All citations for Willow Brook Rehabilitation and Healthcare Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Willow Brook Rehabilitation and Healthcare Center

Last standard health inspection on record

March 27, 2026

Showing 1 to 25 of 26 citations

Immediate jeopardy to resident health or safety
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Isolated (one or a few residents). CMS level J.
Health citation F-0694, Quality of Life and Care Deficiencies. Inspection of March 27, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 6, 2026).
Harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Isolated (one or a few residents). CMS level G.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 18, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (July 16, 2026).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Widespread (many residents). CMS level F.
Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 27, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 5, 2026).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2025).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 15, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 16, 2024).
No harm, with potential for more than minimal harm
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0343, Smoke Deficiencies. Inspection of January 23, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (February 29, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 11, 2023).
No harm, with potential for more than minimal harm
Meet other general requirements.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0100, Construction Deficiencies. Inspection of February 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2025).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of February 7, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2025).
No harm, with potential for more than minimal harm
Have properly installed hallway dispensers for alcohol-based hand rub.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0325, Smoke Deficiencies. Inspection of March 15, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 16, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 15, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 16, 2024).
No harm, with potential for more than minimal harm
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0362, Smoke Deficiencies. Inspection of March 15, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 16, 2024).
No harm, with potential for more than minimal harm
Install properly constructed and protected linen or trash chutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0541, Services Deficiencies. Inspection of March 15, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 16, 2024).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 15, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 16, 2024).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of January 23, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (February 29, 2024).
No harm, with potential for more than minimal harm
Install a two-hour-resistant firewall separation.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0133, Construction Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 11, 2023).
No harm, with potential for more than minimal harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0225, Egress Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 11, 2023).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 11, 2023).
No harm, with potential for more than minimal harm
Install properly constructed and protected linen or trash chutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0541, Services Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 11, 2023).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Isolated (one or a few residents). CMS level D.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 27, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 5, 2026).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Isolated (one or a few residents). CMS level D.
Health citation F-0880, Infection Control Deficiencies. Inspection of March 27, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 5, 2026).
No harm, with potential for minimal harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Widespread (many residents). CMS level C.
Health citation F-0623, Resident Rights Deficiencies. Inspection of March 15, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 16, 2024).
No harm, with potential for minimal harm
Meet other general requirements.
Widespread (many residents). CMS level C.
Fire safety citation K-0100, Construction Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 11, 2023).
No harm, with potential for minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level C.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 11, 2023).
No harm, with potential for minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level C.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 11, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.