Willowcreek Wellness & Rehabilitation
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 107 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Abuse citation on record
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (32 vs median 10)
- High staff turnover (60%)
- High RN turnover (100%)
Below average in MO · Critically understaffed (RN) · Above average staffing · $97,920 in fines · Special Focus Facility (CMS) · Abuse citation
What this means for your family
While recent management changes have led to noticeable improvements in cleanliness and resident care, the facility still struggles with inconsistent weekend staffing and food quality. If you are considering this facility, I strongly recommend visiting on a weekend to assess the environment firsthand and asking specifically about their protocols for weekend medication management and staff-to-patient ratios.
Google Reviews
Google Reviews
107 reviews on Google“Willowcreek Wellness & Rehabilitation presents a polarized experience, with recent reviews highlighting significant improvements under new management, particularly regarding cleanliness and staff attentiveness. However, long-standing concerns persist regarding weekend staffing levels, inconsistent quality of care, and reports of neglect or theft that have caused deep distress for some families. While some residents report successful rehabilitation outcomes, others describe a facility struggling with basic operational standards.”
Quality Themes
Tap a score for detailsStrengths
- Dedicated and compassionate nursing leadership
- Effective physical and occupational therapy programs
- Noticeable improvements in cleanliness under new management
- Helpful and professional admissions coordination
Concerns
- Severe understaffing and neglect on weekends (mentioned by 6 reviewers)
- Poor food quality and inconsistent meal service (mentioned by 4 reviewers)
- Theft of personal belongings and clothing (mentioned by 3 reviewers)
- Unsanitary conditions and persistent odors (mentioned by 5 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 109 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the recent changes in management, what specific steps are being taken to ensure consistent cleanliness and odor control throughout the facility?
- 2With the current staffing levels, how do you ensure that residents receive attentive care and timely assistance, particularly during weekend shifts?
- 3I noticed the therapy programs are highly regarded; could you explain how those services are integrated into the daily routine for residents recovering from rehabilitation?
- 4What protocols do you have in place to secure residents' personal belongings and clothing to ensure they remain accounted for?
- 5How are you working to improve the variety and quality of the meal service to better meet the nutritional preferences of the residents?
- 6In the event of a medical emergency, what is your process for notifying family members and coordinating care with local hospitals?
Personalized based on this facility's data
Key Review Excerpts
“The facility has recently been under new management and the improvements since are very noticeable. The facility doesn't smell as it did previously, it's clean and well maintained.”
“I spent 3 and a half years there, and came in as a total care patient... In March of 2024, a determination built inside of me to make a change. I told the therapy director...”
“My initial thoughts were this is a cool facility. Well this is the weekend and it is totally different during the week. Weekends are hell. None of the employees seem to have time or even act like they care.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
6
measures
2
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has significant concerns with families repeatedly filing complaint reports about protection from abuse and proper treatment according to medical orders, most recently in 2025. The most recurring problems involve treatment and care according to medical orders, medication management, and protection from abuse and neglect. While all documented violations show correction dates, the persistent pattern of similar issues across surveys—particularly those triggered by family complaints—suggests ongoing systemic challenges with quality oversight and resident safety.
Mar 18, 2026Complaint1
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Mar 5, 2026Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Feb 5, 2026Complaint5
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jan 7, 2026Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Nov 18, 2025Complaint2
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Jun 20, 2025Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Jun 20, 2025
$16,149
Fine
Mar 4, 2025
$47,499
Payment Denial
Mar 4, 2025
35-day denial
Payment Denial
Aug 14, 2024
6-day denial
Ownership & Operations
Who Operates This Facility
Willowcreek Wellness & Rehabilitation
for profit
Chain Affiliation
Opco Skilled Management
64 facilities nationwide
Chain avg rating: 2.4/5 · Rank 30 of 52
Ownership & Management
Owners
Wildflower Healthcare LLC
Owner · Organization
Blooming Willow Partners LLC
Owner (parent company) · Organization
Derhoben Trust
Owner (parent company) · Organization
Pas B Sol Trust
Owner (parent company) · Organization
Davidovich, Niv
Owner (parent company)
Sternshein, Jennifer
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
107 reviews from families & visitors
Official Website
Visit willowcreekwr.com
Medicare data downloads
Original nursing home datasets
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Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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