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Home / Washington / Yakima

Willow Springs Care and Rehabilitation

4007 Tieton Drive, Yakima, WA 98908 · Yakima County · (509) 966-4500

75 certified beds, about 58 residents a day · For profit - Corporation · Medicare and Medicaid since 1990

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 505367 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 25, 2025, inspectors cited 5 health deficiencies (the Washington average is 15.8, the national average 9.2).

Of 38 health citations since July 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.15 hours per resident per day, against 4.36 across Washington and 3.86 nationally. Registered nurses accounted for 0.95 of those hours.

55.7% of nursing staff left within the year CMS measured (Washington average 45.1%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 38 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
21D
13E
2F
Potential for minimal harm
0A
0B
1C
May 26, 2026Complaint inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 2, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to protect a resident's right to be free from verbal and physical abuse for 1 of 3 residents (Resident 1) reviewed for abuse investigations. This failure placed residents at risk for further abuse, injury, and diminished quality of life.
July 25, 2025Standard inspection · 5 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 3, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to 1) store Potentially Hazardous Food (PHF, food that requires time/temperature controlled to limit the growth of bacteria) that did not have the proper labels and dates for food safety tracking, 2) adequately disinfected food preparation areas to prevent cross contamination (harmful spread of diseases) for 1of 1 kitchen reviewed and 3) ensure the dishwasher sanitizer concentration was effective for sanitation for 1of 1 kitchen reviewed. These failures placed residents at an increased risk for food borne illnesses. [...]
  2. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 3, 2025
    Inspectors wroteBased on observation and interview, the facility failed to provide a safe, functional, and sanitary environment for 2 of 2 shower rooms (Hall Two and Hall One), 2 of 3 resident bathrooms (Hall One) and 1 of 1 laundry room reviewed for a safe and sanitary environment. This failure placed residents at an increased risk for not feeling safe and secure with their environment and unmet care needs.
  3. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 3, 2025
    Inspectors wroteBased on interview and record review, the facility failed to notify the physician of significant changes in condition for 1 of 3 Residents (Resident 4), reviewed for falls. This failure placed the resident at risk for delayed medical interventions and treatment.
  4. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 3, 2025
    Inspectors wroteBased on interview and record review, the facility failed to review and validate the Preadmission Screening and Resident Reviews ([PASARR], an assessment to ensure individuals with serious mental illness [SMI] or intellectual disabilities [ID] or related disorders [RD] are not inappropriately placed in nursing homes for long term care) were corrected on admission, had the required level 2 referral sent if residents had a positive Level 1 PASARR nor corrected/updated resident PASARR as needed for 2 of 5 residents (Residents 11 and 16) reviewed for unnecessary medications. This failure placed the residents at risk for not receiving the care and services appropriate for their needs. [...]
  5. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) September 3, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure the actual hours worked were documented on the daily nursing staff posting for 27 of 45 shifts reviewed for accuracy of posted nursing hours. This failure prevented residents, family members and visitors from knowing the actual hours worked by nursing staff.
September 10, 2024Standard inspection · 7 citations
  1. E
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    F569 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 12, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure funds were reimbursed to the State Office of Financial Recovery (OFR), within 30 days of a resident's discharge or death, for 4 of 4 residents (Residents 252, 253, 254, and 255), reviewed for personal funds. This failure placed the state department at risk for loss of funds and interest accumulated.
  2. E
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 12, 2024
    Inspectors wroteBased on interview and record review, the facility failed to review and validate the Preadmission Screening and Resident Reviews ([PASARR], an assessment to ensure individuals with serious mental illness [SMI] or intellectual/developmental disabilities [ID/DD] are not inappropriately placed in nursing homes for long term care) were corrected on admission, had the required level 2 referral sent if residents had a positive Level 1 PASARR nor corrected/updated resident PASARR as needed for 4 of 9 residents (Resident 21, 27, 47 and 49) reviewed for PASARR. This failure placed the residents at risk for not receiving the care and services appropriate for their needs.
