B

WILLOW SPRINGS CARE AND REHABILITATION

4007 TIETON DRIVE, YAKIMA, WA 98908
Score: 76 / 100

With a score of 76/100 and a B grade, Willow Springs Care And Rehabilitation is a well-regarded option in Yakima, Washington. The facility performs above average in most CMS categories, placing it in the 71th percentile statewide.

Staffing at Willow Springs Care And Rehabilitation is near the national average, with 4.13 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 37 deficiencies at Willow Springs Care And Rehabilitation, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 25 / 25 pts
5 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.13 3.8 Average
Registered Nurses (RN) 0.97 0.7 Above Average
Licensed Practical Nurses (LPN) 0.60 0.7 Below Average
Certified Nursing Assistants (CNA) 2.56 2.4 Average
Weekend Total Nursing 3.34 3.8 Below Average
Weekend RN Hours 0.88 0.7 Above Average

🔍 Inspection & Deficiency History

37
Total Deficiencies
Jul 24, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 35 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jul 24, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0921 Severity E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    Jul 24, 2025 · Environmental Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Jul 24, 2025 · Resident Rights Deficiencies
  • Tag 0645 Severity D
    PASARR screening for Mental disorders or Intellectual Disabilities
    Jul 24, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0569 Severity E
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    Sep 9, 2024 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 7.0% 4.5% Worse
Falls with major injury 2.3% 3.0% Better
On antipsychotic medication 18.7% 14.5% Worse
Urinary tract infections 6.0% 2.5% Worse
ADL decline (daily activities) 16.0% 14.0% Worse
Excessive weight loss 23.7% 7.5% Worse
New/worsened incontinence 30.3% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $21,442

How This Grade Was Calculated

This facility's grade of B is based on a score of 76 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 5★ → 25 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -2 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
75
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 24, 2025
Deficiencies (Cycle 1)
5