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 21 of 21 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of June 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 10, 2023).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, 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).

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.