Federal inspection record · CMS data as of October 1, 2026

Willow Creek Healthcare Center

650 W. Alluvial, Clovis, CA · (559) 323-6200

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
159
Residents per day
152
Ownership
For-Profit
Chain
Pacs Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
February 8, 1996

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in California.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among California homes

Willow Creek Healthcare Center carries 127 inspection points. That is fewer than 26% of California's 1,154 rated homes.

5★4★3★2★1★+35 homes above 300.2505102550100200inspection points → fewer is better on the leftThis home · 127 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–33 pts
  • 4★ 33–66 pts
  • 3★ 66–96 pts
  • 2★ 96–146 pts
  • 1★ over 146 pts

Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

60 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 5 20 pts
H 2 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 33 4 pts
E 14 8 pts
F 6 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (7)

  1. G

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    January 5, 2026 · Complaint inspection · Resident Rights · F580 · Corrected January 16, 2026

  2. G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    September 24, 2025 · Complaint inspection · Quality of Life and Care · F686 · Corrected October 6, 2025

  3. G

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    May 7, 2025 · Complaint inspection · Resident Rights · F580 · Corrected June 4, 2025

  4. G

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    June 7, 2024 · Complaint inspection · Resident Rights · F580 · Corrected July 31, 2024

  5. H

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 17, 2019 · Standard inspection · Quality of Life and Care · F684 · Corrected August 7, 2019

  6. H

    Provide enough food/fluids to maintain a resident's health.

    May 17, 2019 · Standard inspection · Quality of Life and Care · F692 · Corrected August 7, 2019

  7. G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    May 17, 2019 · Standard inspection · Quality of Life and Care · F686 · Corrected August 7, 2019

Everything else, by area of care

Resident Assessment and Care Planning13E
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 19, 2026 · Complaint · F656 · Corrected September 6, 2026

  2. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    April 4, 2025 · Standard · F656 · Corrected May 1, 2025

  3. E

    Ensure services provided by the nursing facility meet professional standards of quality.

    April 4, 2025 · Standard · F658 · Corrected May 1, 2025

  4. D

    Ensure each resident receives an accurate assessment.

    April 4, 2025 · Standard · F641 · Corrected May 1, 2025

  5. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    April 4, 2025 · Standard · F645 · Corrected May 1, 2025

  6. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    April 4, 2025 · Standard · F655 · Corrected May 1, 2025

  7. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    April 29, 2024 · Complaint · F658 · Corrected June 17, 2024

  8. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    March 7, 2024 · Standard · F645 · Corrected March 25, 2024

  9. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    October 6, 2023 · Complaint · F658 · Corrected October 22, 2023

  10. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    May 17, 2019 · Standard · F656 · Corrected August 7, 2019

  11. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    May 17, 2019 · Standard · F842 · Corrected August 7, 2019

  12. D

    Ensure each resident receives an accurate assessment.

    May 17, 2019 · Standard · F641 · Corrected August 7, 2019

  13. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    May 17, 2019 · Standard · F658 · Corrected August 7, 2019

Nutrition and Dietary10F
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 4, 2025 · Standard · F812 · Corrected May 1, 2025

  2. E

    Dispose of garbage and refuse properly.

    April 4, 2025 · Standard · F814 · Corrected May 1, 2025

  3. D

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    April 4, 2025 · Standard · F805 · Corrected May 1, 2025

  4. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 7, 2024 · Standard · F812 · Corrected March 25, 2024

  5. F

    Dispose of garbage and refuse properly.

    March 7, 2024 · Standard · F814 · Corrected March 25, 2024

  6. 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.

    March 7, 2024 · Standard · F803 · Corrected March 25, 2024

  7. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    May 17, 2019 · Standard · F812 · Corrected August 7, 2019

  8. E

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    May 17, 2019 · Standard · F802 · Corrected August 7, 2019

  9. D

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    May 17, 2019 · Standard · F805 · Corrected August 7, 2019

  10. 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.

    May 17, 2019 · Standard · F808 · Corrected August 7, 2019

Quality of Life and Care7D
  1. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 4, 2025 · Standard · F689 · Corrected May 1, 2025

  2. D

    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.

