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 19 of 19 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. No harm, with potential for minimal harm

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

    Widespread (many residents). CMS level C.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems 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.