  3. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 12, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure medications were discarded when expired for 2 of 3 medication carts (Team 1 and Team 3). The facility also failed to ensure consistent monitoring of temperature for the medication storage refrigerator located in the medication storage room. These failures placed residents at risk for receiving expired medication and/or experiencing compromised or ineffective medications and vaccines.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 12, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure staff maintained components of an infection prevention control program to prevent the development and transmission of infections with, 1) hand hygiene for 4 of 8 staff (Staff P, G, H and O) reviewed during medication administration and entering/exiting isolation precautions (a process used to reduce the transmission of infectious bacteria and organisms in the healthcare setting), 2) implementing appropriate transmission based precautions (TBP, safeguards put in place to help prevent staff and residents from spreading infectious diseases) when providing care for 2 of 3 residents (Resident 33 and 34) reviewed for standard precautions, 3) cleaning/disinfecting of resident equipment and furniture for 3 of 4 types of equipment (chairs, sofa and mechanical sit-to-stand devices) and residents general/isolation [...]
  5. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 12, 2024
    Inspectors wroteBased on interview and record review, the facility failed to issue a written notice of bed hold (holding or reserving a resident's bed while the resident was absent from the facility) at the time of hospital transfer for 2 of 3 residents (Residents 7 and 9) reviewed for hospital transfers. This failure placed the residents at risk for lack of knowledge regarding their right to hold their bed and any monetary charges associated with the bed hold while in the hospital.
  6. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 12, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure culturally competent, trauma-informed care, related to assessing for trauma and identifying trigger-specific (a psychological stimulus that prompts recall of a previous traumatic event) interventions for residents with a history of trauma for 1 of 3 residents (Resident 14) reviewed for trauma informed care. This failed practice placed the resident at risk for unidentified triggers, re-traumatization and psychological harm.
  7. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 12, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a medication error rate of less than five percent. Three medication errors were identified for 2 of 6 residents (Residents 21 and 43) observed during 25 medication administration opportunities that resulted in an error rate of 12%. The failed practice had the potential to place residents at risk for not receiving the full therapeutic effect of the medication and possible adverse side effects.
August 14, 2024Complaint inspection · 2 citations
  1. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on interview and record review, the facility failed to send a copy of a notice of transfer/discharge to the representative of the Office of the State Long Term Care (LTC) Ombudsman (a person that advocates for residents in nursing homes) for 3 of 3 residents (Residents 2, 3, and 4) reviewed for notice of transfer/discharge. This failed practice placed the residents at risk for lack of access to an advocate that could inform them of their options and rights, and to ensure the resident advocacy agency was aware of the facility practices and activities related to a transfer or discharge.
  2. D
    Plan the resident's discharge to meet the resident's goals and needs.
    F660 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on interview and record review, the facility failed to develop and implement an effective discharge planning process that addressed the resident's goals and needs, that involved the resident and the interdisciplinary team [(IDT) a group of healthcare professionals from different disciplines to help residents receive the care they need] for 1 of 3 residents (Resident 5) reviewed for discharge planning process. The failure to develop and implement a plan consistent with the resident's needs and expressed discharge goals, placed the resident at risk for decreased self-worth and dissatisfaction with their living situation.
July 22, 2023Standard inspection · 23 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident's smoking location was away from a high traffic thoroughfare, dry grassy area, and had a receptacle for disposing of lit cigarettes and ashes for 1 of 1 sampled resident (Resident 30) reviewed for smoking This failure placed all residents a risk for avoidable accidents, injuries, and the potential risk of fire. On 07/17/2023 At 2:10 PM, the facility was notified of an immediate jeopardy (IJ) at CFR 483.25 (d)(1)(2) F689, related to the facility's failure to ensure the resident had a safe smoking environment, and all residents remained free of fire risks. The facility removed the immediacy on 07/18/2023, with onsite verification from investigators, by providing a safe smoking location on the facility property and a cigarette receptacle for the resident to dispose of cigarettes and ashes. [...]
