPN Staffing Hours per Resident per Day
0.29881
Reported RN Staffing Hours per Resident per Day
0.89286
Reported Licensed Staffing Hours per Resident per Day
1.19167
Reported Total Nurse Staffing Hours per Resident per Day
3.98096
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27262
Expected CNA Staffing Hours per Resident per Day
2.52823
Expected LPN Staffing Hours per Resident per Day
0.70780
Expected RN Staffing Hours per Resident per Day
1.28228
Expected Total Nurse Staffing Hours per Resident per Day
4.51831
Adjusted CNA Staffing Hours per Resident per Day
2.70706
Adjusted LPN Staffing Hours per Resident per Day
0.35040
Adjusted RN Staffing Hours per Resident per Day
0.52028
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55152
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-03-01
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
58.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
975
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Regency Hermiston Nursing & Rehab Center
970 W Juniper Avenue |
HERMISTON OR 97838 | 26.6 miles away
Milton Freewater Health And Rehabilitation Center
120 Elzora Street |
MILTON FREEWATER OR 97862 | 28.7 miles away
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