Deficiency Index

Willapa Harbor Care

Raymond, Washington · CCN 505349

20 surveys since 2011. The first finding at harm level was recorded in 2017.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
111
Surveys
20
Harm or worse
9
Immediate jeopardy
6
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy6

Findings at the most serious level CMS records.

Beyond CMS’s monthly file15/20

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
60
Ownership
For profit - Limited Liability company
Chain
CALDERA CARE
County
Pacific · rural
Medicare-certified since
1989

CMS ratings

Overall
4
Health inspection
4
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 26 for-profit facilities with fewer than 66 beds in Washington.

Last survey on record

Aug 21, 2025

445 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.683.93
Registered-nurse hours per resident day0.64—
Annual nurse turnover42.9%43.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2787.1%E39.7%F—
No harm, potential for minimalA—B—C13.2%
CMS’s current file: 31 of the 111 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5522×

    Ensure that residents are fully informed and understand their health status, care and treatments.

  • F5842×

    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.

  • F6562×

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

  • F6572×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6792×

    Provide activities to meet all resident's needs.

In the surveyor’s words

From the most serious findings on record at Willapa Harbor Care, in the surveyor’s own words.

  • Immediate jeopardy, patternF880Mar 4, 2021

    Based on observation, interview, and record review, the facility failed to ensure personal protective equipment, intended to mitigate the risk and spread of coronavirus (a highly contagious virus which causes COVID-19 infections), was consistently implemented in one of two halls (West Wing-COVID-19 quarantine unit) for 16 of 32 sampled residents (#1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, & 16) reviewed for quarantine with known exposure to COVID-19. This failure placed residents and staff at risk for contracting COVID-19 during a global pandemic. This failure resulted in an Immediate Jeopardy when staff did not know how to implement PPE on a unit with known exposure to COVID-19 and increased the likelihood of serious illness or death due to the spread of COVID. […]

  • No harm, potential for more than minimal, patternF812Aug 8, 2025

    Based on observation and interview, the facility failed to ensure food items were labeled and dated when opened in 1 of 2 kitchen refrigerators, reviewed for food storage. This failure placed residents at risk for food borne illness, and a diminished quality of life.Findings included .During an observation on 08/04/2025 at 10:03 AM, the kitchen refrigerator on the left, was observed with the following expired, opened items: 1. Metal Tupperware Jar of Butter Pasta- labeled with use by date of 08/03/20252. Metal Tupperware Jar of Meatballs - labeled with use by date of 08/02/20253. Metal Tupperware Jar of Diced Carrots - labeled with use by date of 08/03/20254. Plastic Ziplock bag of Bulk Ham- labeled with use by date of 07/25/20255. […]

  • No harm, potential for more than minimal, patternF584Jul 24, 2024

    Based on observation and interview, the facility failed to provide a safe dining environment by ensuring the floorboard heater was not hot to the touch in 1 of 1 dining room reviewed for environment. This failure had the potential to place residents at risk of burns and a diminished quality of life. Findings included . On 07/21/2024 at 12:45 PM, the dining room floorboard heater was observed radiating heat. The floorboard heater was hot to the touch and made this observer's hand move quickly away when touched. At 12:47 PM, Staff D, Maintenance Director, said the floorboard heater had to be manually turned on. Staff D touched the floorboard heater, removed his hand quickly and stated, It's pretty hot. At 12:51 PM, Staff D was observed using a thermometer which read 100 degrees. […]

  • No harm, potential for more than minimal, patternF947Aug 9, 2023

    Based on interview and record review, the facility failed to ensure staff received dementia training and/or abuse/neglect training for 3 of 5 sampled staff (F, G & H) reviewed for nurse aids in-service trainings. This failure placed residents at risk for receiving necessary care from unskilled staff. Findings included . Staff F, Certified Nursing Assistant, was hired on 06/18/2023. No training records or in-services provided showed Dementia or Abuse/Neglect training was completed since hire. Staff G, Certified Nursing Assistant, was hired on 12/02/2022. No training records or in-services provided showed Dementia or Abuse/Neglect training was completed since hire. Staff H, Certified Nursing Assistant, was hired on 11/07/2022. […]

  • No harm, potential for more than minimal, isolatedF610Aug 21, 2025

    Based on interview and record review, the facility failed to ensure a thorough investigation was conducted for 1 of 2 sampled residents (Resident 1) reviewed for accident and incident investigations. This failure placed residents at risk for abuse and neglect, inappropriate corrective actions, and a diminished quality of life.Findings included . Record review of the facility policy, titled, Prevention and Reporting: Resident Mistreatment, Neglect, Abuse, Including Injuries of Unknown Source, and Misappropriation of Resident Property, dated 08/2022, documented, Abuse is the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish. […]

Read 29 findings in full →The most serious and the most recent: 29 of 111 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 21, 2025Complaint1 finding
  • Aug 8, 2025Standard10 findings
  • Jul 24, 2024Standard7 findings
  • Aug 9, 2023Standard12 findings
  • Jul 31, 2023Complaint1 finding
  • Jul 8, 2022Standard3 findings
  • Dec 3, 2021Complaint3 findings
  • Mar 4, 2021Infection control1 finding · 1 harm
Show the 12 earlier surveys
  • Dec 10, 2019Standard16 findings
  • Oct 5, 2018Standard5 findings
  • Nov 27, 2017Standard13 findings · 2 harm
  • Oct 19, 2017Complaint1 finding
  • Jun 14, 2017Complaint3 findings · 1 harm
  • Jan 31, 2017Complaint6 findings · 5 harm
  • Dec 16, 2016Complaint2 findings
  • Oct 21, 2016Standard2 findings
  • Oct 6, 2015Standard7 findings
  • Oct 10, 2014Standard10 findings
  • Sep 19, 2013—4 findings
  • Nov 18, 2011—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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