All citations for Willow Creek Post Acute

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 Post Acute

Last standard health inspection on record

February 12, 2026

Showing 1 to 25 of 38 citations

Harm to a resident
Provide safe, appropriate pain management for a resident who requires such services.
Isolated (one or a few residents). CMS level G.
Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of June 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 19, 2023).
No harm, with potential for more than minimal harm
Include a process for Emergency Preparedness collaboration.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of February 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2026).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 1, 2024).
No harm, with potential for more than minimal harm
Conduct risk assessment and an All-Hazards approach.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 28, 2024).
No harm, with potential for more than minimal harm
Address subsistence needs for staff and patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 28, 2024).
No harm, with potential for more than minimal harm
Establish policies and procedures including evacuation.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 28, 2024).
No harm, with potential for more than minimal harm
Establish roles under a Waiver declared by secretary.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 28, 2024).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 28, 2024).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 28, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 28, 2024).
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 October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 28, 2024).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 28, 2024).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 28, 2024).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of June 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 10, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 10, 2023).
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 June 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 10, 2023).
No harm, with potential for more than minimal harm
Have power receptacles that are properly grounded.
Widespread (many residents). CMS level F.
Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 10, 2023).
No harm, with potential for more than minimal harm
Ensure 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.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 1, 2024).
No harm, with potential for more than minimal harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Pattern (more than a few residents). CMS level E.
Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of June 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 10, 2023).
No harm, with potential for more than minimal harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Pattern (more than a few residents). CMS level E.
Health citation F-0919, Environmental Deficiencies. Inspection of June 30, 2023. Found during a standard inspection.
Past non-compliance: already corrected by the time of the inspection (September 27, 2022).
No harm, with potential for more than minimal harm
Put firmly secured handrails on each side of hallways.
Pattern (more than a few residents). CMS level E.
Health citation F-0924, Environmental Deficiencies. Inspection of June 30, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 10, 2023).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of February 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 1, 2026).
No harm, with potential for more than minimal harm
Meet requirements for the installation and maintenance of electrical systems.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 28, 2024).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 28, 2024).
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 October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 28, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.