  2. F
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure the food was palatable, attractive, and at a safe and appetizing temperature for 7 of 7 residents (Residents 5, 38, 54, 32, 55, 46, and 27) interviewed about meal satisfaction during the Resident Council meeting, and 2 of 4 residents (Residents 49 and 30) reviewed for meal palatability. Additionally, Resident 49 was served eggs for breakfast routinely even though eggs were listed as a dislike. This failure placed the residents at risk for weight change, less than adequate nutritional intake, and dissatisfaction with meals.
  3. E
    Give residents a notice of rights, rules, services and charges.
    F572 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on interview and record review, the facility failed to periodically review resident rights with residents during their stay at the facility for 7 of 7 sampled residents (Residents 5, 27, 32, 38, 46, 54, and 55). This failure placed residents at risk of not understanding their rights and a reduced ability to self-advocate.
  4. E
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure current state survey results were available for 7 of 7 sampled residents (Residents 5, 27, 32, 38, 46, 54, and 55) to examine. This failure prevented residents, family members, and visitors from exercising their rights to examine these documents.
  5. E
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on interview and record review, the facility failed to document, periodically review, and revise Advanced Directives related to residents' wishes for 9 of 9 sampled residents (Residents 1, 7, 8, 21, 26, 30, 31, 44 and 213), reviewed for Advanced Directives. This failure prevented residents from having their health care decisions and preferences known in advance, and when they were unable to communicate this information.
  6. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on observation and interview, the facility failed to provide a clean and comfortable homelike environment for 7 of 10 resident rooms (rooms 2, 3, 4, 20, 32, 35 and 55), 3 of 3 shower rooms (Team 1 shower room, Team 2 shower/bath room and Team 3 shower room), and missing/damaged wood panel flooring were also observed in one of five hallways (Team 2 hallway) all reviewed for safe, comfortable, and sanitary environment, 2 of 5 hallways in resident care areas (Middle and Kitchen hallways) reviewed for comfortable sound levels. These failures placed residents at risk for a diminished quality of life.
  7. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the coordination of care conferences for 3 of 4 residents (Residents 20, 30 and 44); and failed to update or revise care plan changes for fall interventions and resident preferences for 2 of 4 residents (1 and 30) reviewed for care plan timing and revision. This failure placed the residents at risk for unmet and unidentified care needs and decreased quality of life.
  8. E
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to initiate gradual dose reductions (GDR- stepwise tapering of a dose to determine if symptoms, conditions, or risks could be managed by a lower dose or if the dose or medication could be discontinued) or obtain a rationale from the physician or prescribing practitioner that a GDR was clinically contraindicated for 2 of 5 residents (Residents 12 and 25) reviewed for unnecessary medication; and the facility failed to ensure as-needed (PRN) psychotropic medications (medications capable of affecting the mind, emotions, and behavior) were limited to 14 days without providing a physician-documented rationale or duration for 1of 2 residents (Resident 7) reviewed for PRN psychotropic medication use. [...]
  9. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications, biologicals, and testing supplies were labeled, dated, or discarded when expired for 1 of 1 medication room and 1 of 1 treatment cart reviewed for medication storage. These failures placed residents at risk of receiving compromised or ineffective medications.
  10. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure implementation of infection prevention and control practices for for 1) hand hygiene was completed and gloves were changed by staff between soiled and clean tasks for 2 of 3 residents (Resident 40 and 59) observed for personal care, 2) hand hygiene that was not appropriately performed by 7 of 10 staff, observed during meal services, 3) failure to perform hand hygiene wound care for 1 of 2 residents (Resident 24) observed during a wound care procedure and, 4) failure to follow contact precautions for 1 of 1 resident (Resident 28) reviewed for compliance with Transmission Based Precautions. These failures placed the residents at risk for acquiring infectious diseases and a diminished quality of life.
  11. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to provide a dignified dining experience during two of two dining observations. On 07/16/2023, during the lunch service, the facility failed to provide meals to all residents at a table at the same time for 6 residents (Residents 33, 9, 15, 47, 31 and 1) who waited 10 minutes after Resident 42 and Resident 27 were served; and the facility failed to ensure 1 of 3 staff (Staff G) observed talked with the resident for whom they were providing assistance rather than conducting social conversations with other staff, Staff G fed Resident 33 without engaging the resident and had a conversation with Staff L, NA, that did not include the residents. [...]
