All citations for Willow Creek Healthcare Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Willow Creek Healthcare Center

Last standard health inspection on record

April 4, 2025

Showing 1 to 16 of 16 citations

  1. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

  2. No harm, with potential for more than minimal harm

    Implement emergency and standby power systems.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

  3. No harm, with potential for more than minimal harm

    Install a fire alarm system that can be heard throughout the facility.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

  4. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

  5. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

  6. No harm, with potential for more than minimal harm

    Establish policies and procedures for volunteers.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

  7. No harm, with potential for more than minimal harm

    Establish roles under a Waiver declared by secretary.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

  8. No harm, with potential for more than minimal harm

    Establish emergency prep training and testing.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

  9. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

  10. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

  11. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

  12. No harm, with potential for more than minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

  13. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

  14. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

  15. No harm, with potential for more than minimal harm

    Meet requirements for the use of electrical equipment.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

  16. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.