    May 14, 2024 · Complaint · F700 · Corrected May 20, 2024

  3. D

    Provide activities to meet all resident's needs.

    March 7, 2024 · Standard · F679 · Corrected March 25, 2024

  4. D

    Provide activities to meet all resident's needs.

    May 17, 2019 · Standard · F679 · Corrected August 7, 2019

  5. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    May 17, 2019 · Standard · F698 · Corrected August 7, 2019

  6. D

    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.

    May 17, 2019 · Standard · F700 · Corrected August 7, 2019

  7. D

    Provide or obtain dental services for each resident.

    May 17, 2019 · Standard · F791 · Corrected August 7, 2019

Resident Rights6E
  1. 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.

    May 14, 2026 · Complaint · F584 · Corrected June 5, 2026

  2. 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.

    April 4, 2025 · Standard · F584 · Corrected May 1, 2025

  3. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    April 4, 2025 · Standard · F557 · Corrected May 1, 2025

  4. E

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    May 17, 2019 · Standard · F623 · Corrected August 7, 2019

  5. D

    Keep residents' personal and medical records private and confidential.

    May 17, 2019 · Standard · F583 · Corrected August 7, 2019

  6. 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.

    May 17, 2019 · Standard · F584 · Corrected August 7, 2019

Freedom from Abuse, Neglect, and Exploitation4D
  1. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    August 19, 2026 · Complaint · F607 · Corrected September 6, 2026

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    April 4, 2025 · Standard · F609 · Corrected May 1, 2025

  3. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    June 21, 2024 · Complaint · F600 · Corrected July 25, 2024

  4. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    June 21, 2024 · Complaint · F609 · Corrected July 25, 2024

Infection Control4F
  1. E

    Provide and implement an infection prevention and control program.

    May 14, 2026 · Complaint · F880 · Corrected June 5, 2026

  2. E

    Provide and implement an infection prevention and control program.

    October 1, 2024 · Complaint · F880 · Corrected October 16, 2024

  3. D

    Provide and implement an infection prevention and control program.

    June 7, 2024 · Complaint · F880 · Corrected July 31, 2024

  4. F

    Provide and implement an infection prevention and control program.

    May 17, 2019 · Standard · F880 · Corrected August 7, 2019

Pharmacy Service3E
  1. D

    Ensure that residents are free from significant medication errors.

    June 2, 2025 · Complaint · F760 · Corrected June 18, 2025

  2. 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.

    April 4, 2025 · Standard · F761 · Corrected May 1, 2025

  3. D

    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.

    May 17, 2019 · Standard · F761 · Corrected August 7, 2019

Environmental3E
  1. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    April 4, 2025 · Standard · F919 · Corrected May 1, 2025

  2. E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    December 26, 2024 · Complaint · F919 · Corrected January 10, 2025

  3. E

    Keep all essential equipment working safely.

    May 17, 2019 · Standard · F908 · Corrected August 7, 2019

Administration2F
  1. F

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    May 17, 2019 · Standard · F838 · Corrected August 7, 2019

  2. F

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    May 17, 2019 · Standard · F867 · Corrected August 7, 2019

Nursing and Physician Services1D
  1. D

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    May 17, 2019 · Standard · F711 · Corrected August 7, 2019

Inspection history

  1. 2025-04-04

    19 health deficiencies · 4 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (6 deficiencies)

  2. 2024-03-07

    10 health deficiencies · 16 fire-safety deficiencies

    Top issue: Nutrition and Dietary (3 deficiencies)

  3. 2019-05-17

    31 health deficiencies · 7 fire-safety deficiencies

    Top issue: Quality of Life and Care (8 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 4 min of nursing staff time a day, 31 min of it from a registered nurse.

This home

4 h 4 min

California average

4 h 33 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 56% of nursing staff and 38% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$25,045 in federal fines on record over the past three years.

