Quick answers
- Where is Willow Creek Post Acute?
- 175 NE 16th Street, Madras, OR 97741, in Jefferson County, Oregon.
- What is the phone number of Willow Creek Post Acute?
- (541) 475-2273, as listed by Medicare (CMS).
- What is the Medicare star rating of Willow Creek Post Acute?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has Willow Creek Post Acute been fined?
- Medicare lists no fines for Willow Creek Post Acute.
- What did inspectors find at Willow Creek Post Acute?
- In its last three inspection cycles (June 30, 2023 to February 12, 2026), Medicare lists 17 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (June 30, 2023 to February 12, 2026), Willow Creek Post Acute had 17 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 4.96 hours per resident per day; the Oregon average is 5.13 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: February 12, 2026 — no health citations
Inspections in this cycle: February 12, 2026 (standard health inspection).
Previous cycle: October 9, 2024 — 2 health citations
Inspections in this cycle: October 9, 2024 (standard health inspection).
Show 2 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0761 Level E
“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.”
Earlier cycle: June 30, 2023 — 15 health citations
Inspections in this cycle: June 30, 2023 (standard health inspection); July 11, 2024 (complaint investigation).
F0697 Level G
“Provide safe, appropriate pain management for a resident who requires such services.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 14 less serious citations (levels A to F)
F0727 Level E
“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.”
F0919 Level E
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0924 Level E
“Put firmly secured handrails on each side of hallways.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0584 Level D
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0691 Level D
“Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0732 Level D
“Post nurse staffing information every day.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0758 Level D
“Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”
F0803 Level D
“Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.”
F0808 Level D
“Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (21)
E0009 Level F
“Include a process for Emergency Preparedness collaboration.”
K0324 Level D
“Provide properly protected cooking facilities.”
E0006 Level F
“Conduct risk assessment and an All-Hazards approach.”
E0015 Level F
“Address subsistence needs for staff and patients.”
E0020 Level F
“Establish policies and procedures including evacuation.”
E0026 Level F
“Establish roles under a Waiver declared by secretary.”
K0291 Level F
“Install emergency lighting that can last at least 1 1/2 hours.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0911 Level D
“Meet requirements for the installation and maintenance of electrical systems.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0912 Level F
“Have power receptacles that are properly grounded.”
K0223 Level D
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0741 Level D
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Oregon | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.79 | 0.76 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.65 | 0.89 | 0.86 |
| Nurse aide hours per resident per day | 3.52 | 3.48 | 2.35 |
| Total nurse staff hours per resident per day | 4.96 | 5.13 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 4.14 | 4.56 | 3.43 |
| RN hours per resident per day on the weekend | 0.75 | 0.52 | 0.48 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 19 nursing homes: Kalesta Healthcare Group.
Legal business name: Sand Hollow, LLC.
Owners and managers Medicare lists (4)
| Name | Role | Share | Since |
|---|---|---|---|
| Kalesta Healthcare Group, LLC | Direct owner | 100% | December 18, 2025 |
| Clawson, Scott | Indirect owner | 44% | December 18, 2025 |
| Williams, Ryan | Indirect owner | 44% | March 1, 2026 |
| Clawson, Scott | Indirect owner | NOT APPLICABLE | March 1, 2026 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 20 |
| Average residents per day | 17 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Kalesta Healthcare Group |
| Legal business name | Sand Hollow, LLC |
| First approved by Medicare/Medicaid | 1988-05-19 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 175 NE 16th Street, Madras, OR 97741 |
| County | Jefferson County |
| State | Oregon |
| Phone | (541) 475‑2273 |
| CMS Certification Number | 385181 |
| Name in Medicare records | WILLOW CREEK POST ACUTE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Regency Prineville Rehabilitation and Nursing Cent27 mi · Prineville, OR · 5 of 5 stars
- Regency Redmond Rehabilitation and Nursing Center27 mi · Redmond, OR · 5 of 5 stars
Nearest hospital emergency rooms
- St Charles Madras0.1 mi · Madras, OR · Critical Access Hospital
- St Charles Medical Center Prineville28 mi · Prineville, OR · Critical Access Hospital
- St Charles Medical Center - Bend40 mi · Bend, OR · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13