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 26 to 50 of 84 citations

  1. 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 9, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 16, 2024).

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

    Put firmly secured handrails on each side of hallways.

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

    Health citation F-0924, Environmental Deficiencies. Inspection of September 9, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 16, 2024).

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

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

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

    Health citation F-0694, Quality of Life and Care Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

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

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

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

  5. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

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

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

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

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

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

  8. 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).

  9. 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).

  10. 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).

  11. 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).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of May 15, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 17, 2026).

  13. 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 May 15, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 17, 2026).

  14. 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 May 15, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 17, 2026).

  15. 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 May 15, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 17, 2026).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 15, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 17, 2026).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of May 15, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 17, 2026).

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

    Keep all essential equipment working safely.

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

    Health citation F-0908, Environmental Deficiencies. Inspection of May 15, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 17, 2026).

  19. 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 March 17, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 17, 2026).

  20. 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 March 17, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 17, 2026).

  21. 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 December 30, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 29, 2026).

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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

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

    Health citation F-0919, Environmental Deficiencies. Inspection of December 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 6, 2026).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 8, 2025).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 8, 2025).

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

    Assess the resident when there is a significant change in condition

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

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of May 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 8, 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.