Willow Creek Healthcare Center
650 W. Alluvial · Clovis, CA · 93611 · 5593236200
159 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $25,045 in fines in the last 24 months.
- 7 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.12 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 3.87 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | 2 · $25,045 |
Inspection citations (60 in the current record)
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Actual harm · G January 5, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 16, 2026 · Resident Rights
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Actual harm · G September 24, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 6, 2025 · Quality of Life and Care
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Potential for harm · D June 2, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected June 18, 2025 · Pharmacy Service
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Actual harm · G May 7, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 4, 2025 · Resident Rights
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Potential for harm · D April 4, 2025
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected May 1, 2025 · Resident Rights
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Potential for harm · E April 4, 2025
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.
Corrected May 1, 2025 · Resident Rights
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Potential for harm · D April 4, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 4, 2025
Ensure each resident receives an accurate assessment.
Corrected May 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 4, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 4, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 1, 2025 · Quality of Life and Care
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Potential for harm · E April 4, 2025
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.
Corrected May 1, 2025 · Pharmacy Service
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Potential for harm · D April 4, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected May 1, 2025 · Nutrition and Dietary
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Potential for harm · E April 4, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 1, 2025 · Nutrition and Dietary
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Potential for harm · E April 4, 2025
Dispose of garbage and refuse properly.
Corrected May 1, 2025 · Nutrition and Dietary
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Potential for harm · D April 4, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected May 1, 2025 · Environmental
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Potential for harm · E December 26, 2024 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected January 10, 2025 · Environmental
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Potential for harm · E October 1, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 16, 2024 · Infection Control
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Potential for harm · D June 21, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 25, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 21, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 25, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G June 7, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 31, 2024 · Resident Rights
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Potential for harm · D June 7, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 31, 2024 · Infection Control
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Potential for harm · D May 14, 2024 · found via complaint
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected May 20, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 5, 2026 | Fine | $15,935 |
| September 24, 2025 | Fine | $9,110 |
| May 7, 2025 | Payment Denial | 6 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555652 · certified since February 8, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.