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 51 to 69 of 69 citations

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

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

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

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

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

    Fire safety citation K-0372, 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).

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

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 17, 2024).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, 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).

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

    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.

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

    Health citation F-0584, 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).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, 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).

  7. 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.

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

    Health citation F-0677, 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).

  8. 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 September 8, 2023. Found during a standard inspection.

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

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

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

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

    Health citation F-0686, 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).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, 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).

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, 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).

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

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

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

    Health citation F-0694, 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).

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

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

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

    Health citation F-0698, 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).

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

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

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

    Health citation F-0740, 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).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service 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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, 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).

  17. 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 September 8, 2023. Found during a standard inspection.

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

  18. No harm, with potential for minimal harm

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.

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

  19. No harm, with potential for minimal harm

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.

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

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.