All citations for Willow Grove Post Acute

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 Grove Post Acute

Last standard health inspection on record

May 15, 2026

Showing 1 to 25 of 28 citations

  1. 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 May 15, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2026).

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

    Meet other general requirements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0100, Construction Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 2, 2024).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of May 15, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2026).

  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 May 15, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2026).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of May 15, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2026).

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

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

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of May 15, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2026).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 15, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2026).

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

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

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

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

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

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

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

  14. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

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

    Install resident room doors of proper design and width.

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

    Fire safety citation K-0233, Egress Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 2, 2024).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 2, 2024).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 2, 2024).

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

    Ensure gas cylinders are properly stored.

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

    Fire safety citation K-0906, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 2, 2024).

  20. No harm, with potential for minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

  21. No harm, with potential for minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

  22. No harm, with potential for minimal harm

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

  23. No harm, with potential for minimal harm

    Create arrangements with other facilities to receive patients.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

  24. No harm, with potential for minimal harm

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

  25. No harm, with potential for minimal harm

    List the names and contact information of those in the facility.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

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.