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

September 12, 2025

Showing 1 to 25 of 69 citations

  1. Harm to a resident

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2025).

  2. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

  3. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

  4. No harm, with potential for more than minimal harm

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

  5. No harm, with potential for more than minimal harm

    Have an enclosure around a vertical opening shaft.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

  6. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

  7. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

  8. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

  9. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

  10. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

  11. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  12. 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 September 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  13. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  14. No harm, with potential for more than minimal harm

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Widespread (many residents). CMS level F.

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2023).

  15. No harm, with potential for more than minimal harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Widespread (many residents). CMS level F.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of September 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2023).

  16. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2025).

  17. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2025).

  18. No harm, with potential for more than minimal harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2025).

  19. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2025).

  20. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  21. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  22. 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  23. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0552, Resident Rights Deficiencies. Inspection of September 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2023).

  24. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of September 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2023).

  25. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of September 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 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.