  12. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to protect the personal privacy for 2 of 3 residents (Resident 40, and 31) observed for urinary catheter (a hollow, partially flexible tube that collects urine from the bladder and leads to a drainage bag) care or incontinent care. This failure placed the resident at risk for loss of the right to personal privacy.
  13. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure three of the seven required components (identification, investigation, and reporting) in of the prevention of abuse and neglect policy were consistently implemented for 2 of 4 residents (Residents 26 and 213) reviewed for abuse/neglect. This failure prevented the facility from identifying the extent and nature of the occurrence, interview all individuals involved, and placed the residents at risk for unidentified abuse and/or neglect.
  14. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on interview and record review, the facility failed to issue a written transfer notice to a resident and/or legal representative and to the state Ombudsman for 2 of 3 residents (Resident 49 and 59) reviewed for hospitalizations. This failure placed residents at risk of not being informed of their condition, unmet care needs and a diminished quality of life.
  15. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on interview and record review, the facility failed to provide a written bed-hold notice, at the time of transfer or within 24 hours of transfer to the hospital, for 2 of 3 Residents (Resident 49 and 59), reviewed for hospitalization. This failure placed the resident or their representative at risk for a lack of knowledge regarding their right to hold their bed while in the hospital.
  16. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to accurately assess 3 of 5 residents (Residents 49, 17, and 20) whose Minimum Data Sets (MDS - an assessment tool) were reviewed. Failure to ensure accurate assessments related to Vision (Residents 49 and 17) and Communication (Resident 20), placed residents at risk for unidentified and/or unmet needs.
  17. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on interview and record review, the facility failed to review the Pre-admission Screening and Resident Review (PASARR, a tool used to identify if a person may have an intellectual disability (ID) or related condition (RC), or a serious mental illness [SMI]) for accuracy upon admission for 1 of 6 residents (Resident 7) reviewed for PASARR services. Additionally, the facility failed to ensure a resident received a PASARR Level I ( an inital assessment to determine whether an individual might have (SMI) or (ID)) which was required prior to admission to the facility. This failure placed the residents at risk for unidentified mental health needs.
  18. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to implement a Care Plan related to wearing a hearing aid for 1 of 1 sampled residents (Resident 14). This failure resulted in Resident 14 having unmet care needs and was at risk for a diminished quality of life.
  19. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure that 2 of 5 residents (Resident's 59 and 6) reviewed for dental care received goods and services to maintain their ability to perform oral care. The facility did not ensure the resident's oral care equipment was consistently set up for the residents to participate in this aspect of Activities of Daily Living (ADLs, activities related to personal care). This failure placed residents at risk for unmet care needs and a deterioration in their oral health status.
  20. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide a one-to-one individualized activity program for cognitive stimulation for 1 of 1 sampled resident (Resident 1). This failure placed Resident 1 at risk of decreased cognitive ability and diminished quality of life.
  21. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to consistently follow physician ordered eating recommendations for 1 of 1 resident (Resident 59) reviewed for safe swallowing guidelines. This failure placed the resident at risk for choking, aspiration (a condition where food or liquids are breathed into the lungs), and an overall decline in their health status.
  22. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents received proper treatment and assistive devices to maintain their vision for 2 of 3 residents (Resident 49 and 59) reviewed for vision. Failure to assist residents to obtain vision services/devices, placed the residents at risk for decreased self-care, social interaction and participation in activities.
  23. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 18, 2023
    Inspectors wroteBased on interview and record review the facility failed to ensure pharmacy recommendations were followed up on for 1 of 5 resident (Resident 25), reviewed for unnecessary medications. This failure placed the resident at risk of inaccurate dosing of medication, adverse side effects, and receiving a medication longer than medically necessary.

