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.

Back to Willowbrooke Ct Skilled Care Ctr at Bayleigh Chase

Last standard health inspection on record

March 25, 2026

Showing 1 to 24 of 24 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2019).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

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

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2019).

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

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

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

    Fire safety citation K-0345, 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).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, 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).

  10. 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 July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2019).

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

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

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2019).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2019).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2019).

  15. 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 July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2019).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2019).

  17. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2019).

  18. 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 July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2019).

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

    Have enough outside ventilation via a window or mechanical ventilation, or both.

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

    Health citation F-0923, Environmental Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2019).

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

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

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

  21. 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.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of July 12, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, 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).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, 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).

  24. 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.

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

    Fire safety citation K-0521, 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).

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.