WILLOWBROOK POST ACUTE
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Inadequate Staffing
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$80,796
Outcome
WILLOWBROOK POST ACUTE in PENDLETON, OR was fined $80,796 by CMS across 2 separate penalties following 40 deficiency citations identified during federal surveys.
Details
WILLOWBROOK POST ACUTE (PENDLETON, OR) — $80,796 in CMS Fines
Outcome: WILLOWBROOK POST ACUTE in PENDLETON, OR was fined $80,796 by CMS across 2 separate penalties following 40 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Protect each resident from the wrongful use of the resident's belongings or money.
- Allow residents to self-administer drugs if determined clinically appropriate.
- Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Post nurse staffing information every day.
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
Don't let this happen to your organization. See how Crucible works.
See How Crucible Works