Fire safety inspections

42 fire safety citations on file: 8 on July 25, 2025, 15 on September 10, 2024, 19 on July 22, 2023.

Every fire safety citation42 citations
  1. F
    Conduct testing and exercise requirements.
    E 39 · July 25, 2025 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 25, 2025 · Corrected (the home has a date of correction)
  3. F
    Install corridor and hallway doors that block smoke.
    K 363 · July 25, 2025 · Corrected (the home has a date of correction)
  4. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 25, 2025 · Corrected (the home has a date of correction)
  5. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · July 25, 2025 · Corrected (the home has a date of correction)
  6. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · July 25, 2025 · Corrected (the home has a date of correction)
  7. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · July 25, 2025 · Corrected (the home has a date of correction)
  8. D
    Have proper medical gas storage and administration areas.
    K 923 · July 25, 2025 · Corrected (the home has a date of correction)
  9. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · September 10, 2024 · Corrected (the home has a date of correction)
  10. F
    Establish emergency prep training and testing.
    E 36 · September 10, 2024 · Corrected (the home has a date of correction)
  11. F
    Meet other general requirements.
    K 100 · September 10, 2024 · Corrected (the home has a date of correction)
  12. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 10, 2024 · Corrected (the home has a date of correction)
  13. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 10, 2024 · Corrected (the home has a date of correction)
  14. F
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · September 10, 2024 · Corrected (the home has a date of correction)
  15. F
    Install corridor and hallway doors that block smoke.
    K 363 · September 10, 2024 · Corrected (the home has a date of correction)
  16. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · September 10, 2024 · Corrected (the home has a date of correction)
  17. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · September 10, 2024 · Corrected (the home has a date of correction)
  18. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · September 10, 2024 · Corrected (the home has a date of correction)
  19. F
    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
    K 926 · September 10, 2024 · Corrected (the home has a date of correction)
  20. E
    Ensure proper usage of power strips and extension cords.
    K 920 · September 10, 2024 · Corrected (the home has a date of correction)
  21. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · September 10, 2024 · Corrected (the home has a date of correction)
  22. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · September 10, 2024 · Corrected (the home has a date of correction)
  23. D
    Have proper medical gas storage and administration areas.
    K 923 · September 10, 2024 · Corrected (the home has a date of correction)
  24. F
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · July 22, 2023 · Corrected (the home has a date of correction)
  25. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · July 22, 2023 · Corrected (the home has a date of correction)
  26. F
    Have properly located and lighted "Exit" signs.
    K 293 · July 22, 2023 · Corrected (the home has a date of correction)
  27. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 22, 2023 · Waiver
  28. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · July 22, 2023 · Corrected (the home has a date of correction)
  29. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · July 22, 2023 · Corrected (the home has a date of correction)
  30. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · July 22, 2023 · Corrected (the home has a date of correction)
  31. F
    Install corridor and hallway doors that block smoke.
    K 363 · July 22, 2023 · Corrected (the home has a date of correction)
  32. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · July 22, 2023 · Waiver
  33. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 22, 2023 · Corrected (the home has a date of correction)
  34. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · July 22, 2023 · Corrected (the home has a date of correction)
  35. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 22, 2023 · Corrected (the home has a date of correction)
  36. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · July 22, 2023 · Waiver
  37. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 22, 2023 · Waiver
  38. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · July 22, 2023 · Waiver
  39. D
    Meet other general requirements.
    K 100 · July 22, 2023 · Corrected (the home has a date of correction)
  40. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 22, 2023 · Corrected (the home has a date of correction)
  41. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · July 22, 2023 · Corrected (the home has a date of correction)
  42. D
    Ensure proper usage of power strips and extension cords.
    K 920 · July 22, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeWashingtonUnited States
All nursing staff (RN, LPN and aides)4.154.363.86
Registered nurses0.950.940.69
All nursing staff on weekends3.503.803.42
Nurse aides2.59
Licensed practical nurses0.61
Nursing staff turnover (share who left in a year)55.7%45.1%45.8%
Registered nurse turnover56.3%45.4%42.9%
Administrators who left1

