All citations for Willowbrooke Ct Skilled Care Ctr at Bayleigh Chase

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.

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Last standard health inspection on record

March 25, 2026

Showing 1 to 25 of 69 citations

Immediate jeopardy to resident health or safety
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 J.
Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 17, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (February 27, 2025).
Harm to a resident
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 G.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 17, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (February 27, 2025).
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 March 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 18, 2026).
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 March 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 18, 2026).
No harm, with potential for more than minimal harm
Observe each nurse aide's job performance and give regular training.
Widespread (many residents). CMS level F.
Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of January 17, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (February 27, 2025).
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.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 27, 2025).
No harm, with potential for more than minimal harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Widespread (many residents). CMS level F.
Health citation F-0867, Administration Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 27, 2025).
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 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
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 January 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
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 January 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
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 July 12, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (October 15, 2019).
No harm, with potential for more than minimal harm
Meet other general requirements that are deficient.
Widespread (many residents). CMS level F.
Fire safety citation K-0500, Services Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (October 15, 2019).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (October 15, 2019).
No harm, with potential for more than minimal harm
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Widespread (many residents). CMS level F.
Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (October 15, 2019).
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 July 12, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (October 15, 2019).
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 March 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 30, 2026).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 18, 2026).
No harm, with potential for more than minimal harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0223, Egress Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 18, 2026).
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 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 18, 2026).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (July 18, 2026).
No harm, with potential for more than minimal harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Pattern (more than a few residents). CMS level E.
Health citation F-0835, Administration Deficiencies. Inspection of January 17, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (February 27, 2025).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 17, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (February 27, 2025).
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 January 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 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.