DatePenaltyAmount
2026-01-05Fine$15,935
2025-09-24Fine$9,110
2025-05-07Payment Denial · 6 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts better2.02.21.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better1.21.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better100.0%98.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.1 pts better98.0%97.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts worse2.3%1.6%3.2%
Percentage of long-stay residents who have depressive symptoms1.2 pts better6.4%7.6%13.5%
Percentage of long-stay residents who lose too much weight1 pts better3.1%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.7 pts better12.0%13.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.1 pts better9.2%12.3%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.8 pts better5.1%8.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.4 pts better7.8%10.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better0.0%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.6 pts better0.6%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.8 pts worse14.6%9.8%18.3%
Percentage of long-stay residents with pressure ulcers2.1 pts better2.2%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.7 pts better98.3%94.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.1 pts better11.0%11.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better0.4%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.3 pts better94.4%93.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1 pts worse23.6%22.6%23.4%

·

Who owns and runs it

5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Providence Group Inc5% Or Greater Direct Ownership Interest · Organization100%32 facilities
Apt, FrederickCorporate Officer · Individual0%258 facilities
Cantwell, KalanW-2 Managing Employee · Individual0%1 facilities
Mitchell, JohnCorporate Officer · Individual0%276 facilities
Sood, PawanContracted Managing Employee · Individual0%1 facilities

·

Fire safety

27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke10E
  1. D

    Install corridor and hallway doors that block smoke.

    April 4, 2025 · K363 · Corrected April 16, 2025

  2. E

    Install a fire alarm system that can be heard throughout the facility.

    March 7, 2024 · K341 · Corrected March 22, 2024

  3. D

    Inspect, test, and maintain automatic sprinkler systems.

    March 7, 2024 · K353 · Corrected March 22, 2024

  4. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    March 7, 2024 · K355 · Corrected March 22, 2024

  5. D

    Install corridor and hallway doors that block smoke.

    March 7, 2024 · K363 · Corrected March 22, 2024

  6. D

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    March 7, 2024 · K374 · Corrected March 22, 2024

  7. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    May 17, 2019 · K321 · Corrected July 9, 2019

  8. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    May 17, 2019 · K345 · Corrected July 9, 2019

  9. D

    Install corridor and hallway doors that block smoke.

    May 17, 2019 · K363 · Corrected July 9, 2019

  10. D

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    May 17, 2019 · K374 · Corrected July 9, 2019

Gas, Vacuum, and Electrical Systems7E
  1. D

    Meet requirements for the use of electrical equipment.

    April 4, 2025 · K919 · Corrected April 16, 2025

  2. D

    Ensure proper usage of power strips and extension cords.

    April 4, 2025 · K920 · Corrected April 16, 2025

  3. E

    Have generator or other power source capable of supplying service within 10 seconds.

    March 7, 2024 · K918 · Corrected March 22, 2024

  4. D

    Meet requirements for the use of electrical equipment.

    March 7, 2024 · K919 · Corrected March 22, 2024

  5. D

    Have proper medical gas storage and administration areas.

    March 7, 2024 · K923 · Corrected March 22, 2024

  6. D

    Have generator or other power source capable of supplying service within 10 seconds.

    May 17, 2019 · K918 · Corrected July 9, 2019

  7. D

    Ensure proper usage of power strips and extension cords.

    May 17, 2019 · K920 · Corrected July 9, 2019

Emergency Preparedness6E
  1. E

    Implement emergency and standby power systems.

    March 7, 2024 · E41 · Corrected March 22, 2024

  2. D

    Address subsistence needs for staff and patients.

    March 7, 2024 · E15 · Corrected March 22, 2024

  3. D

    Establish policies and procedures for volunteers.

    March 7, 2024 · E24 · Corrected March 22, 2024

  4. D

    Establish roles under a Waiver declared by secretary.

    March 7, 2024 · E26 · Corrected March 22, 2024

  5. D

    Establish emergency prep training and testing.

    March 7, 2024 · E36 · Corrected March 22, 2024

  6. D

    Conduct testing and exercise requirements.

    March 7, 2024 · E39 · Corrected March 22, 2024

Egress2D
  1. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    March 7, 2024 · K211 · Corrected March 22, 2024

  2. D

    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.

    May 17, 2019 · K222 · Corrected July 9, 2019

Construction1D
  1. D

    Use approved construction type or materials.

    April 4, 2025 · K161 · Corrected April 16, 2025

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    March 7, 2024 · K712 · Corrected March 22, 2024

·

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