CMS expects 4.48 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.41 on weekdays and 3.50 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.18 in April to June 2025 to 4.15 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.150.954.413.50 1.9%0 of 9058
Oct to Dec 20254.021.004.253.41 2.4%0 of 9260
Jul to Sep 20254.130.974.453.34 2.3%0 of 9259
Apr to Jun 20254.180.924.443.51 4.2%0 of 9154
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Washington, Jan to Mar 20264.210.904.443.663.7%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Washington

JobMedianMiddle halfEmployed
Washington, all employers
CNAs (nursing assistants)$23.65$22.59 to $27.8530,270
LPNs and LVNs$39.98$36.98 to $45.186,780
Registered nurses$59.71$49.57 to $64.5469,260
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeWashingtonUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
15.914.213.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
3.91.00.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.31.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.12.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.81.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
9.417.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.14.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
16.715.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
18.719.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
19.713.412.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.91.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Willow Springs Care and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (60.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

60.8% this home

Better than the national rate

US median of homes 51.5% · Washington: 71 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 131 eligible stays.

Potentially preventable readmissions

7.9% this home

No different from the national rate

US median of homes 10.7% · Washington: 7 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 118 eligible stays.

Infections that led to a hospital stay

7.5% this home

No different from the national rate

US median of homes 7.1% · Washington: 4 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 79 eligible stays.

Self-care and mobility at discharge

57.8% this home

Median of homes: Washington61.4% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 64 residents counted.

Falls with major injury

2.3% this home

Median of homes: Washington0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 87 residents counted.

New or worsened pressure ulcers

3.1% this home

Median of homes: Washington1.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 87 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Washington98.3% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 43 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: WILLOW SPRINGS CARE.

NameRoleTypeShareSince
Hyatt Family Facilities LLC5% or greater direct ownership interestOrganization02/01/2006
Hyatt, Jeffrey5% or greater direct ownership interestIndividual02/01/2006
Hyatt, Norman5% or greater direct ownership interestIndividual02/01/2006
Berk, HeidiW-2 managing employeeIndividual11/01/2012
Repp, RebeccaW-2 managing employeeIndividual10/13/2011
Cleveland, MichaelCorporate directorIndividual01/01/2017

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 12 problems in this area, most recently on July 25, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on July 25, 2025: "PASARR screening for Mental disorders or Intellectual Disabilities"
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on September 10, 2024: "Provide care or services that was trauma informed and/or culturally competent."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on September 10, 2024: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.50 hours per resident per day, below the Washington average of 3.80.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Washington contacts for a concern about a nursing home

These are the official offices in Washington. NursingHomeClear cannot take or act on complaints.

Common questions

What is Willow Springs Care and Rehabilitation's Medicare star rating?
CMS rates Willow Springs Care and Rehabilitation 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Willow Springs Care and Rehabilitation get at its last inspection?
5 health deficiencies at the standard inspection on July 25, 2025. The Washington average is 15.8.
Has Willow Springs Care and Rehabilitation been fined?
CMS lists no fines in the last three years.
Does Willow Springs Care and Rehabilitation accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Willow Springs Care and Rehabilitation?
CMS lists 6 owners and managers. Legal business name: WILLOW SPRINGS CARE.

Sources

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